Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ASCO Annual Meeting 2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

2024 ASCO Annual Meeting

Keep up to date with all the top stories and latest evidence with our hub page, including official congress videos and expert takeaways.
ADVANCED SEARCH
Log in
Top
BMC Health Services Research
Published in: BMC Health Services Research 1/2020

Open Access 01-12-2020 | Research article

Towards developing a model for the evaluation of hospital disaster resilience: a systematic review

Authors: Saeed Fallah-Aliabadi, Abbas Ostadtaghizadeh, Ali Ardalan, Farin Fatemi, Bijan Khazai, Mohammad Reza Mirjalili

Published in: BMC Health Services Research | Issue 1/2020

Login to get access

Abstract

Background

Hospitals play a vital role in disaster stricken regions. The resilient hospitals will be able to provide essential services to affected people and it can mitigate the risk of injuries during and after disasters. This study aimed to obtain the indicators required for the evaluation of hospital resilience.

Methods

This systematic review was conducted in 2018. Through this systematic review, international electronic databases were investigated for the research studies published in English. The exclusion and inclusion criteria were determined to extract the hospital resilience indicators. These indicators will be used in order to develop a model to keep the system performance at an acceptable level during disasters.

Results

Out of 1794 research studies published until September 2018, 89 articles and guidelines with full text were surveyed. Thirty-two articles and guidelines were then selected and analyzed to collect the indicators related to hospital disaster resilience (HDR). The domains and the indicators were extracted from these selected research studies. The authors collected and categorized them into three domains and twenty seven subdomains. The three domains included constructive, infrastructural, and administrative resilience. The relevant indicators were designed for each subdomain to assess HDR.

Conclusion

Since diverse indicators affect hospital resilience, other studies should be conducted to propose some models or tools to quantify the hospital resilience in different countries and scopes with an all hazards approach.
Appendix
Available only for authorised users
Literature
1.
Albanese J, Birnbaum M, Cannon C, Cappiello J, Chapman E, Paturas J, et al. Fostering disaster resilient communities across the globe through the incorporation of safe and resilient hospitals for community-integrated disaster responses. Prehosp Disaster Med. 2008;23(5):385–90.PubMedCrossRef
2.
Geroy LSA, Pesigan AM. Disaster risk reduction for health facilities in the Western Pacific region. Int J Disaster Resilience Built Environ. 2011;2(3):268–77.CrossRef
3.
Loosemore M, Chand A. Barriers to building resilience to extreme weather events in Australian hospitals. Proceedings of the 32nd Annual ARCOM Conference, ARCOM 2016; 2016.
4.
Labarda C, Labarda MDP, Lamberte EE. Hospital resilience in the aftermath of typhoon Haiyan in the Philippines. Disaster Prev Manag Int J. 2017;26(4):424–36.CrossRef
5.
Krauskopf RB, Saavedra RR. Guidelines for vulnerability reduction in the design of new health facilities: Pan American health organization, Area on Emergency Preparedness and Disaster Relief; 2004.
6.
Achour N, Pascale F, Price ADF, Polverino F, Aciksari K, Miyajima M, et al. Learning lessons from the 2011 Van earthquake to enhance healthcare surge capacity in Turkey. Environ Hazards-Human Policy Dimen. 2016;15(1):74–94.
7.
Hall ML, Lee AC, Cartwright C, Marahatta S, Karki J, Simkhada P. The 2015 Nepal earthquake disaster: lessons learned one year on. Public Health. 2017;145:39–44.PubMedCrossRef
8.
Jacques CC, McIntosh J, Giovinazzi S, Kirsch TD, Wilson T, Mitrani-Reiser J. Resilience of the Canterbury hospital system to the 2011 Christchurch earthquake. Earthquake Spectra. 2014;30(1):533–54.CrossRef
9.
10.
Yusoff N, Shafii H, Omar R, editors. The impact of floods in hospital and mitigation measures: A literature review. Materials Science and Engineering Conference Series. Johor Bahru; 2017.
11.
Razzaghi S, Ghafory-Ashtiany M. A preliminary reconnaissance report on August 11th 2012. Varzaghan-Ahar Twin Earthquakes in NW of Iran; 2012.
12.
Ahmadi A, Bazargan-Hejazi S. 2017 Kermanshah earthquake; lessons learned. J Inju Violence Res. 2018;10(1):1.
13.
Jafar E, Taneja U. Business continuity planning—a survey of hospitals in Delhi. J Public Health. 2017;25(6):699–709.CrossRef
14.
Achour N, Price ADF. Resilience strategies of healthcare facilities: present and future. Int J Disaster Resilience Built Environ. 2010;1(3):264–76.CrossRef
15.
Achour N, Price ADF. Healthcare resilience to natural hazards: an achievable target. Int J Disaster Resilience Built Environ. 2011;2(3):45–56.CrossRef
16.
ISDR U. Hyogo framework for action 2005–2015: building the resilience of nations and communities to disasters. Extract from the final report of the World Conference on Disaster Reduction (A/CONF 206/6). Geneva: The United Nations International Strategy for Disaster Reduction; 2005.
17.
UNISDR U. Sendai framework for disaster risk reduction 2015–2030. Sendai: Proceedings of the 3rd United Nations World Conference on DRR; 2015.
18.
Bruneau M, Chang SE, Eguchi RT, Lee GC, O’Rourke TD, Reinhorn AM, et al. A framework to quantitatively assess and enhance the seismic resilience of communities. Earthquake Spectra. 2003;19(4):733–52.CrossRef
19.
20.
Olu O. Resilient health system as conceptual framework for strengthening public health disaster risk management: an African viewpoint. Front Public Health. 2017;5:263.PubMedPubMedCentralCrossRef
21.
Guillemot J. Operational framework for building climate resilient health systems; 2015.
22.
Ardalan A, Keleh MK, Saberinia A, Khorasani-Zavareh D, Khankeh H, Miadfar J, et al. 2015 estimation of hospitals safety from disasters in IR Iran: the results from the assessment of 421 hospitals. PLoS One. 2016;11(9):e0161542.PubMedPubMedCentralCrossRef
23.
Brankov B, Nenković-Riznić M, Pucar M, Petrović S. Hospital safety in spatial and urban planning and design–seismic zone in the Kolubara region in Serbia. Proceedings of Seismic and Energy Renovation for Sustainable Cities: SER4SC; 2018. p. 82–91.
24.
Djalali A, Ardalan A, Ohlen G, Ingrassia PL, Della Corte F, Castren M, et al. Nonstructural safety of hospitals for disasters: a comparison between two capital cities. Disaster Med Public Health Prep. 2014;8(2):179–84.CrossRef
25.
Mulyasari F, Inoue S, Prashar S, Isayama K, Basu M, Srivastava N, et al. Disaster preparedness: looking through the lens of hospitals in Japan. Int J Disaster Risk Sci. 2013;4(2):89–100.CrossRef
26.
Pisla M, Domente D, Chetraru L, Ostaficiuc R. Evaluation of hospital safety in the Republic of Moldova. Chsiinau: Republican Center for Disaster Medicine; 2010.
27.
World Health Organization. Hospital safety index: Guide for evaluators, 2 edn. Geneva: World Health Organization; 2015.
28.
Aguirre BR, Dynes R, Kendra J, Connell R. Institutional Resilience and Disaster Planning for New Hazards: Insights from Hospitals. J Homel Secur Emerg Manag. 2005;2(2):1–17.
29.
Dobalian A, Stein JA, Radcliff TA, Riopelle D, Brewster P, Hagigi F, et al. Developing valid measures of emergency management capabilities within US Department of veterans affairs hospitals. Prehosp Disaster Med. 2016;31(5):475–84.PubMedCrossRef
30.
Park I, Sharman R, Rao HR. Disaster experience and hospital information systems: an examination of perceived information assurance, risk, resilience, and his usefulness. MIS Q. 2015;39(2):317–44.CrossRef
31.
Shirali GA, Azadian S, Saki A. A new framework for assessing hospital crisis management based on resilience engineering approach. Work. 2016;54(2):435–44.PubMedCrossRef
32.
Zhong S, Clark M, Hou XY, Zang Y, FitzGerald G. Development of key indicators of hospital resilience: a modified Delphi study. J Health Serv Res Policy. 2015;20(2):74–82.PubMedCrossRef
33.
Zhong S, Clark M, Hou XY, Zang YL, Fitzgerald G. Development of hospital disaster resilience: conceptual framework and potential measurement. Emerg Med J : EMJ. 2014;31(11):930–8.PubMedCrossRef
34.
Zhong S. Developing an evaluation framework for hospital disaster resilience: tertiary hospitals of Shandong province. China: Queensland University of Technology; 2014.
35.
(FEMA) FEMA. Design Guide for Improving Hospital Safety in Earthquakes, Floods, and High Winds: Providing Protection to People and Buildings (FEMA 577). 2007.
36.
(HBN) HBN. Planning for a resilient healthcare estate. 2014.
37.
(WHO) WHO.Hospitals Safe from Disasters: Reduce Risk, Protect Health Facilities, Save Lives. United Nations International Strategy for Disaster Reduction (UNISDR); 2007.
38.
Achour N, Miyajima M, Pascale F, Price ADF. Hospital resilience to natural hazards: classification and performance of utilities. Disaster Prev Manag Int J. 2014;23(1):40–52.CrossRef
39.
Barror RF, Gardner RJ. USPHS: building resilience. Mil Eng. 2008;100(653):83–5.
40.
Bruneau M, Reinhorn A. Exploring the concept of seismic resilience for acute care facilities. Earthquake Spectra. 2007;23(1):41–62.CrossRef
41.
Chow VW, Loosemore M, McDonnell G. Modelling the impact of extreme weather events on hospital facilities management using a system dynamics approach. Association of Researchers in Construction Management, ARCOM 2012 - Proceedings of the 28th Annual Conference; 2012.
42.
Cimellaro GP, Reinhorn AM, Bruneau M. Seismic resilience of a hospital system. Struct Infrastruct Eng. 2010;6(1–2):127–44.CrossRef
43.
Cimellaro GP, Reinhorn AM, Bruneau M. Framework for analytical quantification of disaster resilience. Eng Struct. 2010;32(11):3639–49.CrossRef
44.
Hassan E, Mahmoud H, editors. Resilience Quantification of a Steel Hospital Subjected to Earthquake. In: 11th United States National Conference on Earthquake Engineering. USA; 2018.
45.
Khanmohammadi S, Farahmand H, Kashani H. A system dynamics approach to the seismic resilience enhancement of hospitals. Int J Disaster Risk Reduction. 2018;31:220–33.CrossRef
46.
Lane SJ, McGrady E. Measures of emergency preparedness contributing to nursing home resilience. J Gerontol Soc Work. 2018;61(7):751–74.PubMedCrossRef
47.
Masko ML, Eckert CM, Caldwell NH, Clarkson PJ. Designing for resilience: using a Delphi study to identify resilience issues for hospital designs in a changing climate. DS 68–5: Proceedings of the 18th International Conference on Engineering Design (ICED 11), Impacting Society through Engineering Design, vol. 5. Denmark: Design for X/Design to X, Lyngby/Copenhagen; 2011. p. 15–1908. 2011
48.
McDaniels T, Chang S, Cole D, Mikawoz J, Longstaff H. Fostering resilience to extreme events within infrastructure systems: characterizing decision contexts for mitigation and adaptation. Glob Environ Chang. 2008;18(2):310–8.CrossRef
49.
Norazam AS. Resilient Health Infrastructure: Strengthening hospitals' capacity to respond effectively during disasters and crises; 2018.
50.
Paterson J, Berry P, Ebi K, Varangu L. Health care facilities resilient to climate change impacts. Int J Environ Res Public Health. 2014;11(12):13097–116.PubMedPubMedCentralCrossRef
51.
Prudenzi A, Fioravanti A, Caracciolo V. Resilient power in hospitals: The S. Giovanni addolorata general hospital case study; 2017.
52.
Rodriguez-Llanes J, Deeming H, McLean L, Castro Delgado R, M'Bala S, van Loenhout J, et al. Handbook: data-collection protocols and statistical analysis plan for emBRACE HSS component2015.
53.
Samsuddin NM, Takim R, Nawawi AH, SNA SA. Disaster Preparedness Attributes and Hospital’s Resilience in Malaysia; 2018.CrossRef
54.
Sternberg E. Planning for resilience in hospital internal disaster. Prehosp Disaster Med. 2003;18(4):291–300.PubMedCrossRef
55.
Takim R, Samsuddin NM, Nawawi AH. Assessing The Content Validity Of Hospital Disaster Resilience Assessment Instrument. Jurnal Teknologi. 2016;78(5–2):35–42.
56.
Toner ES, McGinty M, Schoch-Spana M, Rose DA, Watson M, Echols E, et al. A community checklist for health sector resilience informed by hurricane Sandy. Health Security. 2017;15(1):53–69.PubMedCrossRef
57.
Valcárcel J, Pujades L, Barbat A, Mora M, Cardona O. Integrated evaluation of hospital safety: implications on resilience and welfare of communities. 14th European Conference on Earthquake Engineering; 2010.
58.
Vugrin ED, Verzi SJ, Finley PD, Turnquist MA, Griffin AR, Ricci KA, et al. Modeling hospitals' adaptive capacity during a loss of infrastructure services. J Healthcare Eng. 2015;6(1):85–120.CrossRef
59.
Zhong S, Clark M, Hou XY, Zang YL, Fitzgerald G. Proposing and developing a definition and conceptual framework for health care resilience to cope with disasters. Emergencias. 2014;26(1):69–77.
60.
Organization WH. Safe hospitals in emergencies and disasters: structural, non-structural and functional indicators. Manila: WHO Regional Office for the Western Pacific; 2010.
61.
Zhong S, Hou XY, Clark M, Zang YL, Wang L, Xu LZ, et al. Disaster resilience in tertiary hospitals: a cross-sectional survey in Shandong Province, China. BMC Health Serv Res. 2014;14:135.PubMedPubMedCentralCrossRef
62.
Azadian S, Shirali GA, Saki A. Reliability and validity of assessment of crisis management questionnaire based on seven principles of resilience engineering approach in hospitals. Iran Occupational Health. 2016;13(1):15–26.
63.
Aguirre B, Dynes RR, Kendra J, Connell R. Institutional resiliance and disaster planning for new hazards: insights from hospitals. J Homeland Sec Emerg Manag. 2005;2.
64.
Cimellaro GP, Reinhorn AM, Bruneau M. OK framework for analytical quantification of disaster resilience. Eng Struct. 2010;32(11):3639–49.CrossRef
65.
Preparedness PAHOE, Program DRC. Principles of disaster mitigation in health facilities: Pan American health org; 2000.
66.
Maurice P, Lavoie M, Laflamme L, Svanström L, Romer C, Anderson R. Safety and safety promotion: definitions for operational developments. Inj Control Saf Promot. 2001;8(4):237–40.CrossRef
67.
Norris F H, Stevens S P, Pfefferbaum B, Wyche K, Pfefferbaum R L. community resilience as a metaphor, theory, set of capacities, and strategy for disaster readiness. Am J Community Psychol. 2008;41:127–50.PubMedCrossRef
68.
Ostadtaghizadeh A, Ardalan A, Paton D, Khankeh H, Jabbari H. Community disaster resilience: a qualitative study on Iranian concepts and indicators. Nat Hazards. 2016;83(3):1843–61.
Metadata
Title
Towards developing a model for the evaluation of hospital disaster resilience: a systematic review
Authors
Saeed Fallah-Aliabadi
Abbas Ostadtaghizadeh
Ali Ardalan
Farin Fatemi
Bijan Khazai
Mohammad Reza Mirjalili
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2020
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-020-4915-2

Other articles of this Issue 1/2020

BMC Health Services Research 1/2020 Go to the issue

Research article

What impact do chronic disease self-management support interventions have on health inequity gaps related to socioeconomic status: a systematic review

Research article

Reducing veterans’ risk for suicidal behaviors: a qualitative study to inform development of the RECLAIM health promotion program

Research article

Socio-demographic, clinical and psychological predictors of healthcare utilization among patients with musculoskeletal disorders: a prospective cohort study

Research article

The development of inpatient cost and nursing service weights in a tertiary hospital in Malaysia

Study protocol

The Integrated Tracking, Referral, and Electronic Decision Support, and Care Coordination (I-TREC) program: scalable strategies for the management of hypertension and diabetes within the government healthcare system of India

Research article

Do the dynamics of vaccine programs improve the full immunization of children under the age of five in Cameroon?