Health  Vol.6 No.19 , November 2014
Evaluation and Analysis of Hospital Disaster Preparedness in Jeddah
Abstract: Introduction: Disaster damage to health systems is a human and health tragedy, results in huge economic losses, deals devastating blows to development goals, and shakes social confidence. Hospital disaster preparedness presents complex clinical operation. It is difficult philosophical challenge. It is difficult to determine how much time, money, and effort should be spent in preparing for an event that may not occur. Health facilities whether hospitals or rural health clinics, should be a source of strength during emergencies and disasters. They should be ready to save lives and to continue providing essential emergencies and disasters. Jeddah has relatively a level of disaster risk which is attributable to its geographical location, climate variability, topography, etc. This study investigates the hospital disaster preparedness (HDP) in Jeddah. Methods: Questionnaire was designed according to five Likert scales. It was divided into eight fields of 33 indicators: structure, architectural and furnishings, lifeline facilities’ safety, hospital location, utilities maintenance, surge capacity, emergency and disaster plan, and control of communication and coordination. Sample of six hospitals participated in the study and rated to the extent of disaster preparedness for each hospital disaster preparedness indicators. Two hazard tools were used to find out the hazards for each hospital. An assessment tool was designed to monitor progress and effectiveness of the hospitals’ improvement. Weakness was found in HDP level in the surveyed hospitals. Disaster mitigation needs more action including: risk assessment, structural and non-structural prevention, and preparedness for contingency planning and warning and evacuation. Conclusion: The finding shows that hospitals included in this study have tools and indicators in hospital preparedness but with lack of training and management during disaster. So the research shed light on hospital disaster preparedness. Considering the importance of preparedness in disaster, it is necessary for hospitals to understand that most of hospital disaster preparedness is built in the hospital system.
Cite this paper: Bajow, N. and Alkhalil, S. (2014) Evaluation and Analysis of Hospital Disaster Preparedness in Jeddah. Health, 6, 2668-2687. doi: 10.4236/health.2014.619306.

[1]   International Strategy for Disaster Reduction and World Health Organization (WHO) (2009) 2008-2009 World Disaster Reduction Campaign. Hospitals Safe from Disasters, Reduce Risk, Protect Health Facilities, Save Lives.

[2]   Richter, P. (2008) Hospital Disaster Preparedness: Meeting a Requirement or Preparing for the Worst? An Update (Eleven Years after). American Society for Healthcare Engineering, Chicago.

[3]   University Hospital Submergence. (2009)

[4]   WHO and Western Pacific Region (2008) Hospitals Should Be Safe from Disasters Reduce Risk, Protect Health Facilities, Save Lives. Manual.

[5]   World Health Organization (2011) Safe Hospitals in Emergencies and Disaster; Structural, Non-Structural and Functional Indicators. World Health Organization, Regional Office for Western Pacific.

[6]   Centers for Disease Control and Prevention and American Water Works Association (2011) Emergency Water Supply Planning Guide for Hospitals and Health Care Facilities. U.S. Department of Health and Human Services, Atlanta.

[7]   Rouse, J. and Reed, B. (2011) Technical Notes on Drinking-Water, Sanitation and Hygiene in Emergencies. Solid Waste Management in Emergencies. World Health Organization, Geneva.

[8]   National Environmental Training Center for Small Communities (2002) Protecting Your Community’s Assets: A Guide for Small Wastewater Systems.

[9]   Hammond, J. (2005) Mass Casualty Incidents: Planning Implications for Trauma. Scandinavian Journal of Surgery, 94, 267-271.

[10]   National Association of Public Hospitals and Health Systems (2007) Research Brief. Hospital Staffing and Surge Capacity during a Disaster Event.

[11]   Attachment Requirements and Expectations by Source Hospital Emergency Preparedness (2007) A Vision of Preparedness—Hospital Emergency Management. New Mexico Department of Health. Bureau of Health Emergency Management. Draft-Requirements by Goal and Source-Page 1, 25 July 2007.

[12]   Felland, L., Katz, A., Liebhaber, A. and Cohen, G. (2008) Developing Health System Surge Capacity: Community Efforts in Jeopardy. Center for Studying Health System Change, Research Brief No. 5.

[13]   Hick, J.L., Hanfling, D., Burstein, J.L., DeAtley, C., Barbisch, D., Bogdan, G.M. and Cantrill, S. (2004) Health Care Facility and Community Strategies for Patient Care Surge Capacity. The American College of Emergency Physicians. Annals of Emergency Medicine, 44, 253-261.

[14]   World Health Organization (WHO) (2006) Field Manual for Capacity Assessment of Health Facilities in Responding to Emergencies. WPRO Non Serial Publication. WHO Regional Office for the Western Pacific.

[15]   Guidelines for Hospital Emergencies Preparedness Planning (2002-2008) Chapter 2: Some Important Considerations for Making Your Hospital Emergency Plan. GOI-UNDP Disaster Risk Management Programme, India.

[16]   Hazard Vulnerability Analysis (2009) California Hospital Association.

[17]   Boer, J. and Dubouloz, M. (2000) Handbook of Disaster Medicine: Emergency Medicine in Mass Casualty Situations. International Society of Disaster Medicine.

[18]   KMA Managed Care Committee and the KMA Medical Manager Advisory Group (2000) KMA Model Disaster Plan for a Physician Practice.

[19]   Gifford, A. and Gougelet, R. (2008) Fundamental Disaster Management. Chapter 2. Intensive Care Unit Microcosm within Disaster Medical Response. Society of Critical Care Medicine, USA.

[20]   Pan American Health Organization (2008) Hospital Safety Index: Guide for Evaluators. Series Hospitals Safe from Disasters, 1, PAHO, Washington DC, 107 p.

[21]   World Health Organization Regional Office for the Western Pacific (2010) Hospital and Health Facility Emergency Exercises—Guidance Materials.

[22]   Bagaria, J., Heggie, C., Abrahams, J. and Murray, V. (2009) Evacuation and Sheltering of Hospitals in Emergencies: A Review of International Experience. Prehospital and Disaster Medicine, 24, 461-467.

[23]   Zane, R.D. and Prestipino, A.L. (2004) Implementing the Hospital Emergency Incident Command System: An Integrated Delivery System’s Experience. Prehospital and Disaster Medicine, 19, 311-317.

[24]   O’Neill, P.A. (2005) The ABC’s of Disaster Response. Scandinavian Journal of Surgery, 94, 259-266.

[25]   Government of India and UNDP India Disaster Risk Management Program (2010) One Million Safe Schools and Hospitals Campaign, Guidance Notes, Emergency and Disaster Preparedness for Health Facilities.

[26]   Hospital Preparedness for Biological Terrorist Attack. (2005) (Bioterrorism)/EMDM Material.

[27]   Montgomery, D.C. and Runger, G.C. (2007) Applied Statistics and Probability for Engineers. 4th Edition, John Wiley & Sons, Inc., Hoboken.

[28]   Lazar, E.J., Cagliuso Sr., N.V. and Gebbie, K.M. (2009) Are We Ready and How Do We Know? The Urgent Need for Performance Metrics in Hospital Emergency Management. Disaster Medicine and Public Health Preparedness, 3, 57-60.

[29]   Higgins, W., Wainright, C., Liu, N. and Carrico, R. (2004) Assessing Hospital Preparedness Using an Instrument Based on the Mass Casualty Disaster Plan Checklist: Results of a Statewide Survey. American Journal of Infection Control, 32, 327-332.

[30]   Kaji, A.H. and Lewis, R.J. (2006) Hospital Disaster Preparedness in Los Angeles County. Academic Emergency Medicine, 13, 1198-1203.

[31]   Kollek, D. and Cwinn, A.A. (2011) Hospital Emergency Readiness Overview Study. Prehospital and Disaster Medicine, 26, 159-165.

[32]   Crosse, M., Bogart, G., Cohen, J., et al. (2003) Hospital Preparedness: Most Urban Hospitals Have Emergency Plans but Lack Certain Capabilities for Bioterrorism Response. General Accounting Office, Washington, D.C., GAO-03-924.

[33]   Leiba, A., Ashkenasi, I., Nakash, G., Pelts, R., Schwartz, D., Goldberg, A., Levi, Y. and Bar-Dayan, Y. (2006) Response of Thai Hospitals to the Tsunami Disaster. Prehospital and Disaster Medicine, 21, s32-s37.

[34]   Top, M., Gider, O. and Tas, Y. (2010) An Investigation of Hospital Disaster Preparedness in Turkey. Journal of Homeland Security and Emergency Management, 7, Article 69.

[35]   Cavallo, E. and Noy, I. (2010) The Economics of Natural Disasters.