Skip to main content Accessibility help
×
Home

How Prepared Are Hospitals’ Emergency Management Capacity? Factors Influencing Efficiency of Disaster Rescue

  • Lijun Gao (a1) (a2), Qunhong Wu (a1) (a2), Ye Li (a1) (a2), Ding Ding (a1) (a2), Yanhua Hao (a1) (a2), Yu Cui (a1) (a2), Zheng Kang (a1) (a2), Mingli Jiao (a1) (a2), Libo Liang (a1) (a2), Adamm Ferrier (a3), Ning Ning (a1) (a2) and Hong Sun (a1) (a2)...
  • Please note a correction has been issued for this article.

Abstract

Objectives

In light of government investment over the past decade, we explored the capacity for disaster response in Heilongjiang Province, identifying the factors that affect response capacity.

Methods

We surveyed 1257 medical staff in 65 secondary and tertiary hospitals in Heilongjiang province to explore their perceptions of disaster management capacity using a cross-sectional multistage, stratified cluster sampling method.

Results

All tertiary hospitals (100%) and most secondary hospitals (93%) have documented disaster management plans that are regularly reviewed. In secondary hospitals, drills were less prevalent (76.7%) but the occurrence of simulated training exercises was closer to tertiary hospitals (86.0%). We noted that 95.4% of all hospitals have leadership groups responsible for disaster preparedness capacity building, but only 10.8% have a stockpiled network of reserve supplies.

Conclusions

Although response capacity has improved in Heilongjiang Province, vulnerabilities remain. We recommend that priorities should be targeted at preparedness capacity building, in terms of reliable and relevant operational response plans, the expansion of existing response mechanisms to oversee local education and scenario training, and to ensure there is sufficient access to protective equipment and materials, either held in reserve, or alternatively by activating resilient supply chain mechanisms. (Disaster Med Public Health Preparedness. 2018;12:176–183)

Copyright

Corresponding author

Correspondence and reprint requests to Qunhong Wu, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China. Fax: 86-0451-87502853. Telephone number: 86-0451-87502851 (e-mail: wuqunhong@163.com).
Correspondence and reprint requests to Ning Ning, MD, School of Health Management, Harbin Medical University. 157 Baojian Road, Nangang District, Harbin, Heilongjiang, 150086, China (e-mail: ningninghyd@163.com).

Footnotes

Hide All

Authors contributed equally to the first author.

*

Authors’ contributions have been corrected since original publication. An erratum notice detailing this change was also published (DOI: 10.1017/dmp.2016.137).

Footnotes

References

Hide All
1. WHO. Summary of probable SARS cases with onset of illness from 1 November 2002 to 31 July 2003. http://www.who.int/csr/sars/country/table2004_04_21/en/. Accessed March 25, 2015.
2. Kamps, BS, Hoffmann, C. SARS reference. http://www.sarsreference.com/sarsref/epidem.htm. Accessed March 20, 2015.
3. Yang, W. Ten Years of Chinese Health Emergency. China: People’s Medical Publishing House; 2014. doi: http://dx.doi.org/10.1016/S0140-6736(07)60316-X.
4. Lee, L. The current state of public health in China. Annu Rev Public Health. 2004;25:327-339. doi: 10.1146/annurev.publhealth.25.101802.123116.
5. Zhang, L, Liu, X, Li, Y, et al. Emergency medical rescue efforts after a major earthquake: lessons from the 2008 Wenchuan earthquake. Lancet. 2012;379(9818):853-861. doi: 10.1016/S0140-6736(11)61876-X.
6. Tian, J, Wang, S, Ye, Z. Development situation and policy analysis of emergency medical rescue system in China. Emergency Management in China (Chinese). 2013;3:14-19.
7. Li, X, Huang, J, Zhang, H. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan. BMC Public Health. 2008;8(1):319. doi: 10.1186/1471-2458-8-319.
8. Wang, C, Wei, S, Xiang, H, et al. Development and evaluation of a leadership training program for public health emergency response: results from a Chinese study. BMC Public Health. 2008;8(1):377. doi: 10.1186/1471-2458-8-377.
9. The People’s Republic of China. Twenty-two national health emergency teams have been completed in 2012. http://www.gov.cn/gzdt/2011-12/19/content_2024088.htm. Accessed April 25, 2015.
10. Hui, Z, Jian-Shi, H, Xiong, H, et al. An analysis of the current status of hospital emergency preparedness for infectious disease outbreaks in Beijing, China. Am J Infect Control. 2007;35(1):62-67. doi: 10.1016/j.ajic.2006.03.014.
11. Ouyang, Y. Earthquake tests China’s emergency system. Lancet. 2013;381(9880):1801-1802. doi: http://dx.doi.org/10.1016/S0140-6736(13)61105-8.
12. Wang, C, Wei, S, Xiang, H, et al. Evaluating the effectiveness of an emergency preparedness training programme for public health staff in China. Public Health. 2008;122(5):471-477. doi: 10.1016/j.puhe.2007.08.006.
13. Waeckerle, JF, Seamans, S, Whiteside, M, et al. Executive summary: developing objectives, content, and competencies for the training of emergency medical technicians, emergency physicians, and emergency nurses to care for casualties resulting from nuclear, biological, or chemical (NBC) incidents. Ann Emerg Med. 2001;37(6):587-601. doi: 10.1067/mem.2001.115649.
14. Farley, T A, Weisfuse, I. Redefining of public health preparedness after 9/11. Lancet. 2011;378(9794):957-959. doi: http://dx.doi.org/10.1016/S0140-6736(11)60969-0.
15. Chen, H. Evaluation of Hospital Preparedness Capacity for Public Health Emergency in Digital Hospital of PLA. Chongqing, China: Third Military Medical University of China; 2011.
16. Hanfling, D, Altevogt, BM, Gostin, LO. A framework for catastrophic disaster response. JAMA. 2012;308(7):675-676. doi: 10.1001/jama.2012.8171.
17. Spranger, CB, Villegas, D, Kazda, MJ, et al. Assessment of physician preparedness and response capacity to bioterrorism or other public health emergency events in a major metropolitan area. Disaster Manag Response. 2007;5(3):82-86. doi: 10.1016/j.dmr.2007.05.001.
18. Duncan, WJ, Ginter, PM, Rucks, AC, et al. Organizing emergency preparedness within United States public health departments. Public Health. 2007;121(4):241-250. doi: 10.1016/j.puhe.2006.10.014.
19. Ling, Q. Study on Medical Rescue Capacity of Public Health Emergency at Secondary-Hospital in Guangxi Province. Tongji Medical College, Huazhong University of Science and Technology, Hongshan District, Wuhan, Hubei Province. [master’s thesis]. 2006.
20. Xieping, D, Lufeng, S. Current analysis on the disaster medical rescue in foreign countries and China. Clinical Emergency (Chinese). 2010;11(4):207-209.
21. Ying, Z. A Study on the Emergency Response Capacity to Public Health Emergencies Among Medical Institutions in Guangdong Province [master’s thesis]. Guangzhou, China: The Southern Medical University; 2007.
22. Ying, Z. Survey on Emergency Response Capacity of the Medical Care Organization in Guangdong Province. Guangzhou, China: The Southern Medical University; 2007.
23. Rebmann, T. Assessing hospital emergency management plans: a guide for infection perfectionists. Am J Infect Control. 2009;37(9):708-714. e4. doi: 10.1016/j.ajic.2009.04.286.
24. Guanming, L. A Study on Emergency Response Capacity to Public Health Emergencies of the Hospitals Above the County Level in Guangdong Province [master’s thesis]. Guangdong, China: Zhongshan University; 2006.
25. Chen, T, Huang, J. Exploratory research on the system of China relief reserve. Systems Engineering Procedia. 2012;5:99-106. doi: 10.1016/j.sepro.2012.04.016.
26. Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(S1):S74-S82. doi: http://dx.doi.org/10.1097/DMP.0b013e31819f754c.
27. Verbeek, JH, Ijaz, S, Mischke, C, et al. Personal protective equipment for preventing highly infectious diseases due to contact with contaminated body fluids in health care staff. The Cochrane Library. 2015. doi: 10.1002/14651858.CD011621.
28. Wang, C, Xiang, H, Xu, Y, et al. Improving emergency preparedness capability of rural public health personnel in China. Public Health. 2010;124(6):339-344. doi: 10.1016/j.puhe.2010.02.020.
29. Hohenhaus, S M D, Hohenhaus, J, Saunders, M, et al. Emergency response: lessons learned during a community hospital’s in situ fire simulation. J Emerg Nurs. 2008;34(4):352-354. doi: http://dx.doi.org/10.1016/j.jen.2008.04.025.
30. Martel, J, Oteng, R, Mould-Millman, NK, et al. The development of sustainable emergency care in Ghana: physician, nursing and pre-hospital care training initiatives. Journal of Emerg Med. 2014;47(4):462-468. doi: 10.1016/j.jemermed.2014.04.041.
31. Tang, R, Fitzgerald, G, Hou, XY, et al. Building an evaluation instrument for China's hospital emergency preparedness: a systematic review of preparedness instruments. Disaster Med Public Health Prep. 2014;8(01):101-109. doi: http://dx.doi.org/10.1017/dmp.2014.10.

Keywords

How Prepared Are Hospitals’ Emergency Management Capacity? Factors Influencing Efficiency of Disaster Rescue

  • Lijun Gao (a1) (a2), Qunhong Wu (a1) (a2), Ye Li (a1) (a2), Ding Ding (a1) (a2), Yanhua Hao (a1) (a2), Yu Cui (a1) (a2), Zheng Kang (a1) (a2), Mingli Jiao (a1) (a2), Libo Liang (a1) (a2), Adamm Ferrier (a3), Ning Ning (a1) (a2) and Hong Sun (a1) (a2)...
  • Please note a correction has been issued for this article.

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed

A correction has been issued for this article: