Disaster vulnerability analysis of a tertiary hospital in southwest China_West China Medical Journal

Authors：

YAN Hui ¹ , DONG Xiaoyang ^1,2 , HU Hai ¹ , WANG Wanting ^1,2 , LI Xianglin ¹ ,  ZHAO Xin ³

1. Emergency Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Disaster Medicine Research Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. President and Dean’ Office, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

ZHAO Xin, Email: 2361894@qq.com

Keywords：

Disaster medicine; vulnerability analysis; emergency management; Kaiser model

DOI：

10.7507/1002-0179.202304103

Video：

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Objective To use Kaiser model, three-dimensional risk matrix and Borda ordinal value method comprehensively to analyze the vulnerability of disasters, and identify the key prevention and control risks of the hospital. Methods From June to December 2020, a disaster vulnerability analysis was conducted on a tertiary hospital in southwest China. The risk event evaluation index system was established by referring to the Kaiser model, and the evaluation indexes were classified into three aspects: possibility, controllability and harmfulness. The three-dimensional risk matrix was used to calculate the risk score to determine the risk level. The Borda ordinal value was used to compare the ranking of risk events in the same risk level. Result “Violent medical injuries” “terrorist attacks” and “explosions” were the highest ranked risk events, which needed to be prioritized and targeted for improvement. Conclusions Disaster vulnerability analysis is an important means of emergency management in hospitals. Managers should dynamically assess hospital risks, take effective preventive measures for high-risk events, conduct emergency plan drills, continuously improve risk warning mechanisms, and enhance emergency management capabilities.

Citation： YAN Hui, DONG Xiaoyang, HU Hai, WANG Wanting, LI Xianglin, ZHAO Xin. Disaster vulnerability analysis of a tertiary hospital in southwest China. West China Medical Journal, 2023, 38(11): 1736-1741. doi: 10.7507/1002-0179.202304103 Copy

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4.	Fares S, Femino M, Sayah A, et al. Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters, 2014, 38(2): 420-433.
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8.	黃艷華, 曾明平, 劉倩. 武漢市某醫院災害脆弱性分析. 醫學與社會, 2020, 33(2): 58-61.
9.	孫墾, 蔡洪濤, 楊崇豪. 風險定量分析中風險矩陣的構建方法. 華北水利水電學院學報, 2011, 32(5): 158-160.
10.	張玉鵬. 第七屆世界軍人運動會期間漢口江灘公園公共衛生風險評估. 武漢: 武漢大學, 2020.
11.	董艷, 李劍峰, 王連軍, 等. 基于風險矩陣法與 Borda 排序法對某城區突發事件的風險評估研究. 安全與環境學報, 2010(4): 213-216.
12.	Kaya GK, Ward J, Clarkson J. A review of risk matrices used in acute hospitals in England. Risk Anal, 2019, 39(5): 1060-1070.
13.	Ardalan A, Kandi M, Talebian MT, et al. Hospitals safety from disasters in I. R. iran: the results from assessment of 224 hospitals. PLoS Curr, 2014, 6: ecurrents.dis.8297b528bd45975bc6291804747ee5db.
14.	Ardalan A, Kandi Keleh M, Saberinia A, et al. 2015 estimation of hospitals safety from disasters in I. R. Iran: the results from the assessment of 421 hospitals. PloS One, 2016, 11(9): e0161542.
15.	何思忠, 李琦, 趙順. 災害醫學視角下的中部地區三甲醫院脆弱性評估——以蕪湖市第二人民醫院為例. 中國醫院管理, 2013, 33(4): 27-29.

1. 高小平, 劉一弘. 我國應急管理研究述評(上). 中國行政管理, 2009(9): 29-33.
2. 范一大. 我國災害風險管理的未來挑戰——解讀《2015-2030 年仙臺減輕災害風險框架》. 中國減災, 2015(4): 18-21.
3. 蔡輝, 顧偉. 基于文獻綜述視角的醫院災害脆弱性分析. 衛生軟科學, 2023, 37(10): 32-36.
4. Fares S, Femino M, Sayah A, et al. Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters, 2014, 38(2): 420-433.
5. 鄭雙江, 徐玲. 醫院災害脆弱性分析存在問題與對策建議. 中國衛生質量管理, 2021, 28(3): 69-71.
6. 姚瑤, 劉瑞林, 李妙, 等. 災害脆弱性分析在醫院應急管理中的應用研究. 中國醫院管理, 2013, 33(11): 36-39.
7. 張雅琳, 王瑩, 薛輝, 等. 基于 Kaiser 模型的醫院后勤應急管理災害性脆弱分析與應對策略. 中國衛生質量管理, 2019, 26(2): 99-102.
8. 黃艷華, 曾明平, 劉倩. 武漢市某醫院災害脆弱性分析. 醫學與社會, 2020, 33(2): 58-61.
9. 孫墾, 蔡洪濤, 楊崇豪. 風險定量分析中風險矩陣的構建方法. 華北水利水電學院學報, 2011, 32(5): 158-160.
10. 張玉鵬. 第七屆世界軍人運動會期間漢口江灘公園公共衛生風險評估. 武漢: 武漢大學, 2020.
11. 董艷, 李劍峰, 王連軍, 等. 基于風險矩陣法與 Borda 排序法對某城區突發事件的風險評估研究. 安全與環境學報, 2010(4): 213-216.
12. Kaya GK, Ward J, Clarkson J. A review of risk matrices used in acute hospitals in England. Risk Anal, 2019, 39(5): 1060-1070.
13. Ardalan A, Kandi M, Talebian MT, et al. Hospitals safety from disasters in I. R. iran: the results from assessment of 224 hospitals. PLoS Curr, 2014, 6: ecurrents.dis.8297b528bd45975bc6291804747ee5db.
14. Ardalan A, Kandi Keleh M, Saberinia A, et al. 2015 estimation of hospitals safety from disasters in I. R. Iran: the results from the assessment of 421 hospitals. PloS One, 2016, 11(9): e0161542.
15. 何思忠, 李琦, 趙順. 災害醫學視角下的中部地區三甲醫院脆弱性評估——以蕪湖市第二人民醫院為例. 中國醫院管理, 2013, 33(4): 27-29.

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