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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3.	蔡辉, 顾伟. 基于文献综述视角的医院灾害脆弱性分析. 卫生软科学, 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.	郑双江, 徐玲. 医院灾害脆弱性分析存在问题与对策建议. 中国卫生质量管理, 2021, 28(3): 69-71.
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7.	张雅琳, 王莹, 薛辉, 等. 基于 Kaiser 模型的医院后勤应急管理灾害性脆弱分析与应对策略. 中国卫生质量管理, 2019, 26(2): 99-102.
8.	黄艳华, 曾明平, 刘倩. 武汉市某医院灾害脆弱性分析. 医学与社会, 2020, 33(2): 58-61.
9.	孙垦, 蔡洪涛, 杨崇豪. 风险定量分析中风险矩阵的构建方法. 华北水利水电学院学报, 2011, 32(5): 158-160.
10.	张玉鹏. 第七届世界军人运动会期间汉口江滩公园公共卫生风险评估. 武汉: 武汉大学, 2020.
11.	董艳, 李剑峰, 王连军, 等. 基于风险矩阵法与 Borda 排序法对某城区突发事件的风险评估研究. 安全与环境学报, 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, 赵顺. 灾害医学视角下的中部地区三甲医院脆弱性评估——以芜湖市第二人民医院为例. 中国医院管理, 2013, 33(4): 27-29.

1. 高小平, 刘一弘. 我国应急管理研究述评(上). 中国行政管理, 2009(9): 29-33.
2. 范一大. 我国灾害风险管理的未来挑战——解读《2015-2030 年仙台减轻灾害风险框架》. 中国减灾, 2015(4): 18-21.
3. 蔡辉, 顾伟. 基于文献综述视角的医院灾害脆弱性分析. 卫生软科学, 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. 郑双江, 徐玲. 医院灾害脆弱性分析存在问题与对策建议. 中国卫生质量管理, 2021, 28(3): 69-71.
6. 姚瑶, 刘瑞林, 李妙, 等. 灾害脆弱性分析在医院应急管理中的应用研究. 中国医院管理, 2013, 33(11): 36-39.
7. 张雅琳, 王莹, 薛辉, 等. 基于 Kaiser 模型的医院后勤应急管理灾害性脆弱分析与应对策略. 中国卫生质量管理, 2019, 26(2): 99-102.
8. 黄艳华, 曾明平, 刘倩. 武汉市某医院灾害脆弱性分析. 医学与社会, 2020, 33(2): 58-61.
9. 孙垦, 蔡洪涛, 杨崇豪. 风险定量分析中风险矩阵的构建方法. 华北水利水电学院学报, 2011, 32(5): 158-160.
10. 张玉鹏. 第七届世界军人运动会期间汉口江滩公园公共卫生风险评估. 武汉: 武汉大学, 2020.
11. 董艳, 李剑峰, 王连军, 等. 基于风险矩阵法与 Borda 排序法对某城区突发事件的风险评估研究. 安全与环境学报, 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, 赵顺. 灾害医学视角下的中部地区三甲医院脆弱性评估——以芜湖市第二人民医院为例. 中国医院管理, 2013, 33(4): 27-29.

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