The DOI matches its Crossref record; 21 of the 21 references it cites were found in a registry or an index.
Building Toward a Disaster Resilient Health System: A Study of Hospital Resilience
Abstract
Objectives: This research evaluated the resilience of 6 tertiary and rural health facilities within a single Australian Health Service, using the World Health Organization (WHO) Hospital Safety Index (HSI). This adaptation of the HSI was compared with existing national accreditation and facility design Standards to assess disaster preparedness and identify opportunities for improvement. Methods: This cross-sectional descriptive study surveyed 6 hospitals that provide 24/7 emergency department and acute inpatient services. HSI assessments, comprising 151 previously validated criteria, were conducted by Health Service engineers and facility managers before being externally reviewed by independent disaster management professionals. Results: All facilities were found to be highly disaster resilient, with each recording high HSI scores. Variances in structure, architectural safety, continuity of critical services supply, and emergency plans were consistently identified. Power and water supply vulnerabilities are common to previously reported vulnerabilities in health facilities of developing countries. Conclusion: Clinical, engineering, and disaster management professionals assessed 6 Australian hospitals using the WHO HSI with each facility scoring highly, genuine vulnerabilities and practical opportunities for improvement were identified. This application of the WHO HSI, intended for use primarily in developing countries and disaster-affected regions, complimented and extended the existing Australian national health service accreditation and facility design Standards. These results support the expansion of existing assessment tools used to assess Australian health facility disaster preparedness and resilience.
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The HSI is a rapid and inexpensive diagnostic tool that can provide valuable insights into a hospital's preparedness for emergencies and disasters.
“Finally, the HSI, as a rapid and inexpensive diagnostic tool, can provide valuable insights into a hospital's preparedness for emergencies and disasters, a sentiment echoed in prior research [46,47].”
From Hospital Disaster Preparedness: A Comprehensive Evaluation Using the Hospital Safety Index (2023) · cites this paper as [47]
Citations
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Hospital Disaster Preparedness: A Comprehensive Evaluation Using the Hospital Safety Index
Goniewicz, M., Khorram-Manesh, A., Timler, D., Al-Wathinani, A. M., & Goniewicz, K. (2023) · Sustainability · doi:10.3390/su151713197 · Cited by 16
Metadata
- Authors
- Luke, J., Franklin, R. C., Dyson, J., & Aitken, P.
- Affiliations
- Queensland Health (AU)
- James Cook University (AU)
- Corresponding author
- Franklin, Richard C.
- Venue
- Disaster Medicine and Public Health Preparedness
- Publisher
- Cambridge University Press (CUP)
- Published
- 2022-11-14
- Volume
- 17
- Pages
- e219-e219
- ISSN
- 1935-7893 (ISSN-L)
- 1938-744X
- OpenAlex
- W4308953899
- Cited by
- 23
- References
- 21
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 5 · 2023: 4
- FWCI
- 5.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Disaster Medicine and Public Health Preparedness (publishedVersion)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Social Sciences › Sociology and Political Science › Disaster Management and Resilience
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Keywords
- hospital resilience, disaster preparedness, emergency response plans, rural hospitals, tertiary care hospital, Australian health services
- MeSH terms
- Australia, Cross-Sectional Studies, Disaster Planning, Disasters, Hospitals, Humans, State Medicine
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