Disaster preparedness in Australian hospitals: A cross-sectional survey

Objective: This study examined the extent of disaster preparedness in Australian hospitals, seeking to identify opportunities for improvement. Insufficient preparation can lead to mortality/morbidity in post-disaster scenarios. Early identification of resolvable shortcomings in preparing for events...

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Main Authors: Faran Shoaib Naru, Kate Churruca, Janet C. Long, Mitchell Sarkies, Jeffrey Braithwaite
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Progress in Disaster Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2590061724000590
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author Faran Shoaib Naru
Kate Churruca
Janet C. Long
Mitchell Sarkies
Jeffrey Braithwaite
author_facet Faran Shoaib Naru
Kate Churruca
Janet C. Long
Mitchell Sarkies
Jeffrey Braithwaite
author_sort Faran Shoaib Naru
collection DOAJ
description Objective: This study examined the extent of disaster preparedness in Australian hospitals, seeking to identify opportunities for improvement. Insufficient preparation can lead to mortality/morbidity in post-disaster scenarios. Early identification of resolvable shortcomings in preparing for events is an important goal. Materials and methods: A purpose-designed anonymous survey was distributed to all Local-Hospital-Networks, organizations responsible for managing public hospitals and their disaster preparedness, across Australia's six states and two territories. Participant recruitment targeted disaster-managers, emergency-preparedness-managers, and business-continuity-managers. Results: Survey responses were received from 53/130 (40.8 %) of Australia's Local-Hospital-Networks with representation from six states and one territory. Most risk reduction measures were widely adopted. However, for 17/39 (43.6 %) measures, one-fifth of the respondents had either never heard of the measure or were not implementing it. Underutilized measures related to post-disaster-triage, emergency-evacuation, water-backup, secondary-electricity-feed, point-of-care-testing, alternative-decontamination-sites, and waste-management-systems. Local-Hospital-Networks' region-type, catchment-population and number-of-healthcare-facilities were associated with adoption of underutilized measures. Conclusion: Although 22/39 (56.4 %) of carefully chosen measures were widely implemented, the state of Australia's disaster preparedness is variable. There remains room for improvement, particularly against an “all-hazards” standard. Limited implementation of disaster-triage, evacuation-measures, and procedural issues, suggests that Australian Local-Hospital-Networks, particularly those managing fewer facilities are not sufficiently prepared for catastrophes.
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spelling doaj-art-bd61ec2c44e24e5e89db0548cb294e222025-08-20T01:56:49ZengElsevierProgress in Disaster Science2590-06172024-12-012410036910.1016/j.pdisas.2024.100369Disaster preparedness in Australian hospitals: A cross-sectional surveyFaran Shoaib Naru0Kate Churruca1Janet C. Long2Mitchell Sarkies3Jeffrey Braithwaite4Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; Corresponding author at: AIHI, Macquarie University, 75 Talavera Rd, North Ryde NSW, 2113 North Ryde, Australia.Centre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, AustraliaCentre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, AustraliaCentre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, Australia; School of Health Sciences, University of Sydney, Sydney, Australia; Implementation Science Academy, University of Sydney, Sydney, AustraliaCentre for Healthcare Resilience and Implementation Science, Australian Institute of Health Innovation, Macquarie University, Sydney, AustraliaObjective: This study examined the extent of disaster preparedness in Australian hospitals, seeking to identify opportunities for improvement. Insufficient preparation can lead to mortality/morbidity in post-disaster scenarios. Early identification of resolvable shortcomings in preparing for events is an important goal. Materials and methods: A purpose-designed anonymous survey was distributed to all Local-Hospital-Networks, organizations responsible for managing public hospitals and their disaster preparedness, across Australia's six states and two territories. Participant recruitment targeted disaster-managers, emergency-preparedness-managers, and business-continuity-managers. Results: Survey responses were received from 53/130 (40.8 %) of Australia's Local-Hospital-Networks with representation from six states and one territory. Most risk reduction measures were widely adopted. However, for 17/39 (43.6 %) measures, one-fifth of the respondents had either never heard of the measure or were not implementing it. Underutilized measures related to post-disaster-triage, emergency-evacuation, water-backup, secondary-electricity-feed, point-of-care-testing, alternative-decontamination-sites, and waste-management-systems. Local-Hospital-Networks' region-type, catchment-population and number-of-healthcare-facilities were associated with adoption of underutilized measures. Conclusion: Although 22/39 (56.4 %) of carefully chosen measures were widely implemented, the state of Australia's disaster preparedness is variable. There remains room for improvement, particularly against an “all-hazards” standard. Limited implementation of disaster-triage, evacuation-measures, and procedural issues, suggests that Australian Local-Hospital-Networks, particularly those managing fewer facilities are not sufficiently prepared for catastrophes.http://www.sciencedirect.com/science/article/pii/S2590061724000590Hospital disaster preparednessDisaster risk reductionDisaster risk mitigation
spellingShingle Faran Shoaib Naru
Kate Churruca
Janet C. Long
Mitchell Sarkies
Jeffrey Braithwaite
Disaster preparedness in Australian hospitals: A cross-sectional survey
Progress in Disaster Science
Hospital disaster preparedness
Disaster risk reduction
Disaster risk mitigation
title Disaster preparedness in Australian hospitals: A cross-sectional survey
title_full Disaster preparedness in Australian hospitals: A cross-sectional survey
title_fullStr Disaster preparedness in Australian hospitals: A cross-sectional survey
title_full_unstemmed Disaster preparedness in Australian hospitals: A cross-sectional survey
title_short Disaster preparedness in Australian hospitals: A cross-sectional survey
title_sort disaster preparedness in australian hospitals a cross sectional survey
topic Hospital disaster preparedness
Disaster risk reduction
Disaster risk mitigation
url http://www.sciencedirect.com/science/article/pii/S2590061724000590
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AT katechurruca disasterpreparednessinaustralianhospitalsacrosssectionalsurvey
AT janetclong disasterpreparednessinaustralianhospitalsacrosssectionalsurvey
AT mitchellsarkies disasterpreparednessinaustralianhospitalsacrosssectionalsurvey
AT jeffreybraithwaite disasterpreparednessinaustralianhospitalsacrosssectionalsurvey