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Applying the Haddon Matrix to Hospital Earthquake Preparedness and Response

Published online by Cambridge University Press:  07 April 2020

Gai Cole Open the ORCID record for Gai Cole [Opens in a new window] ,
Andrew J. Rosenblum ,
Megan Boston  and
Daniel J. Barnett
Gai Cole*
Affiliation:
Department of Emergency Medicine, Johns Hopkins School of Medicine, Johns Hopkins University, Baltimore, MD
Andrew J. Rosenblum
Affiliation:
Department of Public Health, Johns Hopkins University, Baltimore, MD
Megan Boston
Affiliation:
School of Engineering, University of Waikato, Hamilton, New Zealand
Daniel J. Barnett
Affiliation:
Department of Environmental Health and Engineering, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD
*
Correspondence and reprint requests to Gai Cole, 1830 East Monument St, 6th Floor, Room 6-115, Baltimore, MD21287 (e-mail: [email protected]).
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Abstract

Since its 1960s origins, the Haddon matrix has served as a tool to understand and prevent diverse mechanisms of injuries and promote safety. Potential remains for broadened application and innovation of the matrix for disaster preparedness. Hospital functionality and efficiency are particularly important components of community vulnerability in developed and developing nations alike. Given the Haddon matrixʼs user-friendly approach to integrating current engineering concepts, behavioral sciences, and policy dimensions, we seek to apply it in the context of hospital earthquake preparedness and response. The matrixʼs framework lends itself to interdisciplinary planning and collaboration between social and physical sciences, paving the way for a systems-oriented reduction in vulnerabilities. Here, using an associative approach to integrate seemingly disparate social and physical science disciplines yields innovative insights about hospital disaster preparedness for earthquakes. We illustrate detailed examples of pre-event, event, and post-event engineering, behavioral science, and policy factors that hospital planners should evaluate given the complex nature, rapid onset, and broad variation in impact and outcomes of earthquakes. This novel contextual examination of the Haddon matrix can enhance critical infrastructure disaster preparedness across the epidemiologic triad, by integrating essential principles of behavioral sciences, policy, law, and engineering to earthquake preparedness.

Keywords

earthquakesHaddon matrixhospital preparedness
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 15 , Issue 4 , August 2021 , pp. 491 - 498
Copyright
Copyright © 2020 Society for Disaster Medicine and Public Health, Inc.

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