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Comparison of the Level of Disaster Preparedness Between Private and Government Hospitals in Saudi Arabia: A Cross-Sectional Study

Published online by Cambridge University Press:  27 February 2023

Abdullah Saleh Alruwaili Open the ORCID record for Abdullah Saleh Alruwaili [Opens in a new window] ,
Md Shahidul Islam  and
Kim Usher
Abdullah Saleh Alruwaili*
Affiliation:
Emergency Medical Services Program, College of Applied Medical Sciences, King Saud Bin Abdulaziz University for Health Sciences, Al Ahsa, Saudi Arabia King Abdullah International Medical Research Center, Al Ahsa, Saudi Arabia
Md Shahidul Islam
Affiliation:
School of Health, University of New England, Armidale, NSW, Australia
Kim Usher
Affiliation:
School of Health, University of New England, Armidale, NSW, Australia
*
Corresponding author: Abdullah Saleh Alruwaili, Email: [email protected].
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Abstract

Objective:

The objective of this study was to describe and compare almost all the components of disaster preparedness between private and government hospitals in the Eastern Province of the Kingdom of Saudi Arabia, using the World Health Organization’s (WHO) checklist.

Methods:

We assessed and compared the disaster preparedness between government and private hospitals in Province, using the 10-key component WHO checklist in a descriptive cross-sectional study. Of 72 hospitals in the region, 63 responded to the survey.

Results:

All 63 hospitals had an HDP plan and reported having a multidisciplinary HDP committee. In all responding hospitals, HDP was acceptable in most indicators of preparedness; however, some hospitals to some extent fell short of preparedness in surge capacity, equipment and logistic services, and post-disaster recovery. Government and private hospitals were generally comparable in disaster preparedness. However, government hospitals were more likely to have HDP plans that cover WHO’s “all-hazard” approach, both internal and external disasters, compared to private hospitals.

Conclusion:

HDP was acceptable, however, preparedness in surge capacity, equipment and logistic services, and post-disaster recovery fell short. Government and private hospitals were comparable in preparedness with regards to all indicators except surge capacity, post-disaster recovery, and availability of some equipment.

Keywords

bioterrorismcommunicable diseasesdisaster preparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e335
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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References

Alruwaili, A, Islam, S, Usher, K. Disaster preparedness in hospitals in the Middle East: an integrative literature review. Disaster Med Public Health Prep. 2019;13:806-816. doi: 10.1017/dmp.2018.138 CrossRefGoogle ScholarPubMed
Lurie, L, Manolio, T, Patterson, AP, et al. Research as a part of public health emergency response. N Engl J Med. 2013;368(13):1251-1255.CrossRefGoogle ScholarPubMed
United Nations Office for Disaster Risk Reduction. Global assessment report on disaster risk reduction 2019. Accessed April 20, 2020. https://gar.undrr.org/ Google Scholar
Arab, M, Zeraati, H, Akbari Haghighi, F, et al. A study on the executive managers’ knowledge and performance, and their hospitals preparedness against earthquake events and their relationships at public hospitals (affiliated by Tehran University of Medical Sciences (TUMS) 2005-2006). J Health Adm. 2009;11:7-14.Google Scholar
Schneider, SM, Gallery, ME, Schafermeyer, R, et al. Emergency department crowding: a point in time. Ann Emerg Med. 2003;42:167-172. doi: 10.1067/mem.2003.258 CrossRefGoogle ScholarPubMed
Salamati, P, Kulatunga, U. The challenges of hospital disaster managers in natural disaster events. Proceedings of the 5th International Conference on Disaster Management and Human Health: reducing risk, improving outcomes. Seville, Spain. 2017.Google Scholar
Dami, F, Carron, PN, Yersin, B, et al. University hospital struck deaf and silent by lightning: lessons to learn. Disaster Med Public Health Prep. 2015;9:440-443. doi: 10.1017/dmp.2015.40 CrossRefGoogle ScholarPubMed
World Health Organization (WHO). Global assessment of national health sector emergency preparedness and response. Geneva: World Health Organization. 2008;11-39. Accessed January 21, 2023. https://www.who.int/publications/i/item/global-assessment-of-national-health-sector-emergency-preparedness-and-response Google Scholar
World Health Organization. Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers. World Health Organization. Regional Office for Europe, 2011. Accessed January 21, 2023. https://apps.who.int/iris/handle/10665/349374 Google Scholar
Kaji, AH, Langford, V, Lewis, RJ. Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008;52:195-201.e12. doi: 10.1016/j.annemergmed.2007.10.026 CrossRefGoogle ScholarPubMed
Al Khalaileh, MA, Bond, E, Alasad, JA. Jordanian nurses’ perceptions of their preparedness for disaster management. Int Emerg Nurs. 2012;20:14-23. doi: 10.1016/j.ienj.2011.01.001 CrossRefGoogle ScholarPubMed
Mahdaviazad, H, Abdolahifar, GR. Assessing hospital disaster preparedness in Shiraz, Iran 2011: teaching versus private hospitals. Am J Disaster Med. 2013;8:65-73. doi: 10.5055/ajdm.2013.0112 CrossRefGoogle ScholarPubMed
Zaboli, R, Sajadi, HS. Assessing hospital disaster preparedness in Tehran: lessons learned on disaster and mass casualty management system. Int J Health Syst Disaster Manag. 2014;2:220. doi: 10.4103/2347-9019.144405 Google Scholar
Lu, L, Liu, Q, Du, L, et al. Middle East respiratory syndrome coronavirus (MERS-CoV): challenges inidentifying its source and controlling its spread. Microbes Infect. 2013;15:625-629. doi: 10.1016/j.micinf.2013.06.003 CrossRefGoogle ScholarPubMed
Li, X, Huang, J, Zhang, H. An analysis of hospital preparedness capacity for public health emergency in four regions of China: Beijing, Shandong, Guangxi, and Hainan. BMC Public Health. 2008;8:319. doi: 10.1186/1471-2458-8-319 CrossRefGoogle ScholarPubMed
Kollek, D. Canadian emergency department preparedness for a nuclear, biological or chemical event. Can J Emerg Med. 2003;5:18-26. doi: 10.1017/S148180350000806X CrossRefGoogle ScholarPubMed
O’Sullivan, TL, Dow, D, Turner, MC, et al. Disaster and emergency management: Canadian nurses’ perceptions of preparedness on hospital front lines. Prehosp Disaster Med. 2008;23:s11-s19. doi: 10.1017/s1049023x00024043 CrossRefGoogle ScholarPubMed
Manley, WG, Furbee, PM, Coben, JH, et al. Realities of disaster preparedness in rural hospitals. Disaster Manag Response. 2006;4(3):80-87. doi: 10.1016/j.dmr.2006.05.001 CrossRefGoogle ScholarPubMed
Fung, OW, Loke, AY, Lai, CK. Disaster preparedness among Hong Kong nurses. J Adv Nurs. 2008;62:698-703. doi: 10.1111/j.1365-2648.2008.04655.x CrossRefGoogle ScholarPubMed
Hammad, KS, Arbon, P, Gebbie, K, et al. Nursing in the emergency department (ED) during a disaster: a review of the current literature. Australas Emerg Nurs J. 2012;15:235-244. doi: 10.1016/j.aenj.2012.10.005 CrossRefGoogle ScholarPubMed
Al-Shareef, AS, Alsulimani, LK, Bojan, HM, et al. Evaluation of hospitals’ disaster preparedness plans in the Holy City of Makkah (Mecca): a cross-sectional observation study. Prehosp Disaster Med. 2017;32:33-45. doi: 10.1017/S1049023X16001229 CrossRefGoogle Scholar
Mohammad, AGA, Ali, AM, Ahmad, AA. Assessment the effectiveness of preparedness for relative constant factors in environmental disaster management: a case study from Riyadh City, Saudi Arabia. J Environ Prot (Irvine, Calif). 2016;7(6):926-933. doi: 10.4236/jep.2016.76082 CrossRefGoogle Scholar
Bajow, NA, Alkhalil, SM. Evaluation and analysis of hospital disaster preparedness in Jeddah. Health (Irvine Calif). 2014;6(19):2668-2687. doi: 10.4236/health.2014.619306 Google Scholar
Bin Shalhoub, AA, Khan, AA, Alaska, YA. Evaluation of disaster preparedness for mass casualty incidents in private hospitals in central Saudi Arabia. Saudi Med J. 2017;38:302-306. doi: 10.15537/smj.2017.3.17483 CrossRefGoogle ScholarPubMed
Hick, JL, Hanfling, D, Cantrill, SV. Allocating scarce resources in disasters: emergency department principles. Ann Emerg Med. 2012;59:177-187. doi: 10.1016/j.annemergmed.2011.06.012 CrossRefGoogle ScholarPubMed
Alsalem, MM, Alghanim, SA. An assessment of Saudi hospitals’ disaster preparedness. Eur J Environ Public Health. 2021;5(2):em0071.CrossRefGoogle Scholar
Over, Fouad D. 83% of hospitals in EP ‘not approved’ for practice. Accessed June 15, 2016. https://www.arabnews.com/saudi-arabia/news/713866 Google Scholar
Walston, S, Al-Harbi, Y, Al-Omar, B. The changing face of healthcare in Saudi Arabia. Ann Saudi Med. 2008;28(4):243-250. doi: 10.5144/0256-4947.2008.243 CrossRefGoogle ScholarPubMed
Almalki, M, Fitzgerald, G, Clark, M. Health care system in Saudi Arabia: an overview. East Mediterr Health J. 2011;17(10):784-793.CrossRefGoogle ScholarPubMed
Alruwaili, A, Islam, MS, Usher, K. Hospitals disaster preparedness and management in the Eastern Province of the Kingdom of Saudi Arabia: a cross-sectional study. Disaster Med Public Health Prep. 2022;16(3):1038-1045.CrossRefGoogle ScholarPubMed
Higgins, W, Wainright, C, Lu, N, et al. Assessing hospital preparedness using an instrument based on the Mass Casualty Disaster Plan Checklist: results of a statewide survey. Am J Infect Control. 2004;32(6):327-332. doi: 10.1016/j.ajic.2004.03.006 CrossRefGoogle ScholarPubMed
Kaji, AH, Lewis, RJ. Hospital disaster preparedness in Los Angeles County. Acad Emerg Med. 2006;13(11):1198-1203. doi: 10.1197/j.aem.2006.05.007 CrossRefGoogle ScholarPubMed
Merin, O, Miskin, IN, Lin, G, et al. Triage in mass-casualty events: the Haitian experience. Prehosp Disaster Med. 2011;26:386-390. doi: 10.1017/S1049023X11006856 CrossRefGoogle ScholarPubMed
Koka, PM, Sawe, HR, Mbaya, KR, et al. Disaster preparedness and response capacity of regional hospitals in Tanzania: a descriptive cross-sectional study. BMC Health Serv Res. 2018;18(1):835. doi: 10.1186/s12913-018-3609-5 CrossRefGoogle ScholarPubMed
Malaki, MR, Shojaei, P. Hospitals preparation in disasters: security. 2007. Accessed January 21, 2023. https://www.sid.ir/paper/130083/en Google Scholar