scholarly journals Developing Hospital Emergency and Disaster Management Index Using TOPSIS Method

2021 ◽  
Vol 13 (9) ◽  
pp. 5213
Author(s):  
Mohammad Mojtahedi ◽  
Riza Yosia Sunindijo ◽  
Fatma Lestari ◽  
Suparni ◽  
Oktomi Wijaya

Indonesia is a country prone to experiencing natural hazards and disasters, which have frequently damaged public infrastructure, including hospitals. The role of hospitals is crucial to alleviate the impact of disasters. However, there is still a lack of study that analyzes the factors that influence the readiness of hospitals in emergency situations. Filling in this gap, the aim of this paper is to analyze and rank hospitals across West Java and Yogyakarta, Indonesia by the resilience of their emergency management approaches. This research seeks to measure hospital resiliency during emergencies and disasters. Results indicate that the emergency and disaster management coordination, response and disaster recovery planning, communication and information management, logistics and evacuation, human resources, finance, patient care and support services, decontamination and security are key attributes for the decision-making matrix. Based on the Hospital Safety Index tool, this research proposes the Hospital Emergency and Disaster Management (HEDM) index by combining the key attributes and sub-attributes using the Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) as a multi-attribute decision-making technique. The paper concludes that the anticipated benefits of analyzing the resilience of hospitals by using HEDM is the identification of the most susceptible hospitals based on their levels of readiness and resiliency in areas which are prone to experiencing disasters. This prioritization is important for resource allocation and budget planning.

Public Voices ◽  
2017 ◽  
Vol 9 (2) ◽  
pp. 92
Author(s):  
Michael W. Popejoy ◽  
Daniel P. Popejoy

This is a short story of fiction developed to illustrate teamwork, leadership,camaraderie, the impact of uncontrolled urban growth and poor budget planning. Italso demonstrates the darker side of public bureaucracy in decision making and how it can result in tragic consequences.


Author(s):  
H. Mohammadi ◽  
M. R. Delavar ◽  
M. A. Sharifi ◽  
M. D. Pirooz

Disaster risk is a function of hazard and vulnerability. Risk is defined as the expected losses, including lives, personal injuries, property damages, and economic disruptions, due to a particular hazard for a given area and time period. Risk assessment is one of the key elements of a natural disaster management strategy as it allows for better disaster mitigation and preparation. It provides input for informed decision making, and increases risk awareness among decision makers and other stakeholders. Virtual globes such as Google Earth can be used as a visualization tool. Proper spatiotemporal graphical representations of the concerned risk significantly reduces the amount of effort to visualize the impact of the risk and improves the efficiency of the decision-making process to mitigate the impact of the risk. The spatiotemporal visualization of tsunami waves for disaster management process is an attractive topic in geosciences to assist investigation of areas at tsunami risk. In this paper, a method for coupling virtual globes with tsunami wave arrival time models is presented. In this process we have shown 2D+Time of tsunami waves for propagation and inundation of tsunami waves, both coastal line deformation, and the flooded areas. In addition, the worst case scenario of tsunami on Chabahar port derived from tsunami modelling is also presented using KML on google earth.


Author(s):  
V.I. Anin ◽  
A.O. Ichetovkin

Problem statement. The introduction of new requirements for rationing in the construction industry provides for changes in the rationing methodology, through the use of a predominantly parametric method. This stimulates the use in management of modern approaches, methods and mechanisms, technologies, innovative organizational and technological solutions to improve the quality and volume of construction, which in turn can accelerate the recovery from the crisis and the development of the construction industry as a whole.The use of the parametric method, in addition to the certain advantages indicated above, creates new challenges for the efficiency of management in the construction industry. On the one hand, there is an increase in the alternatives of possible managerial and organizational and technological solutions; identification of the list and consequences of risks for each alternative; improvement of the procedure and processes for predicting the consequences of each of the alternatives; putting forward new requirements for the information necessary for decision-making, the possibilities of its analysis and interpretation.On the other hand, the use of such a selection mechanism and the lack of clear requirements and orders can increase the costs of achieving the declared quality and reliability requirements of the construction object, and accordingly increase financial and organizational and technological risks. This creates the preconditions for the use of integrated management with the use of appropriate organizational and technological solutions that can satisfy both the requirements of quality management and risk management in construction. Purpose of the article − describe and substantiate the possibility of applying the mechanism for choosing organizational and technological solutions aimed at achieving parametric criteria as target indicators for managing construction processes in conditions of uncertainty using a functional model of a system-integrated approach. Conclusion. It has been substantiated that for an effective process of managing construction processes within an integrated approach, in conditions of uncertainty, it is necessary to use a system-wide algorithmic mechanism, which will ensure the coordination of control functions, their parallel and continuous execution within individual processes, the choice and decision-making in emergency situations for a minimum possible time period.This requires the compliance of each organizational and technological solution with the established criteria and the possibility of their comparison, in order to select the most effective in terms of leveling risk, achieving efficiency − in relation to their cost; and criteria for feasibility, assessment of the impact on quality indicators, implementation in time, competence and technological feasibility − in relation to their ability to implement. Keywords: construction process management; rationing; parametric method, integrated approach; processapproach; situational approach; a mechanism for choosing organizational and technological solutions


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Lamine ◽  
M A Tlili ◽  
W Aouicha ◽  
E Taghouti ◽  
N Chebili ◽  
...  

Abstract Background Disasters, whether natural or man-made, are unpredictable. The health care systems, represented by hospitals, are on the front lines of the emergency and disaster response. Tunisian health structures, must be able to cope with a case of mass influx of victims following any disasters. Therefore, we conducted this study to describe the level of disaster preparedness of University Hospitals of Sousse - Tunisia. Methods A simple descriptive quote is the basis of a data collection, conducted between September and October 2019 and performed in both University Hospitals of Sousse - Tunisia (Farhat Hached and Sahloul). The measuring instrument used in this study is the 'Hospital Safety Index' designed by the World Health Organization in 2008. Data was analyzed using the 'Module and safety index calculator' which calculates a specific score for each module (structural safety, nonstructural safety and emergency and disaster management) and an overall score for hospital safety, and assigns an appropriate classification which can be “c/C” corresponds to a score from 0 to 0.35, “b/B” from 0.36 to 0.65, or “a/A” from 0.66 to 1. Results The overall safety index class of both hospitals was 'B'. Sahloul University Hospital was classified as 'a' in both structural and nonstructural safety modules and classified as 'c' in the emergency and disaster management module, in the other hand Farhat Hached University Hospital was classified as 'c' in structural safety module and classified as 'b' in both nonstructural safety and emergency and disaster management modules. Conclusions The hospitals' current levels of emergency and disaster management needs to be improved. Actually, both patients and staff safety as well as the hospital's ability to function during and after emergencies and disasters are potentially at risk. In both hospitals, intervention measures are needed in the short term. Key messages Appropriate disaster management should be based on a clear plan, preparedness and collaborative and effective efforts on the part of the community and the different organizations involved. A safe hospital needs to assure that its services remain accessible and functioning at maximum capacity, before, during and immediately after the impact of emergencies and disasters.


2021 ◽  
Vol 4 (1) ◽  
pp. 79-91
Author(s):  
Arshia Hashmi ◽  
Muhammad Azeem Ahmad ◽  
Muhammad Atif Nawaz

Disaster management in developing economies has become a significant issue due to the uncertain situation in the country and has attained the focus of upcoming studies and policymakers. Thus, the present research investigates the impact of coordination, decision making, and special data infrastructure on disaster management in Pakistan. This research also examines the moderating role of information systems among the nexus of coordination, decision making, special data infrastructure, and disaster management in Pakistan. This research has followed the quantitative data collection methods and used questionnaires for this purpose. This study also executed the smart-PLS to investigates the relationships between understudy variables. The results indicated that coordination, decision making, and special data infrastructure have a positive association with disaster management in Pakistan. The findings also indicated that information systems moderates among the links of decision making, special data infrastructure, and disaster management in Pakistan. This study is beneficial for the regulators while formulating the regulations on disaster management in the country.


2011 ◽  
Vol 26 (S1) ◽  
pp. s78-s78
Author(s):  
A. Djalali ◽  
A. Massumi ◽  
G. Öhlen ◽  
M. Castren ◽  
L. Kurland

IntroductionHospitals are highly complex facilities that play a key role in the medical response to disasters. However, they are susceptible to the impact of disasters with respect to their structural, non-structural and functional elements. Many hospitals have collapsed or been damaged and rendered nonfunctional as a consequence of disasters. The resilience of a hospital along with the capability of effective medical response to disasters is a key part of a community based disaster plan.ObjectiveThe objective of this study was to evaluate and compare hospitals in Iran with respect to safety.MethodsThis study was performed as a survey in four hospitals in Iran. The Hospital Safety Index package from WHO was used as an evaluation tool. The evaluation team consisted of: a PhD in structural engineering, an architect with a Master's degree, a specialist in electrical and mechanical maintenance, a medical doctor, a specialist in disaster management, and an expert in health care planning. The hospitals were evaluated in three elements; structural, non-structural, and organizational. The hospital safety calculator was used.ResultsThe most important hazard for these hospitals was earthquakes. The structural safety at three hospitals was inadequate or at risk; and consequently needs intervention in a near future. Also, the administrative and organizational element of these hospitals was inadequate or at risk. All hospitals need intervention in the near future due to non-structural safety being inadequate. The overall safety index at one hospital was A (functional); in two hospitals B (at risk); and in one hospital C (inadequate).ConclusionsThe Iranian hospitals which had been assessed were on the whole unsafe. Also, these hospitals do not have a disaster management plan. Implementing a comprehensive disaster plan, including mitigation and a preparedness plan, would most likely enhance the safety of these hospitals.


2011 ◽  
Vol 26 (S1) ◽  
pp. s57-s57 ◽  
Author(s):  
P. Čech ◽  
V. Bures ◽  
T. Otcenaskova ◽  
K. Antos ◽  
J. Vaněk

Emergency situations such as biological or chemical incidents require prompt decision making. The problem is that the authorized personnel responsible for conduction the response operations might lack the knowledge about the agent's biological, chemical and epidemiological characteristics that would influence the impact of the incident. Thus the effect of response operations on lives and assets could hardly be anticipated. The paper suggests simulation based approach to provide appropriate decision making support in such situations. The simulation would imitate the development of an emergency situation under various scenarios and help to determine the proper response operations by which the casualties and loss of assets would be minimized. The aim of the paper is to present the simulation of a spread of an agent in an environment and the corresponding impact on population. The simulation is based on a model with incorporated knowledge about environmental and agent characteristics such as weather conditions, transmission, fatality, incubation period combined also with demographic information. The provided simulation forms a part of the proposed non-military decision support framework for emergency response operations during biochemical incidents.


2018 ◽  
Vol 22 (05) ◽  
pp. 1840002
Author(s):  
TOR HELGE AAS ◽  
AHMAD ALAASSAR

Effective decision-making is critical for entrepreneurial success due to constantly changing customer needs. Research has indicated that visual performance management approaches have the potential to improve decision-making during operations in established firms. However, how visual performance management may affect decision-making during the entrepreneurial process has not yet been adequately addressed in the extant research literature. To contribute in filling this knowledge gap, a visual performance management tool called Obeya was adapted and utilised during an entrepreneurial process, and its impact on decision-making during the process was qualitatively explored. The findings indicate that the implementation of the Obeya tool has the potential to positively impact the ability to understand and communicate performance related information during the entrepreneurial process. Moreover, these effects may lead to improvements in decision-making. In addition, visual performance management may be a particularly powerful tool when it is combined with the implementation of iterative experimental entrepreneurial processes, such as Lean Startup.


2018 ◽  
Vol 38 (10) ◽  
pp. 1964-1986 ◽  
Author(s):  
Oscar Rodríguez-Espíndola ◽  
Pavel Albores ◽  
Christopher Brewster

Purpose Decision-making structures are commonly associated with the logistics challenges experienced during disaster operations. However, the alignment between the operational level and the decision-making structure is commonly overlooked. The purpose of this paper is to provide an analysis of the fit of both levels and its impact on performance. Design/methodology/approach The research is developed around a case study in Mexico. Through a review of the disaster management policy in the country, interviews and secondary data, the paper provides an analysis of the current decision-making structure, the logistics activities undertaken by authorities and the impact of the alignment between both components on logistics performance. Findings The analysis suggests that several of the challenges commonly associated with centralisation are actually rooted on its alignment with the operational level. The logistics performance is negatively affected by faulty assumptions, poorly planned procedures, inconsistent decision-making and poorly designed structures. The case showed the need to align the operational level with a centralised perspective to increase responsiveness, flexibility and the interaction between different organisations. Originality/value This paper identifies the impact of the misalignment between the decision-making structure and the operational level on logistics performance, an area currently understudied. It moves from the current argument about the appropriate decision-making structure for disaster management to the identification of components to implement an efficient and effective disaster management system. Additionally, this paper provides recommendations for best practices in humanitarian logistics, which are applicable to Mexico and other countries using a centralised decision-making approach.


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