Developing a Hospital Disaster Risk Management Evaluation Model

Figures & data

Table 1 The Demographic Characteristics of Delphi Panel Experts

Demographic Variables	Frequency (%)	Demographic Variables	Frequency (%)
Gender		Work experience in DRM
Male	14 (63.6)	5 to 10 years	13(59.1)
Female	8 (36.4)	11 to 15 years	6 (27.3)
Age		15 to 20 years	3 (13.6)
30 to 39 years	10 (45.5)	Education
40 to 49 years	11 (50)	Bachelor of Science	2 (9.0)
50 years or older	1 (4.5)	Master of Science	5 (22.7)
Occupation		Doctor of Medicine	3 (13.6)
Academic	7 (31.8)	PHD, health in disasters and emergencies	4(18.2)
Disaster management center in universities of medical sciences	7 (31.8)	PhD, Management of health services	3 (13.6)
The emergency department in MOH	3 (13.6)	Emergency Medicine Specialist	3 (13.6)
Secretary of the DRM committee in hospitals	5 (22.7)	Post-Doc, health in disasters and emergencies	2 (9.0)

Figure 1 The preliminary model of hospital disaster risk management evaluation model.

Figure 2 Conceptual framework of hospital disaster risk management evaluation (HDRME) model.

Figure 3 Final construct and sub-constructs of (HDRME) model.

Figure 4 The relationship between the HDRME model and the standards.

Table 2 The Statistical Result for HDRME Model, Construct and Sub-Construct of HDRME Model in Second and Third Round of Delphi Study

Construct	Questions	Round 2 (Mean, SD)	Round 3 (Mean, SD)
Model	1. How much do you think the relationship between model components are logical?	7.16 ± 0.98	8.5 ± 0.45
	2. How much do you think the implementation of this model is possible in hospitals?	7.44 ± 0.7	8.4 ± 0.25
	3. Do you agree that this model is comprehensive and intelligible for hospitals?	7.38 ± 1.37	7.9 ± 1.06
Management and leadership	Is there a connection between the management and leadership Construct and its sub-constructs?	7.56 ± 1.46	7.94 ± 1.35
	Do the sub-dimensions of management and leadership cover all aspects of this Construct?	7.28 ± 1.07	7.83 ± 1.54
Risk Assessment	Is there a connection between the Risk assessment Construct and its sub- constructs?	6.94 ± 1.26	7.84 ± 1.08
	Do the sub-dimensions of Risk assessment cover all aspects of this Construct?	6.83 ± 1.29	7.92 ± 1.37
Planning	Is there a connection between the Planning Construct and its sub -constructs?	7.61 ± 1.33	8.01 ± 1.21
	Do the sub-dimensions of Planning cover all aspects of this Construct?	6.61 ± 1.14	7.82 ± 1.04
Prevention & Mitigation	Is there a connection between the Prevention and Mitigation Construct and its sub- constructs?	7.83 ± 1.29	7.92 ± 1.14
	Do the sub-dimensions of Prevention and Mitigation cover all aspects of this Construct?	7.78 ± 1.17	7.85 ± 1.23
Preparedness	Is there a connection between the Preparedness Construct and its sub-constructs?	7.83 ± 1.15	7.96 ± 1.22
	Do the sub-dimensions of Preparedness cover all aspects of this Construct?	8.22 ± 0.88	8.28 ± 1.08
Response	Is there a connection between the Response Construct and its sub-constructs?	7.61 ± 1.04	7.93 ± 1.11
	Do the sub-dimensions of Response cover all aspects of this Construct?	8.11 ± 1.28	8.19 ± 1.18
Recovery	Is there a connection between the Recovery Construct and its sub- constructs?	7.83 ± 1.29	7.82 ± 1.14
	Do the sub-dimensions of Recovery cover all aspects of this Construct?	7.89 ± 1.18	7.91 ± 1.01
Key Performance Results	Is there a connection between the Key performance results Construct and its sub- constructs?	7.72 ± 1.27	7.87 ± 1.32
	Do the sub-dimensions of Key performance results cover all aspects of this Construct?	7.94 ± 1.16	7.94 ± 1.16

Table 3 Constructs and Score of HDRME Model

Construct	Sub-construct No	Delphi Panel’s Score	Final Score
Management and leadership	3	137	130
Risk assessment	3	142	150
Planning	2	127	120
Prevention and mitigation	3	129	120
Preparedness	3	111	120
Response	6	132	110
Recovery	4	97	100
Key performance results	3	125	150
Total points	27	1000	1000

Table 4 The Comparison of HDRME Model Constructs with Other DRM Models

HDRME Model	Traditional DRM Life Cycle	Comprehensive DRM; Nirupama^Citation14	Conceptual Framework of Healthcare Resilience; Zhong et al^Citation16
Management and leadership			Emergency leadership and cooperation
Risk Assessment		Risk analysis and assessment
Planning		Strategic planning -economic, political and institutional support considerations	Disaster plans
Prevention and Mitigation	Prevention and Mitigation	Risk control options -structural, non-structural	Hospital Safety
Preparedness	Preparedness		Emergency training and drills Disaster stockpiles and logistics management
Response	Response	Response, recovery, reconstruction, rehabilitation	Emergency service capability
Recovery	Recovery		Recovery, evaluation, and adaptation
Key Performance Results		Knowledge management, sustainable development resilience building, community participation

Nirupama N. Disaster Risk Management, in Encyclopedia of Natural Hazards. Springer; 2013:164–170.

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Zhong S, Clark M, Hou X-Y, et al. Development of hospital disaster resilience: conceptual framework and potential measurement. Emerg Med J. 2014;31(11):930–938. doi:10.1136/emermed-2012-20228224028975

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