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Table 6 Checklist of the hospital’s disaster response according to space, staff, supplies, and system

From: Lessons learned from reviewing a hospital’s disaster response to the hydrofluoric acid leak in Gumi city in 2012

Category

Question

Yes or No

Space

Was there any expansion of ED space to accommodate additional patients inside the ED?

Yes or No

Was there any expansion of ED space to accommodate additional patients outside the ED?

Yes or No

Were any disaster reserve beds secured in the hospital?

Yes or No

Staff

Was there any reinforcement of hospital disaster response personnel (e.g., doctors or nurses), administration personnel, or security personnel?

Yes or No

Were there any duty time adjustments or duty relocation of ED working personnel?

Yes or No

Supplies

Was there any reinforcement of medicines including antidote (e.g., calcium gluconate)?

Yes or No

Was there any personal protective equipment provided for hospital disaster response personnel to respond to the CBRNE disaster?

Yes or No

Were there any reinforcement of logistics other than those mentioned above for the hospital’s disaster response?

Yes or No

System

Were any hospital disaster command systems in operation?

Yes or No

Was there any process to invoke surge support?

Yes or No

Did the administration department implement disaster-related measures to accept a larger number of patients than usual?

Yes or No

Was disaster triage (e.g., START or SALT in preparation for multiple casualty accidents or disasters) implemented in addition to the usual ED patient triage?

Yes or No

Was any decontamination zone established in the hospital?

Yes or No

Did the hospital perform decontamination of the patients?

Yes or No

Were any specialized diagnostic testing measures implemented to address the rapidly surging ED patient testing needs?

Yes or No

Was there any unification and management of the entrances and exits of hospitals that should be performed in disaster situations?

Yes or No

  1. We developed these checklist questions by reviewing literature concerning the hospital’s disaster response [1,2,3, 5,6,7,8,9,10,11, 15, 16]
  2. CBRNE Chemical, biological, radiological, nuclear, and explosives, ED Emergency department