Critical analysis of disaster management plan in a tertiary care hospital

Ravi Kumar Gupta, Aditi Mehra, Sonali Shamdasani


Background: Disaster in hospital is when the resources of the hospitals (infrastructure, trained manpower and organization) are over-whelmed beyond its normal capacity and additional contingency measures are required to control the event. The calculation of hospital treatment capacity provides a baseline for Hospital Administration to plan accordingly. Critical anaylsis of the disaster management strategies as per the hospital emergency response checklist – an all hazards tool for hospital administrators and emergency managers helps in identifying the gaps and strengthening the disaster management plan.

Methods: The study is a retrospective analysis of the response of a tertiary care hospital vis a vis hospital emergency response checklist.

Results: The disaster preparedness was analyzed according to the hospital emergency response checklist and gaps were identified.

Conclusions: The need for a comprehensive and easily deployable disaster management plan cannot be emphasized enough. The tools of continuous quality improvement can be used and analysis may be used to further strengthen the plan.



Disaster, Disaster management committee, Hospital administrators, Hospital treatment capacity

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India - NIDM. Available at: India.pdf. Accessed on: 05 January 2021.

Guidelines for Hospital Emergency Preparedness Planning. Available at: Accessed on: 05 January 2021.

Kai T, Ukai T, Ohta M, Pretto E. Hospital disaster preparedness in Osaka, Japan. Prehosp Disaster Med. 1994;9:29-34.

Ingrassia PL, Mangini M, Azzaretto M, Ciaramitaro I, Costa L, Burkle FM, et al. Hospital Disaster Preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit. Minerva Anestesiol. 2016;82:1259-66.

Nates JL. Combined external and internal hospital disaster: impact and response in a Houston trauma center intensive care unit. Crit Care Med. 2004;32(3):686-90.

World Health Organization. Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers. Geneva: WHO, 2011. Available at: Accessed on: 05 January 2021.

Zibulewsky J. Defining disaster: the emergency department perspective. Proc (Bayl Univ Med Cent). 2001;14(2):144-9.

Rubin GJ, Amlot R, Page L. The London polonium incident: lessons in risk communications. Health Phys. 2011;7(5):545-50.

Medford-Davis LN, Kapur GB. Preparing for effective communications during disasters: lessons from a World Health Organization quality improvement project. Int J Emerg Med. 2014;7(1):15.

Vassallo J, Beavis J, Smith JE, Wallis LA. Major incident triage: derivation and comparative analysis of the Modified Physiological Triage Tool (MPTT). Injury. 2017;48(5):992-9.

Bazyar J, Farrokhi M, Khankeh H. Triage Systems in Mass Casualty Incidents and Disasters: A Review Study with A Worldwide Approach. Open Access Maced J Med Sci. 2019;7(3):482-94.

Joint Commission on Accreditation of Healthcare Organizations. Health Care at the Crossroads: Strategies for Creating and Sustaining Community-wide Emergency Preparedness Strategies. Available at: Accessed on: 05 January 2021.

Sheikhbardsiri H, Raeisi AR, Nekoei-Moghadam M, Rezaei F. Surge Capacity of Hospitals in Emergencies and Disasters With a Preparedness Approach: A Systematic Review. Disaster Med Public Health Prep. 2017;11(5):612-20.

Adiguzel S. Logistics management in disaster. J Management Marketing Logistics (JMML). 2019;6(4):212-24.

Roberta R, Liana W, Eidin S. Evaluations of post-disaster recovery: A review of practice material. Evidence Base. 2016;1-33.

Berke PR, Kartez J, Wenger D. Recovery after disaster: achieving sustainable development, mitigation and equity. Disasters. 1993;17:93-109.

Smith G, Birkland T. Building a Theory of Recovery: Institutional Dimensions. Int J Mass Emerg Disasters. 2012;30:147-70.

Kadıoğlu M. Disaster Management Expecting the Unexpected, Managing the Worst. T.C. Marmara Municipalities Union Publication: Istanbul. 2011.