Disaster preparedness information form template,magnetic pulse rifle quest,blackout brownout electricity,jersey city power outage status - Step 2

Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. Behavioral Sciences Research Center (BSRC), Nursing Faculty of Baqiyatallah University of Medical Sciences, Tehran, Iran. Department of Health in Emergency and Disaster, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; Department of Clinical Science and education, Karolinska Institute, Stockholm, Sweden. Disaster and Emergency Health Academy, National Institute of Health Research, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; Harvard Humanitarian Initiative, Harvard University, Cambridge, USA. Aim: Evaluating hospital disaster preparedness is one the best ways for hospital accreditation. Conclusion: Given the paramount importance of evaluating hospital disaster preparedness and the weaknesses of current preparedness evaluation tools, valid and reliable tools should be developed by using experts’ knowledge and experience through the processes of tool development and psychometric evaluation.
Hospitals are among the healthcare centers whose prompt and efficient services can play a significant role in decreasing disaster mortality rate 6. Effective disaster management necessitates having adequate disaster preparedness hospital disaster preparedness (HDP) 9 which is one of the major concerns of the World Health Organization 10. This systematic review study was conducted by using the Preferred Reporting Item for Systematic Reviews and Meta-analyses (PRISMA) guideline 14. The inclusion criteria were being published in English, being conducted by using qualitative, quantitative, or mixed method designs, dealing with either empirical or theoretical aspects of HDP, being conducted on human subjects, and being published in the area of medicine. We employed the four-point Consensus-based Standards for the selection of health Measurement Instruments (COSMIN) to appraise the retrieved articles regarding the psychometric properties of their data collection tools. The psychometric properties of outcome measures include such things as level of measurement, reliability and validity 16,17 .Also, the psychometric of tools have shown the amount of accuracy and precision for users. Accordingly, we developed a checklist based on the COSMIN criteria for evaluating the quality of the retrieved tools.
In total, 525 articles were retrieved (Figure 1) among which, 33 had reported using HDP tools.
The aim of systematic reviews on methodological researches is to identify their strengths and weaknesses and to highlight the necessity for conducting further studies for developing standardized instruments 13.
Nowadays, in the opinion of experts, Hospital Disaster Preparedness (HDP) is far beyond having a strong structures or modern high-tech equipment and includes suitable function in response during disasters 21.
In this systematic review study, in accordance with the guidelines of tool development, we used ten criteria for evaluating the psychometric properties of the current HDP tools.
The best tools are the ones that have been developed through strictly adhering to the instrument development guidelines 27,28. The process of responding to the items of a tool significantly contributes to the depth of the data that is obtained from it 29. The concept of hospital preparedness can encompass three sub-concepts including structural, non-structural, and functional preparedness 20. A key component of instrument development guidelines is using a theoretical framework for developing the intended tool 35. Study findings revealed that the completion of tools which assess structural HDP—such as HSI, Mulyasari, CMS, APIC, AHRO, TDH, and VHA—is difficult, needs team work, and takes considerable amount of time. None of the reviewed tools necessitate complex statistical analyses for calculating the final score. The results of our review showed that despite the great impacts of cultural issues on HDP, particularly on the functional preparedness domain, none of the current HDP tools have been developed contextually. Study findings indicate that because the HDP tools have not been developed through the process of psychometric evaluation, some indicators of HDP might have remained neglected.
Scrutiny of HDP tools, can help researchers in identification of strengths and weaknesses of existent tools, and to take steps to develop the proper tools to survey the level of HDP.
Given the weaknesses of the current HDP tools, further mixed-methods and qualitative studies are needed for exploring and clarifying the concept of HDP and developing comprehensive tools which assess the functional aspects of HDP.
The main limitation of this review was that only English language papers included in the study as a systematic Review. Provide an explicit statement of questions being addressed with reference to participants, interventions, comparisons, outcomes, and study design (PICOS).
Present full electronic search strategy for at least one database, including any limits used, such that it could be repeated. Describe methods used for assessing risk of bias of individual studies (including specification of whether this was done at the study or outcome level), and how this information is to be used in any data synthesis. Give numbers of studies screened, assessed for eligibility, and included in the review, with reasons for exclusions at each stage, ideally with a flow diagram. Present data on risk of bias of each study and, if available, any outcome level assessment (see item 12). For all outcomes considered (benefits or harms), present, for each study: (a) simple summary data for each intervention group (b) effect estimates and confidence intervals, ideally with a forest plot.
Present results of each meta-analysis done, including confidence intervals and measures of consistency. Provide a general interpretation of the results in the context of other evidence, and implications for future research. This paper was extracted from phd thesis in school of nursing and financially supported by Health Management Research Center Baqiyatallah University of Medical Sciences Tehran, IR Iran. Every family needs an emergency preparedness plan, even though we hope you never need them!
Writing and testing a disaster recovery plan is one of the key elements of business continuity management. Therefore, the activities necessary for hurricane preparedness should be part of the overall disaster recovery and contingency plan implemented by the facility. OfficeFinder offers insights and tips on creating office space disaster recovery plans for your business as part of effective office space planning. Disasters can take many forms and the severity of impact on the business can vary from power outages that disrupt operations for a short period of time to total destruction of your operations – including all your vital data that is not stored offsite. Small businesses don’t have the luxury of relegating emergency preparations to a specialized department, so your planning must be scaled accordingly. If City of Alexandria businesses have suffered the impacts of a disaster or are experiencing economic downturn, Alexandria SBDC will help connect you to Business Recovery resources. The aim of this study was to evaluate the quality of outcome measure that offer the level of measurement, reliability and validity that are known as the ‘ psychometric properties’ of the current hospital disaster preparedness tools.


Studies which had been published from 2000 to 2014 and had used hospital disaster preparedness tools were appraised by using the PRISMA guideline. Moreover, many more people are killed during the following weeks and years due to the consequences of disasters 1.
Accordingly, hospitals should be designed and built in such a way that they can effectively manage all kinds of high-pressure crisis situations 7 . Numerous studies and attempts have been made worldwide for evaluating and improving HDP 11.
Primarily, a study protocol was developed which consisted of formulating the study question, defining the inclusion criteria, developing a database search strategy, retrieving the relevant studies, extracting the relevant data, apprising the retrieved studies, synthesizing the data, and reporting them. The main psychometric properties of a tool according to the COSMIN are content, criterion, and construct validity, stability, internal consistency, responsiveness, and interpretability 15. After data entry of three studies, we revised our checklist and used the revised one for evaluating the tools of other studies. We carefully reviewed these 33 articles and found that only ten articles had referred to the psychometric properties of their tools as well as the structural, non-structural, and functional indicators of HDP.
Certainly, systematic reviews cannot provide absolutely precise and unbiased information about the accuracy and the precision of an instrument. Disaster managers need valid and effective instruments for evaluating disaster preparedness of hospitals.
Our findings revealed that none of the reviewed tools specifically evaluate different aspects of disaster preparedness. The items of such tools need to be developed by considering functional disaster preparedness of hospitals 30. Our findings revealed that most of the reviewed tools mainly dealt with structural and non-structural preparedness and despite its paramount importance, most of the tools did not measure the functional aspect of HDP. The American Psychological Association clearly stated that the construct which is going to be measured needs to be explained in a theoretical framework. When a tool is completed by using the interview method, ambiguities, if any, are clarifiedand none of the items are to be left unanswered 35. HDP can be evaluated by valid and reliable tools which are developed in careful methodological studies through psychometric evaluation process 12. The aim of systematic reviews is not to exactly determine the accuracy and the precision of the available tools. Therefore, it is important to ensure the appropriate tool is used to assess HDP enabling an acceptable response when encounteringto disasters.
Please according to prior notice, Dr Abbas Ebadi as corresponding author introduction and be published.
We’ve found 4 that will help you organize everything from your emergency contact information, insurance information and evacuation plan. In order to post comments, please make sure JavaScript and Cookies are enabled, and reload the page. Disaster recovery (DR) is a holistic strategy including people, processes, policies, and technologies. Whether you are just starting a business, managing an existing business, or looking to grow your company, you can find important information organized by stage of growth. The ability of a business to get back up and running after disaster strikes is much easier if steps are taken before the disaster to prepare for such a possibility. With that in mind, Alexandria Small Business Development Center and Dominion have identified the most effective and practical guidelines to be those of the Small Business Administration (SBA) and the SBA Small Business Disaster Preparedness Guide found here. The content quality and the quality of the psychometric properties of the retrieved tools were assessed by using the World Health Organization Criteria for Hospital Preparedness as well as the COSMIN criteria. These tools mainly focused on evaluating structural and non-structural aspects of hospital preparedness and paid little attention, if any, to the key functional aspect. For example, in the Bam earthquake, the city was destroyed completely, >43,000 people were killed, and 30,000 were injured 2. Zaboli et al (2006) noted that disasters cause healthcare systems and settings, particularly hospitals, serious disruption to health care services 8. We searched databases such as Google scholar, MEDLINE, Web of science, ProQuest, Science Direct, Ovid, Scopus, Cochrane, and CINAHL and retrieved articles published from 2000 to 2014. The first and the second authors separately read and reviewed the full texts of the retrieved articles to identify the factors and criteria that had been used for evaluating HDP. The content quality of the tools was assessed in three structural, non-structural, and functional domains proposed by the Preparedness indexes of World Health Organization (Table 1). However, these studies provide authorities with clear evidence for making wise decisions and form sound basis for further studies 19,20.
However, there is no standardized, comprehensive instrument for this purpose and hence, various instruments have been developed and are used currently worldwide. Moreover, as none of the reviewed tools had been standardized, we could not compare them with each other.
Other tools were scored dichotomously or by using two, three, or five-point Likert-type scales.
Content validity shows the extent to which the tool is capable of exactly measuring the intended construct. The reason for this shortcoming is the fact that the concept of HDP has not been systematically analyzed and explored yet. As numerous concepts are related to the construct of HDP, the tools which are going to measure this construct need to be developed by using an appropriate theoretical framework. Study findings also showed that currently, there is no comprehensive tool for evaluating HDP. Wold Part I of III This is the first of a three-part series that describes the planning process related to disaster recovery.
Perhaps you would like to browse our listing of topics by industry to identify resources that are relevant to your business. During the past twenty years, natural disasters have affected more than three million families (i.e. Therefore, evaluation of studies that assess hospital disaster preparedness tools can provide useful data for researchers and users in selection of suitable tool 13.This study was conducted to evaluate the quality of outcome measure that offer the level of measurement, reliability and validity that are known as the ‘ psychometric properties’ of the current HDP tools. The search terms—which had been identified by consulting disaster management experts—included hospital, functional preparedness, natural disaster, operational preparedness, readiness, instrument, questionnaire, test, assessment, measurement, tool, and inventory.


These activities helped us retrieve the most relevant articles and maintain the rigor of the study. Respectively, two studies had provided information concerning criterion and nine studies had provided information about construct validity, while all these ten studies had reported findings about the reliability of their tools. Moreover, most of the current instruments are situation-specific or one-dimensional 3,20,22.
Most of the reviewed studies (CMS, APIC, and SCDH) had not provided precise information on the aim(s) of developing their tools, the target population, and the process of item generation. Generating the items of a tool by using the results of qualitative studies on experts and key informants can help ensure a great content validity 31,32.
However, none of the reviewed studies had reported using a sound theoretical framework for developing their tools.
For instance, the best sources for acquiring information on the risk assessment domain of the HIS are agricultural and meteorological organizations. One of the weaknesses of the current tools is their inability to evaluate all aspects of HDP including; structural, non-structural and functional. Learn how to develop disaster recovery strategies as well as how to write a disaster recovery plan with these step-by-step instructions. You can also find important information listed by area of need, which covers a variety of topics on which business owners frequently have questions. After conducting comprehensive search for the relevant articles, we also searched the reference lists of the retrieved articles for pinpointing the relevant documents.
However, despite its importance, only three studies had evaluated and reported responsiveness (Table 2). The commonest tool for evaluating HDP is the World Health Organization Hospital Safety Index (HIS). Moreover, most of them had not used disaster experts’ knowledge and experience for developing their tools. Beside content validity, HDP tools should also have an acceptable construct validity and reliability 33. We found that most of the tools simply measured the vulnerability of hospitals and hence, the concept of HDP has been taken for granted.
These tools mainly focus on the structural and non-structural HDP and scarcely deal with the functional HDP 36.
Three-dimensional deformation caused by the Bam, Iran, earthquake and the origin of shallow slip deficit.
The Disaster Recovery Guide is intended to be a launch pad for those seeking help with the business continuity planning process. Last, but certainly not least, explore our list of partner programs to find other resources that may assist you in your endeavors. Disasters affect all economic, political, and cultural infrastructures of afflicted communities 4 and inundate healthcare systems with huge numbers of victims for prolonged periods of time 5. Given the abundance of the retrieved articles, we limited our search to Medical Subject Headings (MeSH).
This tool was developed by the Pan American Health Organization (PAHO) and the Disaster Mitigation Advisory Group (DIMAG) for evaluating hospital safety and preventing disaster-induced damages to healthcare centers and settings 11,23.However, the HIS does not provide objective measures for evaluating the functional domain and hospital preparedness 24.
Such tools need to be capable of identifying small changes and variations in the construct of interest. Future studies primarily need to develop a sound theoretical framework and then use it for developing tools that could measure the concept.
Download our free IT disaster recovery (DR) plan and then read our guide on IT disaster recovery planning. What is a Project Disaster Recovery Plan Like everyday scenarios and operations of an organization, projects too may be prone to some form of disaster. Our findings revealed that the most important weakness of the reviewed tools was limited data on their psychometric properties. Healthcare systems need evaluation tools which are developed by using experts’ knowledge and experience and are validated through the process of psychometric evaluation. For instance, only few studies (HSI, CMS, SCDH) had provided data on the two important psychometric properties of responsiveness and interpretability.
These studies had used qualitative data collection methods, such as interviewing, for item generation. Limited data on the process of psychometric evaluation usually prevents researchers from choosing the most appropriate tool. 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). Abilities and limitations of crisis management in Shohadaye Ashayer and Social Security hospitals of Khorramabad in 1385.
Review of hospital preparedness instruments for national incident management system compliance.
Construct validity and reliability of the Chinese version of the Disaster Preparedness Evaluation Tool in Taiwan. Hospital Disaster Preparedness as Measured by Functional Capacity: a Comparison between Iran and Sweden.
Hospital incident command system (HICS) performance in Iran; decision making during disasters.
A comprehensive systematic review of the development process of 104 patient-reported outcomes (PROs) for physical activity in chronically ill and elderly people. Patient-reported outcomes: assessment and current perspectives of the guidelines of the Food and Drug Administration and the reflection paper of the European Medicines Agency. Editorial comment on “Disregarding clinical trial-based patient-reported outcomes is unwarranted: Five advances to substantiate the scientific stringency of quality-of-life measurement”.
Self-efficacy instruments for patients with chronic diseases suffer from methodological limitations-a systematic review. Factors that influence physical activity in the daily life of male patients with chronic obstructive pulmonary disease.



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