A scoping review of internal hospital crises and disasters in the Netherlands, 2000-2020.

Autor: Klokman VW; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Barten DG; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Peters NALR; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Versteegen MGJ; Department of Emergency Medicine, VieCuri Medical Center, Venlo, The Netherlands., Wijnands JJJ; North Limburg Safety Region, Limburg, The Netherlands., van Osch FHM; Department of Clinical Epidemiology, VieCuri Medical Center, Venlo, The Netherlands., Gaakeer MI; Department of Emergency Medicine, Admiraal de Ruyter Hospital, Goes, The Netherlands., Tan ECTH; Department of Trauma Surgery and Emergency Medicine, Radboud University Medical Center, Nijmegen, The Netherlands., Boin A; Department of Political Science, Leiden University, Leiden, The Netherlands.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2021 Apr 26; Vol. 16 (4), pp. e0250551. Date of Electronic Publication: 2021 Apr 26 (Print Publication: 2021).
DOI: 10.1371/journal.pone.0250551
Abstrakt: Background: Internal hospital crises and disasters (IHCDs) are events that disrupt the routine functioning of a hospital while threatening the well-being of patients and staff. IHCDs may cause hospital closure, evacuations of patients and loss of healthcare capacity. The consequences may be ruinous for local communities. Although IHCDs occur with regularity, information on the frequency and types of these events is scarcely published in the medical literature. However, gray literature and popular media reports are widely available. We therefore conducted a scoping review of these literature sources to identify and characterize the IHCDs that occurred in Dutch hospitals from 2000 to 2020. The aim is to develop a systematic understanding of the frequency of the various types of IHCDs occurring in a prosperous nation such as the Netherlands.
Methods: A systematic scoping review of news articles retrieved from the LexisNexis database, Google, Google News, PubMed and EMBASE between 2000 and 2020. All articles mentioning the closure of a hospital department in the Netherlands were analyzed.
Results: A total of 134 IHCDs were identified in a 20-year time period. Of these IHCDs, there were 96 (71.6%) emergency department closures, 76 (56.7%) operation room closures, 56 (41.8%) evacuations, 26 (17.9%) reports of injured persons, and 2 (1.5%) reported casualties. Cascading events of multiple failures transpired in 39 (29.1%) IHCDs. The primary causes of IHCDs (as reported) were information and communication technology (ICT) failures, technical failures, fires, power failures, and hazardous material warnings. An average of 6.7 IHCDs occurred per year. From 2000-2009 there were 32 IHCDs, of which one concerned a primary ICT failure. Of the 102 IHCDs between 2010-2019, 32 were primary ICT failures.
Conclusions: IHCDs occur with some regularity in the Netherlands and have marked effects on hospital critical care departments, particularly emergency departments. Cascading events of multiple failures transpire nearly a third of the time, limiting the ability of a hospital to stave off closure due to failure. Emergency managers should therefore prioritize the risk of ICT failures and cascading events and train hospital staff accordingly.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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