national training on safe hospitals - sri lanka - worksheets module 2 - 14sept22-24

National Training on Safe Hospitals - Sri Lanka

Worksheets

MODULE 2Hospital Hazard Identification and

General Risk AnalysisPrioritization of Gaps


WorksheetsModule 2

Instructions:

Pls. accomplish as indicated in the specific instructions.

To promote CLEAR slides, always use BOLD fonts and at least 18 font size.

Pls. submit to Facilitators right after presentation.

Make a presentation that is ready for submission to your organization’s leaders.


Executive Report on Safe Hospital’s Vulnerability

Assessment

Format


Executive Report on Safe Hospital’s Vulnerability Assessment

Format of Report Name of Hospital / Health Facility:

Type: Government or Private:

Bed Capacity: • Confidentiality clause of assessment report:• Assessment Processes and Scope: • Date of Assessment:• Members of Assessment Team:



Format of Report

Hospital Hazards Identification and Risk Analysis

List of Gaps per Areas in Each Safe Hospital Component (Structural, Non-structural, Functional)

General Descriptive Assessment Statements of Gaps per Area in Each Safe Hospital Component (Structural, Non-structural, Functional)



Format of Report

Prioritization Processes Done and Prioritization Matrix of Gaps

Identified 3 Critical Gaps in Each Safe Hospital Component (Structural, Non-structural, Functional) for Action Planning


Worksheets

Hospital Hazard Identification and General Risk Analysis


Hospital Hazards Identification and General Risk Analysis

Name of Hospital / Health Facility:


Bed Capacity:

Name of Assessor Team Leader:

Date of Assessment:

Email Address of Assessor Team Leader:

Pls. accomplish – required!

May place picture of façade of your hospital / health facility.


Hospital Hazards Identification and General Risk AnalysisHazards [experienced / predicted: indicate – (E) and (P)][at least 3]

Vulnerabilities Preparedness / Capacity / Readiness

Risks

1.

2.

3.


Worksheets

Collation and Analysis of Safe Hospital’s Vulnerability Assessment

Data(after doing a self-assessment

using the WPRO’s tool)

National Training on Safe Hospitals - Sri LankaCollation and Analysis of Safe Hospital’s Vulnerability

Assessment Data

List of Gaps per Area in Each Safe Hospital Component (Structural,

Non-structural, Functional)


Assessment DataList of Gaps per Area in Each Safe Hospital Component (Structural,


Structural Compone

nt

Sub-components or Areas Indicators with gaps(can use the number

tags in the assessment tool)

Remarks (may include

General Descriptive Assessment Statements)

A. Location

B. Design

C. Structures

D. Permit and Clearance




Non-Structural

Component





A. Building Documents / Drawings /Plans

B. Architectural Elements Safety of the roofing Safety of ceilings Safety of doors and

entrances



Non-structural, Functional)Non-

Structural Component





Safety of windows and shutters

Safety of walls, divisions, partitions

Safety of exterior elements (cornices, ornaments, facade, plastering, etc.)

Safety of floor coverings Safety of windows and

shutters









C. Lifeline Facilities Electrical System Communications System Water Supply System

Medical Gas System









Fire Suppression System Emergency Exit System Heating, Ventilation and

Air conditioning (HVAC) Systems in Critical Areas









D. Medical and Laboratory Equipment

Equipment in Operating Room and Recovery Room

Radiological Equipment and Other Support Devices

Laboratory Equipment and Other Support Devices




Non-Structural

Component





Medical Equipment in Emergency Rooms/ Intensive Care Units/ Wards

Medical Equipment in Pharmacy Departments

Medical Equipment in Sterilization Units









Equipment and Other Support Devices in Nuclear Medicine Department and Radiation Therapy Units

E. Safety and Security of People, Equipment and Supplies

Safety and Security of Personnel and Patients

Safety of Fixtures, Equipment and Supplies



Non-structural, Functional)Functional

ComponentSub-components or Areas Indicators with gaps

(can use the number tags in the

assessment tool)



A. Site and Accessibility of Hospital/ Health Facility

Site/ Location

Accessibility






assessment tool)



B. Internal Circulation and Interoperability

Internal Circulation

Interoperability






assessment tool)



C. Equipment and Supplies

Basic equipment and Supplies

Equipment and Supplies for Emergency






assessment tool)



D. Emergency Management Policies, Procedures and Guidelines

Standard Operations Procedures (SOP) and Protocols

Procedures

Guidelines






assessment tool)



E. Logistic System and Utilities

Logistic System

Water Supply System

Electrical System Medical Gases Distribution

System






assessment tool)



F. Safety and Security Systems

Safety and Alarm Systems

Security Systems






assessment tool)



G. Communications, Transportation and Information Systems

Communications and Transportation Systems

Public Information Systems

Information Management Systems






assessment tool)



H. Plans for Emergency and Disaster

Hospital Emergency Incident Command System

Contingency Plan

Manuals for the Operation, Preventive Maintenance, and Restoration of Critical Services






assessment tool)



I. Human Resources Organization of Hospital

Disaster Committees and Emergency Operation Center

Capability Building of Personnel

Drills and Exercises






assessment tool)



J. Monitoring and Evaluation


Assessment Data

General Descriptive Assessment Statements of Gaps per Area in Each Safe Hospital Component


Assessment DataGeneral Descriptive Assessment Statements of Gaps per Area in Each

Safe Hospital Component


Sub-components or Areas General Descriptive Assessment Statements

A. Location

B. Design

C. Structures

D. Permit and Clearance




Non-Structural Component


A. Building Documents / Drawings /Plans

B. Architectural Elements Safety of the roofing Safety of ceilings Safety of doors and

entrances



Safe Hospital ComponentNon-Structural

ComponentSub-components or Areas General Descriptive Assessment

Statements

Safety of windows and shutters

Safety of walls, divisions, partitions

Safety of exterior elements (cornices, ornaments, facade, plastering, etc.)

Safety of floor coverings Safety of windows and

shutters





Statements C. Lifeline Facilities Electrical System Communications System Water Supply System

Medical Gas System





Statements Fire Suppression System Emergency Exit System Heating, Ventilation and Air

conditioning (HVAC) Systems in Critical Areas





Statements D. Medical and Laboratory

Equipment

Equipment in Operating Room and Recovery Room

Radiological Equipment and Other Support Devices

Laboratory Equipment and Other Support Devices




Non-Structural Component


Medical Equipment in Emergency Rooms/ Intensive Care Units/ Wards

Medical Equipment in Pharmacy Departments

Medical Equipment in Sterilization Units





Statements

Equipment and Other Support Devices in Nuclear Medicine Department and Radiation Therapy Units

E. Safety and Security of People, Equipment and Supplies

Safety and Security of Personnel and Patients

Safety of Fixtures, Equipment and Supplies



Safe Hospital ComponentFunctional


Statements

A. Site and Accessibility of Hospital/ Health Facility

Site/ Location

Accessibility





Statements

B. Internal Circulation and Interoperability

Internal Circulation

Interoperability





Statements

C. Equipment and Supplies

Basic equipment and Supplies

Equipment and Supplies for Emergency





Statements

D. Emergency Management Policies, Procedures and Guidelines

Standard Operations Procedures (SOP) and Protocols

Procedures

Guidelines





Statements

E. Logistic System and Utilities

Logistic System

Water Supply System

Electrical System Medical Gases Distribution

System





Statements

F. Safety and Security Systems

Safety and Alarm Systems

Security Systems





Statements

G. Communications, Transportation and Information Systems

Communications and Transportation Systems

Public Information Systems

Information Management Systems





Statements

H. Plans for Emergency and Disaster

Hospital Emergency Incident Command System

Contingency Plan

Manuals for the Operation, Preventive Maintenance, and Restoration of Critical Services





Statements

I. Human Resources Organization of Hospital

Disaster Committees and Emergency Operation Center

Capability Building of Personnel

Drills and Exercises





Statements

J. Monitoring and Evaluation


Assessment Data



Assessment Data


(Note: Prioritization means doing first things first after evaluating a group of gaps and ranking them in their order of importance or

urgency.

Eventually, all gaps will have to be resolved and as soon as possible.)


Assessment Data


Instructions:

Decide on the initial prioritization processes to be done prior to using prioritization matrix for the identified gaps in the 3 safe hospital components (structural, non-structural, and functional) to come out with 9 critical ones (3 per component) – the expected output of Module 2.


Assessment Data


Examples of initial prioritization processes: • Those gaps with “NO - need major improvement” assessments are

given priority across the board over “NO - need slight to moderate improvement.”

• Those gaps with “UNSURE of status” assessments are given priority over “NO – need slight to moderate improvement” if the indicators involved in the former are very critical in making the hospital / health facility safe from disasters.


Assessment Data


Examples of initial prioritization processes: • Sub-components or areas with the most number of gaps are given

priority over those with lesser number.

• The relative importance of the sub-components or areas with gaps are considered in the prioritization processes.


Assessment Data


Examples of initial prioritization processes: • An across the board set of criteria, agreed upon by the team, can be

used in initial prioritization particularly in situations where there is an overwhelming number of gaps to solve.

• An example of an across the board set of criteria includes magnitude of the gap, urgency to resolve the gap, and impact of the consequences if the gap is not solved soon.


Assessment Data


• After the initial prioritization processes have been done, make a list that contains 6 to 7 gaps per safe hospital component.

• Subject these initially prioritized gaps to a team deliberation using the prioritization matrix to eventually come out with 3 gaps per safe hospital component.

• Use the templates shown below.


Assessment DataPrioritization Matrix of Gaps

STRUCTURAL GAPSPrioritization Matrix

Criteria [at least 3 with relative weights 1. lowest; 3 - highest)] – see Key

Number of persons giving scores: ___

Total Scores(sum)

Rank

1 2 3 4 5

1. 2. 3. 4. 5. 6. 7.



Criteria Keys

Keys Criteria

1

2

3

4

5

For STRUCTURAL GAPS



NON-STRUCTURAL GAPSPrioritization Matrix



Total Scores(sum)

Rank

1 2 3 4 5

1. 2. 3. 4. 5. 6. 7.



Criteria Keys

Keys Criteria

1

2

3

4

5

For NON-STRUCTURAL GAPS



FUNCTIONAL GAPSPrioritization Matrix



Total Scores(sum)

Rank

1 2 3 4 5

1. 2. 3. 4. 5. 6. 7.



Criteria Keys

Keys Criteria

1

2

3

4

5

For FUNCTIONAL GAPS



Format of Report Name of Hospital / Health Facility:


Bed Capacity: • Confidentiality clause of assessment report:• Assessment Processes and Scope: • Date of Assessment:• Members of Assessment Team:



Format of Report

Hospital Hazards Identification and Risk Analysis

List of Gaps per Areas in Each Safe Hospital Component (Structural, Non-structural, Functional)

General Descriptive Assessment Statements of Gaps per Area in Each Safe Hospital Component (Structural, Non-structural, Functional)



Format of Report


Identified 3 Critical Gaps in Each Safe Hospital Component (Structural, Non-structural, Functional) for Action Planning


WorksheetsMODULE 2

Hospital Hazard Identification and General Risk AnalysisPrioritization of Gaps

The End

national training on safe hospitals - sri lanka - worksheets module 2 - 14sept22-24

Healthcare

executive report

risk analysis list of

critical gaps

assessment processes

date of assessment

members of assessment

bed capacity

areas indicators