Effective plans for hospital system response to earthquake emergencies

Kiremidjian, A.; Ceferino, L.; Mitrani-Reiser, J.; Bambaren Alatrista, Celso Vladimir; Deierlein, G.

dc.contributor.author	Ceferino, L.
dc.contributor.author	Mitrani-Reiser, J.
dc.contributor.author	Kiremidjian, A.
dc.contributor.author	Deierlein, G.
dc.contributor.author	Bambaren Alatrista, Celso Vladimir
dc.date.accessioned	2020-12-14T16:06:17Z
dc.date.available	2020-12-14T16:06:17Z
dc.date.issued	2020
dc.identifier.uri	https://hdl.handle.net/20.500.12866/8687
dc.description.abstract	Hospital systems play a critical role in treating injuries during disaster emergency responses. Simultaneously, natural disasters hinder their ability to operate at full capacity. Thus, cities must develop strategies that enable hospitals’ effective disaster operations. Here, we present a methodology to evaluate emergency response based on a model that assesses the loss of hospital functions and quantifies multiseverity injuries as a result of earthquake damage. The proposed methodology can design effective plans for patient transfers and allocation of ambulances and mobile operating rooms. This methodology is applied to Lima, Peru, subjected to a disaster scenario following a magnitude 8.0 earthquake. Our results show that the spatial distribution of healthcare demands mismatches the post-earthquake capacities of hospitals, leaving large zones on the periphery significantly underserved. This study demonstrates how plans that leverage hospital-system coordination can address this demand-capacity mismatch, reducing waiting times of critically injured patients by factors larger than two.	en_US
dc.language.iso	eng
dc.publisher	Springer Nature
dc.relation.ispartofseries	Nature Communications
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	Engineering	en_US
dc.subject	Environmental social sciences	en_US
dc.subject	Health care	en_US
dc.subject	Natural hazards	en_US
dc.title	Effective plans for hospital system response to earthquake emergencies	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1038/s41467-020-18072-w
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#1.06.03
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#1.04.00
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#1.03.00
dc.relation.issn	2041-1723