National Training on Safe Hospitals - Sri Lanka - Module 1 Session 2 - 14Sept22-24 [ROJoson]

1. Module 1:
Safe Hospital Concepts

2. Module 1 Sessions
Session Number and Title Topics Time
Allotment
Session 1:
Risk Management
Framework
- 7 Fundamental Terms
- Framework for Community Risk
Management
- Risk Management Framework
~2 hours
Session 2:
Role of Hospitals in
Emergencies and Disasters
Roles of Hospitals in Different
Contexts
~1 hour
Session 3:
Concepts of Safe Hospitals
- Safe Hospital Campaign
- Concepts of a Safe Hospital
- Elements of a Safe Hospital
~2 hours
Session 4:
Ensuring Safe Hospitals:
Roles of Stakeholders
- Stakeholders’ Roles
- Advocacy for Safe Hospitals
~1 hour

3. Mod 1 Session 2
Links to Previous
Session (Session 1)

4. Topic 2: Risk Management Framework
Framework for Community Risk Management
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

5. Topic 2: Risk Management Framework
Framework for Community Risk Management
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

6. Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

7. Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

8. Session 1 Topic 2: Risk Management Framework
EXERCISE – Simulating Earthquake!
Hazards, Vulnerabilities, Capacities and Risks

9. Session 1 Topic 2: Risk Management Framework
EXERCISE – Simulating Earthquake!
Hazards, Vulnerabilities, Capacities and Risks

10. Mod 1 Session 2:
Roles of Hospitals in
Emergencies and
Disasters

11. Mod 1 Session 2
Objectives

12. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
a. Traditional role
b. During emergencies
• Internal and external types of emergencies
• Mass casualty management (pre-hospital
and hospital)
• Surge capacity

13. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
c. During disasters
d. Role in public health
• Disease surveillance
• Emerging and re-emerging diseases
• Information management
• Research and development

14. Main Theme /Topic:
Roles of Hospitals in
Different Contexts
(During Normal Times and During
Emergencies and Disasters)

15. Topic: Roles of Hospitals in Different Contexts (During
Normal Times and During Emergencies and Disasters)
EXERCISE

16. Topic: Roles of Hospitals During Normal Times
EXERCISE
Instructions:
•Maintain your session 1 grouping; identify your team leader
and reporter.
•Your group is to answer the following question,
“What are the roles of a hospital during
normal times?”
•Discuss the question with your group members. Organize
your outputs and write them on a flip chart or whiteboard.
•Be ready to present your group’s outputs.

17. Topic: Roles of Hospitals During Emergencies and Disasters
EXERCISE
Instructions:
As a group, discuss the roles of a hospital in relation to :
Group 1 – Mass Casualty – Pre-hospital care
Group 2 - Mass Casualty – Hospital care
Group 3 – Disease Surveillance (including emerging and
re-emerging diseases)
Group 4 – Disaster within the area
Group 5 – Disaster outside the area
During sharing and processing
Ask each group to present their output.
You may clarify but not question the roles presented by
other groups.

18. Topic: Roles of Hospitals in Different Contexts (During
Normal Times and During Emergencies and Disasters)
EXERCISE

19. Topic: Roles of Hospitals in Different Contexts (During
Normal Times and During Emergencies and Disasters)
EXERCISE

20. Main Theme /Topic:
Roles of Hospitals in
Different Contexts
(During Normal Times and During
Emergencies and Disasters)

21. Main Theme /Topic:
Roles of Hospitals in Different Contexts
(During Normal Times and During Emergencies and
Disasters)
Questions:
•Are there marked differences between traditional
roles and roles during emergencies and disasters?
•Have some of the hospitals played the roles
identified in 2nd part of exercise (during emergencies
and disasters)?

22. Topic:
Roles of Hospitals
During Normal Times

23. Topic:
Roles of Hospitals During Normal Times
Provider of
•Wellness / Health Promotion and Restoration
Services to individual patients and community on a
day-to-day basis
•Emergency medical services for patients with
medical emergencies (brought to emergency
department and occurring in inpatient departments)

24. Topic:
Roles of Hospitals
During Emergencies
and Disasters

25. Topic:
Roles of Hospitals During Emergencies and
Disasters
Provider of
•Wellness / Health Restoration and Promotion Services to
patients associated with mass casualty incidents in the
community
•Emergency medical services for patients with medical
emergencies (brought to emergency department or to the
hospital from MCI site)
•Emergency medical services for patients with medical
emergencies outside the hospital, in the MCI site

26. Topic 2: Risk Management Framework
Framework for Community Risk Management
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

27. Session 1 Topic 2: Risk Management Framework
Risk Management Framework
Risk Reduction or
Management
•Hazard Reduction Plans
(reduce exposure)
•Vulnerability Reduction Plans
(reduce consequences)
•Emergency Preparedness
Plans (increase capacity for
response and recovery)

28. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
 During emergencies and disasters
• Internal and external types of emergencies
and disasters
• Mass casualty management (pre-hospital
and hospital)
• Surge capacity

29. Roles of Hospitals:
Internal and External Types of Emergencies and
Disasters
Internal E/D - disrupts ability of hospital to provide normal
services, but does not cause harm to community
External E/D - causes harm to community requiring increased
health/medical services, but does not disrupt ability of
hospital to provide medical services
Internal & External E/D - causes harm to community requiring
increased medical services, and also disrupts ability of
hospital to provide medical services

30. Roles of Hospitals:
Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
External E/D - Internal & External E/D

31. Roles of Hospitals:
Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
SURGE CAPACITY
“health system’s ability to rapidly expand beyond normal
services to meet the increased demand for qualified
personnel, medical care and public health in the event of
large- scale public emergencies or disasters” (Agency for
Health Care Research and Quality, USA 2005)

32. Roles of Hospitals:
Emergencies and Disasters – Mass Casualty
Incidents – Surge Capacity
SURGE CAPACITY
Essential components: trained and skilled staff, equipment,
pharmaceuticals, supplies, and both physical structure and
management systems such as Incident Management
System (WHO-WPRP, 2007)

33. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
 Role in public health
• Disease surveillance
• Emerging and re-emerging diseases
• Information management
• Research and development

34. Roles of Hospitals:
Public Health
Provider of
Public Health Promotion and Restoration Services to the
community – during normal times and during emergencies
and disasters.
Disease surveillance (disease outbreaks post non-biological
disasters; epidemics in biological emergencies
and disasters – emerging and re-emerging diseases)

35. Roles of Hospitals:
Public Health
Disease outbreaks post non-biological disasters (natural
disasters)
•Water- and food-related communicable diseases – cholera,
typhoid, hepatitis
•Diseases associated with crowding – measles, influenza
•Vector-borne diseases - malaria, dengue

36. Roles of Hospitals:
Public Health
Emerging infectious diseases
•newly identified & previously unknown infectious
agents
•that cause public health problems either locally or
internationally
INFLUENZA VIRUSES, MERS,
etc.

37. Roles of Hospitals:
Public Health
Re-emerging infectious diseases
Infectious agents that have been known for some
time
had fallen to such low levels that they were no
longer considered public health problems
now showing upward trends in incidence or
prevalence worldwide
INFLUENZA VIRUSES, EBOLA
VIRUS, HIV/AIDS, etc.

38. Roles of Hospitals:
Public Health

39. Roles of Hospitals:
Public Health
Provider of
Public Health Promotion and Restoration Services to the
community – during normal times and during emergencies
and disasters.
Information management – before and during emergencies
and disasters (public education; surveillance data
monitoring, analysis and reporting; etc.)
Research and development – causes, prevention,
mitigation, treatment, surveillance strategies, etc.

40. Module 1 Session 2
Any questions?

41. Closing:
Module 1 Session 2

42. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
a. Traditional role
b. During emergencies
• Internal and external types of emergencies
• Mass casualty management (pre-hospital
and hospital)
• Surge capacity

43. Session 2 Objectives
At the end of the session, the participants will be
able to:
Clarify roles of hospitals:
c. During disasters
d. Role in public health
• Disease surveillance
• Emerging and re-emerging diseases
• Information management
• Research and development

44. Mod 1 Session 2:
Roles of Hospitals in Emergencies and Disasters
NORMAL TIMES
• Health
Promotion
and
Restoration
• Emergency
Med Mgt
• Public
Health Mgt
EMERG / DISASTER
TIMES
• Emerg /
Disaster Mgt
• Emerg Med
Mgt
• Health
Restoration
and
Promotion
• Public Health
Mgt
Preparedness

45. Mod 1 Session 2:
Roles of Hospitals in Emergencies and Disasters
NORMAL TIMES
• Health
Promotion
and
Restoration
• Emergency
Med Mgt
• Public
Health Mgt
EMERG / DISASTER
TIMES
• Emerg /
Disaster Mgt
• Emerg Med
Mgt
• Health
Restoration
and
Promotion
• Public Health
Mgt
Preparedness
SAFE HOSPITAL

46. Mod 1 Session 2
Any questions?

47. Mod 1 Session 2:
Roles of Hospitals in
Emergencies and
Disasters
The End