This document outlines a training module on safe hospital concepts. It includes 4 sessions that cover: 1) a risk management framework, 2) the roles of hospitals in emergencies and disasters, 3) concepts of safe hospitals, and 4) the roles of stakeholders in ensuring safe hospitals. Session 3 discusses the Safe Hospital Campaign and its goals of protecting lives, ensuring hospital functionality after disasters, and improving risk reduction capacity. A safe hospital is defined as one that remains accessible and functioning at maximum capacity during and after a disaster. Key elements of a safe hospital include structural resilience, continuity of services, emergency plans and trained staff.

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 3
Links to Previous
Session (Session 2)

4. 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

5. Mod 1 Session 3:
Concepts of Safe
Hospitals

6. Mod 1 Session 3
Objectives

7. Session 3 Objectives
At the end of the session, the participants will be
able to:
•Appreciate the concepts of safe hospitals.
•Discuss the interrelatedness of the elements of safe
hospitals.
•Identify elements of safe hospitals that require
strengthening in their respective hospitals.

8. Topic 1:
Safe Hospital Campaign

9. Topic 1: Safe Hospital Campaign
INQUIRY - INTERACTION

10. Topic 1: Safe Hospital Campaign
Why is SAFE
HOSPITAL the focus
of Global Disaster
Risk Reduction?
INQUIRY -
INTERACTION

11. Topic 1: Safe Hospital Campaign
INQUIRY - INTERACTION

12. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE

13. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE
Why is SAFE
HOSPITAL the focus
of Global Disaster
Risk Reduction?

14. Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL
the Focus of Global
Disaster Risk Reduction?
• Receiving end of victims
• Responder to
emergencies/disasters
• Direct life-saving roles
• Symbol of social
progress
• Prerequisite for social
stability and economic
development

15. Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL
the focus of Global
Disaster Risk Reduction?
The World Disaster Reduction
Campaign on Hospitals Safe
from Disasters aims to raise
awareness and effect change
that will:
•Protect the lives of
patients and health
workers by ensuring the
structural resilience of
health facilities;

16. Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL
the focus of Global
Disaster Risk Reduction?
The World Disaster Reduction
Campaign on Hospitals Safe
from Disasters aims to raise
awareness and effect change
that will:
•Make sure health facilities
and health services are
able to function in the
aftermath of emergencies
and disasters, when they
are most needed; and

17. Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL
the focus of Global
Disaster Risk Reduction?
The World Disaster Reduction
Campaign on Hospitals Safe
from Disasters aims to raise
awareness and effect change
that will:
•Improve the risk
reduction capacity of
health workers and
institutions, including
emergency management.

18. Topic 1: Safe Hospital Campaign
Why is SAFE HOSPITAL
the focus of Global
Disaster Risk Reduction?
If there is one structure
that should be left
standing and operational
during and after a
disaster,
it should be a
hospital!

19. Topic 1: Safe Hospital Campaign

20. 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
How can the hospital perform its roles during
emergency/disaster if it is not “SAFE”!!!

21. Topic 1: Safe Hospital Campaign
How can the hospital perform its roles during
emergency/disaster
if it is not “SAFE”!!!
if it is DESTROYED!!!

22. Topic 1: Safe Hospital Campaign
How can the hospital perform its roles during
emergency/disaster
if it is not “SAFE”!!!
if it is DESTROYED!!!

23. Topic 1: Safe Hospital Campaign
Devastating
consequences of
natural disasters!
Human lives lost
People injured
People displaced
Property destroyed
Economy damaged

24. Topic 1: Safe Hospital Campaign
Devastating
consequences of
natural disasters!
Human lives lost
People injured
People displaced
Property destroyed
Economy damaged

25. Topic 1: Safe Hospital Campaign
Devastating
consequences of
natural disasters!
Human lives lost
People injured
People displaced
Property destroyed
Economy damaged
World Disaster Report 2013 -
(2003-2012)
-Asia = continent most
frequently affected, with 40.6%
of all disasters. Africa comes
second with 24.4%.
-Total number of people killed in
natural disasters, Asia =
continent highest, 61%;
America, second with 22%.
-Total number of people
reported affected, Asia =
highest, 81%; Africa, second
with 14%.

26. Topic 1: Safe Hospital Campaign
Devastating
Sri Lanka
consequences of
Natural Disasters
from 1980 – 2010
natural disasters!
(preventionweb)
Human lives lost
People injured
People displaced
Property destroyed
Economy damaged
No of events: 62
No of people killed: 36,982
Average killed per year: 1,193
No of people affected: 17,457,668
Average affected per
563,151
year:
Economic Damage (US$
X 1,000):
1,674,364
(billion)
Economic Damage per
year (US$ X 1,000):
54,012
(million)

27. Topic 1: Safe Hospital Campaign
Global and national clamor for safe hospitals since
2005
• Hyogo Framework for Action 2005-2015 - Safe
Hospitals – one of Priority Actions

28. Topic 1: Safe Hospital Campaign
Emphasized importance of “making
hospitals safe from disasters” as a
key activity to reduce underlying
disaster risk factors by ensuring
that all new hospitals are built
with a level of resilience that
strengthens their capacity to
remain functional in disaster
situations and implement
mitigation measures to
reinforce existing health
facilities, particularly those
providing primary health care.

29. Topic 1: Safe Hospital Campaign
Global and national clamor for safe hospitals since
2005
• 2008-2009 World Disaster Reduction:
“Hospitals Safe from Disasters - Reduce Risk,
Protect Health Facilities, Save Lives”

30. Topic 1: Safe Hospital Campaign
Global and national clamor for safe hospitals since
2005
• 2009 Kathmandu Declaration – Protecting
Health Facilities from Disasters

31. Topic 1: Safe Hospital Campaign
• MOH of Sri Lanka is
strengthening its activities for SAFE HOSPITALS
as part of the overall activities for
disaster risk management in the country.

32. Topic 1: Safe Hospital Campaign
• Lessons have been learnt as to
hospitals and health facilities being affected by
the tsunami of 2004, conflict situations and other
disasters in the country.

33. Topic 1: Safe Hospital Campaign

34. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE

35. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE
Your

36. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE
Your

37. Topic 2:
Concepts of a Safe
Hospital

38. Topic 2: Concepts of a Safe Hospital
INQUIRY - INTERACTION

39. Topic 2: Concepts of a Safe Hospital
INQUIRY - INTERACTION
What is a SAFE
HOSPITAL?

40. Topic 2: Concepts of a Safe Hospital
INQUIRY - INTERACTION

41. Topic 2: Concepts of a Safe Hospital
A “SAFE HOSPITAL” during disaster is operationally
defined
as a health facility whose services remain
accessible and functioning at maximum capacity
and
in the same facility or infrastructure, during and
immediately following the impact of a disaster.

42. Topic 2: Concepts of a Safe Hospital
SAFE HOSPITALS
hospitals that have the capacity and capability to remain
functional and operational during and even after disaster
those whose health services remain accessible and
functioning at maximum capacity during and immediately
after disasters/emergencies
they must be physically resilient and able to remain
operational and continue providing vital health services

43. Topic 2: Concepts of a Safe Hospital
A safe hospital
will not collapse in disasters, killing patients and
staff
will be able to continue to function and provide
critical services in emergencies
will be organized, with contingency plans in place
and health personnel trained to keep the network
operational

44. Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
The most expensive hospital is the one that fails:
 Hospitals and health facilities represent an
enormous investment for any country.
 Their destruction imposes major economic
burdens.

45. Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
Disasters are a health and a social issue:
Not only is health treatment critical in the
aftermath of a disaster,
damage to health facilities and systems
affects development long into the future.

46. Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
Protecting critical health facilities from disasters is
possible and cost effective:
Including risk reduction in the design and
construction of all new health facilities, and
reducing vulnerability in existing health
facilities through selecting and retrofitting the
most critical facilities,
costs less than might be expected.

47. Topic 2: Concepts of a Safe Hospital
Special Considerations in a “Safe Hospital” Concept
The health workforce must be agents of disaster risk
reduction:
Health workers are central to identifying
potential health risks from natural hazards and
promoting personal and community risk
reduction measures.

48. Topic 3:
Elements of a Safe
Hospital

49. Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION

50. Topic 3: Elements of a Safe Hospital
What are the critical elements
of a hospital that make it
SAFE and CONTINUOUSLY
OPERATIONAL in times of
disasters?
INQUIRY -
INTERACTION

51. Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION

52. Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Non-structural
Component
Functional
Component

53. Topic 3: Elements of a Safe Hospital
Structural Components
Primary load-bearing components that make a
building stand
 Foundation
 Column (posts and pillars)
 Beams (girders, joists)
 Floors
 Walls
 Roofs
product of
structural engineers, masons, labor contractors

54. Topic 3: Elements of a Safe Hospital
Structural Components
Load-bearing components of a building

55. Topic 3: Elements of a Safe Hospital
Non-structural Components
All non-load-bearing parts including contents of
the building or attached to the structure
• Ceilings, windows, partitions
• Pipes, mechanical and electrical systems
• HVAC (heating, ventilating, air con)
• Equipment, supplies
• Furnishings
• etc.
done by:
architects, interior designers
mechanical and electrical engineers
purchased by owners after construction

56. Non-load-bearing parts of building or
attached to the structure
Non-structural
Components

57. Topic 3: Elements of a Safe Hospital
Functional Components

58. Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Non-structural
Component
Functional
Component

59. Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION

60. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

61. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

62. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

63. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

64. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

65. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

66. Topic 3: Elements of a Safe Hospital
What element/s affected?
Structural? Non-structural? Functional?

67. National Training oonn SSaaffee HHoossppiittaallss -- SSrrii LLaannkkaa
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Emergency Exit System
Lifeline
Facilities
Medical
Facilities
Architectural
Elements
Non-structural
Component
Functional
Component
Fire System
Electricity System
Water Supply System
Medical Gas Supply System
Communication System
Critical Systems

68. Topic 3: Elements of a Safe Hospital
INQUIRY - INTERACTION

69. Topic 3: Elements of a Safe Hospital
What is the probability that
your hospital will NOT
collapse if there is a strong
natural disaster?
INQUIRY -
INTERACTION
Probability
1 to 10?
Why?

70. Topic 3: Elements of a Safe Hospital
What is the probability that
your hospital will be able to
continue to function and
provide critical services in
emergencies?
INQUIRY -
INTERACTION
Probability
1 to 10?
Why?

71. Topic 3: Elements of a Safe Hospital
What is the probability that your
hospital will be organized, with
contingency plans in place and
health personnel trained to keep
the network operational?
INQUIRY -
INTERACTION
Probability
1 to 10?
Why?

72. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE
Your

73. Closing:
Module 1 Session 3

74. Session 3 Objectives
At the end of the session, the participants will be
able to:
•Appreciate the concepts of safe hospitals.
•Discuss the interrelatedness of the elements of safe
hospitals.
•Identify elements of safe hospitals that require
strengthening in their respective hospitals.

75. 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

76. Topic 2: Concepts of a Safe Hospital
A “SAFE HOSPITAL” during disaster is operationally
defined
as a health facility whose services remain
accessible and functioning at maximum capacity
and
in the same facility or infrastructure, during and
immediately following the impact of a disaster.

77. Topic 2: Concepts of a Safe Hospital
A safe hospital
will not collapse in disasters, killing patients and
staff
will be able to continue to function and provide
critical services in emergencies
will be organized, with contingency plans in place
and health personnel trained to keep the network
operational

78. National Training oonn SSaaffee HHoossppiittaallss -- SSrrii LLaannkkaa
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Emergency Exit System
Lifeline
Facilities
Medical
Facilities
Architectural
Elements
Non-structural
Component
Functional
Component
Fire System
Electricity System
Water Supply System
Medical Gas Supply System
Communication System
Critical Systems

79. Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Non-structural
Component
Functional
Component

80. Topic 3: Elements of a Safe Hospital
Critical Elements of a Safe Hospital
Safer - Safest Hospital
Structural
Component
Non-structural
Component
Functional
Component

81. Topic 1: Safe Hospital Campaign
Global
Regional
National
SAFE
Your

82. Topic 1: Safe Hospital Campaign
Your

83. Mod 1 Session 3
Any questions?

84. Mod 1 Session 3:
Concepts of Safe
Hospitals
The End