Disaster Vulnerability Analysis of Shanxi Provincial Cancer Hospital Based on Kaiser Model
10.11735/j.issn.1004-0242.2025.07.A009
- VernacularTitle:基于Kaiser模型的山西省肿瘤医院灾害脆弱性分析
- Author:
Ye YANG
1
;
Jie WANG
1
;
Shanbin ZHAO
1
;
Lei CHEN
1
Author Information
1. 山西省肿瘤医院,中国医学科学院肿瘤医院山西医院,山西医科大学附属肿瘤医院,山西太原 030013
- Publication Type:Journal Article
- Keywords:
Kaiser model;
specialized cancer hospital;
national regional medical centers;
disas-ter vulnerability analysis;
safety operation
- From:
China Cancer
2025;34(7):557-563
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze potential disasters and emergencies in Shanxi Provincial Cancer Hospital,and provide data support for strengthening emergency management in specialized cancer hospitals.[Methods]Based on the Kaiser model,factors potentially affecting hospital operations were comprehensively listed,and an initial index system was constructed from 4 dimensions:nat-ural disasters,technical accidents,personnel injuries,and hazards of dangerous goods.Through expert scoring,weight assignment,screening,and terminology revision,an evaluation system comprising 4 first-level indicators and 34 second-level indicators was developed.Questionnaire surveys were conducted among all hospital staff,yielding 236 valid responses in 2020 and 430 in 2024.Indicators such as the probability of occurrence and severity of consequences for each haz-ard event were analyzed.Combining indicator weights,relevant risk values for each hazard event were calculated,ranked,and compared across the two years to identify areas for emergency man-agement improvement.[Results]From the first-level indicator dimension,the average risk values of natural disasters ranked the first in both 2020 and 2024 evaluations,with personnel injury risks ranking the second,while technical accidents and dangerous goods hazards were relatively lower.In terms of secondary indicators,the top three disaster risk events in 2020 were epidemic out-break(20.39％),earthquake(19.26％),and violent attack on medical staff(18.61％),while in 2024,the top three were epidemic outbreak(15.65％),earthquake(13.86％),and elevator failure(12.27％).Risk event data comparison showed that epidemic outbreaks consistently ranked the first;violent attacks on medical staff decreased from 18.61％in 2020 to 11.66％in 2024,occupational expo-sure of medical staff from 18.03％to 11.51％,in-hospital patient falls/plummeting from 17.05％to 11.28％,and drug supply shortage from 15.22％to 9.97％,all with significant declines.Although the risk value of elevator failure decreased by 26.4％,its ranking rose from 7th in 2020 to 3rd in 2024.[Conclusion]The hospital should continuously optimize emergency plans,such as replac-ing aging elevators,increasing cybersecurity budgets,and introducing third-party mediation plat-forms,to further reduce risks and advance the Safe Hospital Initiative.
