Evacuation of a Paediatric Hospital Ward in Italy: Lessons Learnt From an Announced Evacuation Drill

Giulia De Cet; Fabio Mancin; Chiara Vianello; Paolo Mocellin; Giancarlo Murer; Susanna Benedetti; Marianna Mattè; Enrico Ronchi

doi:10.17815/CD.2024.161

Authors

Giulia De Cet Department of Industrial Engineering - University of Padova, Padova, Italy
Fabio Mancin Department of Industrial Engineering - University of Padova, Padova, Italy
Chiara Vianello Department of Industrial Engineering - University of Padova, Padova, Italy
Paolo Mocellin
Giancarlo Murer Provincial Authority for Health Services (APSS) – Trento, Trento, Italy
Susanna Benedetti Provincial Authority for Health Services (APSS) – Trento, Trento, Italy
Marianna Mattè
Enrico Ronchi Division of Fire Safety Engineering - Lund University, Lund, Sweden https://orcid.org/0000-0002-2789-6359

DOI:

https://doi.org/10.17815/CD.2024.161

Keywords:

Evacuation, Egress Drill, Hospital, Assisted Evacuation, Functional Limitations

Abstract

The process of evacuating a hospital ward is a complex task that involves several challenges related to emergency protocols, such as the need for assisted evacuation, the staff/patient ratio, and the functional limitations of patients. The purpose of this work is to present a possible sequence of events that can take place during an evacuation drill in a paediatric hospital ward. This is deemed to provide guidance in performing such type of drills and investigate assisted evacuation timelines. The drill was conducted inside a paediatric ward in Italy, at that time closed for maintenance, with the help of figurants emulating paediatric patients. The medical personnel were the ones normally working inside the facility. The activity was video recorded and summarised in a written report. This allowed the analysis of the drill and the reconstruction of typical set of events and timelines that take place in such type of evacuation drill scenarios.

References

Blumhagen, D.W.: Evacuation of patients during a fire at a general hospital. Ann. Emerg. Med. 16(2), 209-214 (1987). doi:10.1016/S0196-0644(87)80017-3

Huang, D., Lo, S.M., Yang, L., Gao, L., Lo, J.T.: Hospital evacuation under fire: Risk identification and future prospect. In: 2019 9th Int. Conf. Fire Sci. Fire Prot. Eng. ICFSFPE 2019, pp. 1-6 (2019). doi:10.1109/ICFSFPE48751.2019.9055882

Ong, W.C., Suleiman, M.Z.: Fire safety management problems in fire accidents in hospital building. Adv. Environ. Biol. 9(4), 43-46 (2015)

Mancin, F.: Guidelines for the proper execution of emergency simulations and evacuation in a hospital environment (redazione di linee guida per una corretta esecuzione delle simulazioni di emergenza ed evacuazione in ambiente ospedaliero). Master's thesis, University of Padua (2023). URL https://thesis.unipd.it/retrieve/aac0226e-9052-4cc6-abc9-990982163526/DEFINITIVA%20s%20ringr.pdf

U.S. Fire Administration, Federal Emergency Management Agency: Data snapshot: Hospital fires. URL https://www.usfa.fema.gov/statistics/reports/where-fires-occur/snapshot-hospital.html

bvfa - Bundesverband Technischer Brandschutz e.V. | Startseite. URL https://www.bvfa.de/121/aktuelles/statistiken/braende-in-krankenhaeusern

Fire statistics data tables - gov.uk. URL https://www.gov.uk/government/statistical-data-sets/fire-statistics-data-tables

Taaffe, K.M., Kohl, R., Kimbler, D.L.: Hospital evacuation: Issues and complexities. In: Proc. - Winter Simul. Conf., vol. 2005, pp. 943-950 (2005). doi:10.1109/WSC.2005.1574343

Gwynne, S., Amos, M., Kinateder, M., Bénichou, N., Boyce, K., van der Wal, N., Ronchi, E.: The future of evacuation drills: Assessing and enhancing evacuee performance. Saf. Sci. 129, 104767 (2020). doi:10.1016/J.SSCI.2020.104767

Catovic, L., Alniemi, C., Ronchi, E.: A survey on the factors affecting horizontal assisted evacuation in hospitals. J. Phys. Conf. Ser 1107, 0720001 (2018). doi:10.1088/1742-6596/1107/7/072001