title: Resources for business continuity in disaster-based hospitals in the great East Japan earthquake: survey of Miyagi Prefecture disaster base hospitals and the prefectural disaster medicine headquarters.
abstract: OBJECTIVE
  To clarify advance measures for business continuity taken by disaster base hospitals involved in the Great East Japan Earthquake.
  
  
  METHODS
  The predisaster situation regarding stockpiles was abstracted from a 2010 survey. Timing of electricity and water restoration and sufficiency of supplies to continue operations were investigated through materials from Miyagi Prefecture disaster medicine headquarters (prefectural medical headquarters) and disaster base hospitals (14 hospitals) in Miyagi Prefecture after the East Japan earthquake.
  
  
  RESULTS
  The number of hospitals with less than 1 day of stockpiles in reserve before the disaster was 7 (50%) for electricity supplies, 8 (57.1%) for water, 6 (42.9%) for medical goods, and 6 (42.9%) for food. After the disaster, restoration of electricity and water did not occur until the second day or later at 8 of 13 (61.5%) hospitals, respectively. By the fourth postdisaster day, 14 hospitals had requested supplies from the prefectural medical headquarters: 9 (64.3%) for electricity supplies, 2 (14.3%) for water trucks, 9 (64.3%) for medical goods, and 6 (42.9%) for food.
  
  
  CONCLUSIONS
  The lack of supplies needed to continue operations in disaster base hospitals following the disaster clearly indicated that current business continuity plans require revision.
authors.affiliation: Department of Emergency and Critical Care Medicine/Emergency Center, Tohoku University Hospital, Sendai, Japan.
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kudo
authors.forename: Hajime
authors.initials: H
authors.lastname: Furukawa
authors.forename: Atsuhiro
authors.initials: A
authors.lastname: Nakagawa
authors.forename: Satoshi
authors.initials: S
authors.lastname: Yamanouchi
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Koido
authors.forename: Takashi
authors.initials: T
authors.lastname: Matsumura
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Abe
authors.forename: Ryota
authors.initials: R
authors.lastname: Konishi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Matoba
authors.forename: Teiji
authors.initials: T
authors.lastname: Tominaga
authors.forename: Shigeki
authors.initials: S
authors.lastname: Kushimoto
mesh_terms: D002959:Civil Defense / Q000191:economics* / Q000458:organization & administration; D003266:Continuity of Patient Care; D003430:Cross-Sectional Studies; D054597:Disaster Medicine / Q000458:organization & administration*; D004189:Disaster Planning / Q000191:economics; D055866:Earthquakes; D005260:Female; D006295:Health Resources / Q000191:economics* / Q000458:organization & administration; D006782:Hospitals, Special / Q000191:economics / Q000706:statistics & numerical data*; D006801:Humans; D007564:Japan; D008297:Male; D020380:Needs Assessment; D017063:Outcome Assessment, Health Care; D018635:Rescue Work / Q000191:economics* / Q000458:organization & administration; D018570:Risk Assessment