Understanding patient safety during earthquakes: a phenomenological study of disaster response.
BMJ quality & safety · 2025-01-29 · Qualitative study
Abstract
BACKGROUND: Natural hazards, such as earthquakes, pose a significant risk to both the public and healthcare professionals, jeopardising patient safety due to the disruption of healthcare systems and services. This study aimed to explore the lived experiences of healthcare professionals concerning patient safety during natural hazards, specifically earthquakes. METHODS: Employing a descriptive phenomenological approach, the study followed the Consolidated Criteria for Reporting Qualitative Research guidelines. 23 participants, including doctors, nurses and paramedics, were interviewed using purposive sampling. Data were gathered through semistructured interviews, which were audio recorded and transcribed. Ethical approval was obtained, and Colaizzi's method was used for data analysis, with findings validated through researcher consensus and participant feedback. RESULTS: Nine overarching themes emerged, such as the emotional toll of communication breakdowns, struggles with patient identification, stress due to resource scarcity, operational chaos, ethical dilemmas and psychological impacts on both patients and staff. The study found that these factors collectively influenced patient safety during the earthquake. CONCLUSION: The emotional strain caused by communication failures, patient identification issues and resource shortages compounded the challenges of providing safe care during the earthquake. Strengthening disaster preparedness through improved communication systems, resource management, psychological support, interagency coordination and regular realistic disaster drills is essential for safeguarding patient safety in future disasters.
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Tags
Clinician perspective · Communication & handover · Interagency collaboration · Teamwork & human factors
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