Research Article

Cognition and Implementation of Disaster Preparedness among Japanese Dialysis Facilities

Table 2

Implementation rates of disaster preparedness broken down by item and domains.

Items regarding disaster preparednessImplementation rate1Rate of missing values

Patient
 Supervising check dry weight48.90.0
 Disseminating means of communication to the facility at the time of disaster56.90.0
 Disseminating dietary management at the time when dialysis interval is longer31.21.9
 Disseminating a contact address when people who cannot evacuate by themselves want to evacuate14.81.9
 Disseminating information regarding how to check whether the facility is open or not at the time a disaster41.72.1
 Disseminating a backup system when the facility does not work due to a disaster19.62.1
 Disseminating the way patients behave when a disaster happens during a dialysis session41.92.1
 Disseminating procedures, routes, and places of evacuation in the facility32.42.1
 Encouraging the identification of an evacuation place in advance36.02.1
 Securing the way of communication with their patients59.80.0
 Average implementation rates of items in the patient domain38.42.1

Administration
 Establishing a committee of disaster preparedness and discussing regularly50.60.2
 Making a manual for disaster preparedness and revising it57.30.0
 Assigning roles to staff at the time of a disaster52.82.1
 Conducting annual disaster drills for the staff and ensuring the assignment of roles59.62.3
 Disseminating information regarding how to handle withdrawal from dialysis at the time of disaster85.82.1
 Checking regularly whether the contact network system among the staff is working48.10.2
 Preparing an emergency kit and being ready to use it54.52.1
 Keeping goods for disaster preparedness in an accessible place for the staff53.22.1
 Average implementation rate of items in the administration domain57.92.3

Network
 Discussing securing power and water supply at the time of disaster with related organizations47.80.4
 Securing multiple means of communication at the time of a disaster75.20.2
 Concluding an agreement about the supply of medicines and equipment at the time of disaster with related organizations30.10.4
 Concluding an agreement about mutual help at the time of a disaster with other facilities55.60.8
 Understanding levels of emergency supplies of power and water at the time of a disaster from related organizations31.90.6
 Average implementation rate of items in the networks domain48.30.8

Safety
 Using a flexible tube in joint parts to fix the dialysis supply system and reverse osmosis membrane system on wall86.20.4
 Checking the buildings in the facility from points of view of disaster preparedness84.10.2
 Fall prevention of items and stopping the placement of seats and beds under places with potential dangers of falling objects83.50.6
 Fixing large medical equipment and putting them on an isolation device to prevent falling and shaking73.50.8
 Average implementation rate of items in the safety domain81.80.8

1Implementation rates were calculated after excluding cases with missing values for each item. Please refer to the Methods section for further details.