Classification and prioritization of essential systems in hospitals under extreme events

This paper presents a classification and prioritization of nonstructural systems, including medical equipment, in hospitals based upon the results of extensive surveys of effects of major seismic events. Surveys included damage surveys, interviews of medical and administrative personnel, and solicitation of expert opinion. As part of a larger study on nonstructural mitigation in hospitals, this effort sought to identify the importance and interdependence of various nonstructural systems subjected to earthquakes and other extreme events. Focused information was obtained for the 1994 Northridge earthquake. Additional information was obtained from experiences in the 1995 Kobe earthquake, the 1999 Chi-Chi earthquake, and the 1999 Kocaeli earthquake. Survey results led to a prioritized list of hospital nonstructural systems that can aid mitigation efforts in maximizing the continued functionality of essential medical facilities when exposed to extreme events.