Int. Arch. Photogramm. Remote Sens. Spatial Inf. Sci., XL-8, 147-154, 2014www.int-arch-photogramm-remote-sens-spatial-inf-sci.net/XL-8/147/2014/doi:10.5194/isprsarchives-XL-8-147-2014Integrated flood disaster management and spatial information: Case studies ofNetherlands and IndiaS. Zlatanova1, T. Ghawana2, A. Kaur2, and J. M. M. Neuvel31Faculty of Architecture, Jullianalaan, TU Delft, 134, 2628BL Delft, the Netherlands2Centre for Disaster Management Studies, Guru Gobind Singh Indraprastha University, Sector-16C, Dwarka, New Delhi, P.O. Box-110078, India3Saxion University of Applied Sciences, Risk management, Handelskade 75, 7417 DH Deventer, the NetherlandsKeywords: Floods, Spatial Information Infrastructure, GIS, Risk Management, Emergency Management Abstract. Spatial Information is an integral part of flood management practices which include risk management &emergency response processes. Although risk & emergency management activities have their own characteristics, forexample, related to the time scales, time pressure, activities & actors involved, it is still possible to identify at least onecommon challenge that constrains the ability of risk & emergency management to plan for & manage emergencieseffectively and efficiently i.e. the need for better information. Considering this aspect, this paper explores flood managementin Netherlands& India with an emphasis on spatial information requirements of each system. The paper examines theactivities, actors & information needs related to flood management. Changing perspectives on flood management inNetherlands are studied where additional attention is being paid to the organization and preparation of flood emergencymanagement. Role of different key actors involved in risk management is explored. Indian Flood management guidelines, byNational Disaster Management Authority, are analyzed in context of their history, institutional framework, achievements andgaps. Flood Forecasting System of Central Water Commission of India is also analyzed in context of spatial dimensions.Further, information overlap between risk & emergency management from the perspectives of spatial planners & emergencyresponders and role of GIS based modelling / simulation is analyzed. Finally, the need for an integrated spatial informationstructure is explained & discussed in detail. This examination of flood management practices in the Netherlands and Indiawith an emphasis on the required spatial information in these practices has revealed an increased recognition of the stronginterdependence between risk management and emergency response processes. Consequently, the importance of anintegrated spatial information infrastructure that facilitates the process of both risk and emergency management isaddressed.Conference Paper (PDF, 1063 KB) Int. Arch. Photogramm. Remote Sens. Spatial Inf. Sci., XL-8, 147-154, 2014www.int-arch-photogramm-remote-sens-spatial-inf-sci.net/XL-8/147/2014/doi:10.5194/isprsarchives-XL-8-147-2014Integrated flood disaster management and spatial information: Case studies ofNetherlands and IndiaS. Zlatanova1, T. Ghawana2, A. Kaur2, and J. M. M. Neuvel31Faculty of Architecture, Jullianalaan, TU Delft, 134, 2628BL Delft, the Netherlands2Centre for Disaster Management Studies, Guru Gobind Singh Indraprastha University, Sector-16C, Dwarka, New Delhi, P.O. Box-110078, India3Saxion University of Applied Sciences, Risk management, Handelskade 75, 7417 DH Deventer, the NetherlandsKeywords: Floods, Spatial Information Infrastructure, GIS, Risk Management, Emergency ManagementAbstract. Spatial Information is an integral part of flood management practices which include risk management &emergency response processes. Although risk & emergency management activities have their own characteristics, forexample, related to the time scales, time pressure, activities & actors involved, it is still possible to identify at least onecommon&
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Background: Optimizing transitional care by practicing family-centered care might reduce unplanned events for patients who undergo major abdominal cancer surgery. However, it remains unknown whether involving family caregivers in patients’ healthcare also has negative consequences for patient safety. This study assessed the safety of family involvement in patients’ healthcare by examining the cause of unplanned events in patients who participated in a family involvement program (FIP) after major abdominal cancer surgery. Methods: This is a secondary analysis focusing on the intervention group of a prospective cohort study conducted in the Netherlands. Data were collected from April 2019 to May 2022. Participants in the intervention group were patients who engaged in a FIP. Unplanned events were analyzed, and root causes were identified using the medical version of a prevention- and recovery-information system for monitoring and analysis (PRISMA) that analyses unintended events in healthcare. Unplanned events were compared between patients who received care from family caregivers and patients who received professional at-home care after discharge. A Mann-Whitney U test was used to analyze data. Results: Of the 152 FIP participants, 68 experienced an unplanned event and were included. 112 unplanned events occurred with 145 root causes since some unplanned events had several root causes. Most root causes of unplanned events were patient-related factors (n = 109, 75%), such as patient characteristics and disease-related factors. No root causes due to inadequate healthcare from the family caregiver were identified. Unplanned events did not differ statistically (interquartile range 1–2) (p = 0.35) between patients who received care from trained family caregivers and those who received professional at-home care after discharge. Conclusion: Based on the insights from the root-cause analysis in this prospective multicenter study, it appears that unplanned emergency room visits and hospital readmissions are not related to the active involvement of family caregivers in surgical follow-up care. Moreover, surgical follow-up care by trained family caregivers during hospitalization was not associated with increased rates of unplanned adverse events. Hence, the concept of active family involvement by proficiently trained family caregivers in postoperative care appears safe and feasible for patients undergoing major abdominal surgery.
A considerable amount of the required information in risk and emergency management is geographical, but this information does not always reach the right actors at the right time, so how can geographical information be organised in such a way that it supports risk and emergency management more effectively? The answer requires a conceptualisation of risk and emergency management practices resulting in the network-centric concept, which implies that those involved in risk and emergency management are connected and that they have the capability to share and access information. The concept was made operational through the development of an information system and the exchange of geographical information within the system was facilitated by the use of peer-to-peer networking in combination with a client server network. On the application level, the information was presented in both map and text forms to support the exchange of information between actors. This way of organising geographical information and technology leads to improved information and communication, better situational awareness and faster decisionmaking.
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