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Major Internal Fires in Dutch Hospitals: A Scoping Review
Brett C A van Stekelenburg1, Vincent W Klokman2, Edward C T H Tan3
1Department of Emergency Medicine, VieCuri Medical Centre, Venlo, The Netherlands.
Objectives:
Fires are among the most feared incidents that can occur in a hospital. Hospital fires will disrupt care continuity, may require the evacuation of patients and have the potential to result in injuries or even deaths. The aim of this study is to gain insight into hospital fires in the Netherlands over a 20-year period.
Methods:
Systematic scoping review of news articles mentioning hospital fires in the Netherlands retrieved from the LexisNexis database, Google, Google News, PubMed, and EMBASE between 2000 and 2020. Hospital fires were included if they were associated with the closure of hospital departments or intervention units and/or evacuations. The cause, location, involved departments, need for evacuation, and the number of casualties were evaluated.
Results:
Twenty-four major hospital fires were identified. More than half of these were caused by technical failures, and in 6 cases (25%), the fires were attributed to patients. In 71% of the incidents, acute care departments were affected by the fire. Twenty fires (83%) resulted in the evacuation of patients. In 2 cases, the fire resulted in the death of a patient.
Conclusions:
Patient-attributed fires are a significant cause of major hospital fires in the Netherlands. Prevention and mitigation measures should be implemented accordingly.
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