Development of Standard Operating Procedures for Infectious Disease Disaster Response in Healthcare Institutions

Woo, Kyungah; Jung, Sungmo; Byun, HyeMin; Yoo, Keunhee; Yun, Eunkyoung

doi:2025.31.1.46

Qual Improv Health Care > Volume 31(1); 2025 > Article

Original Article

Quality Improvement in Health Care 2025;31(1): 46-64.
DOI: https://doi.org/10.14371/QIH.2025.31.1.46 Published online June 30, 2025.

의료기관 감염병 재난 대응 표준운영절차 개발

우경아¹, 정성모¹, 변혜민², 유근희³, 윤은경⁴

¹경희대학교 일반대학원 간호학과
²경희대학교 간호과학대학
³서정대학교 간호학과
⁴경희대학교 간호과학대학

Development of Standard Operating Procedures for Infectious Disease Disaster Response in Healthcare Institutions

Kyungah Woo¹, Sungmo Jung¹, HyeMin Byun², Keunhee Yoo³, Eunkyoung Yun⁴

¹PhD candidate, Department of Nursing Science, Graduate School, Kyung Hee University, Seoul, Republic of Korea
²PhD, College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea
³Professor, Department of Nursing, Seojeong University, Yangju, Republic of Korea
⁴Professor, College of Nursing Science, Kyung Hee University, Seoul, Republic of Korea

Correspondence Eunkyoung Yun ,Tel: +82-2-961-2348, Fax: +82-2-961-9398, Email: ekyun@khu.ac.kr

Received: April 14, 2025 Revised: May 14, 2025 Accepted: May 21, 2025

Abstract

Purpose
This study aimed to develop standard operating procedures (SOPs) for infectious disease disaster response in healthcare institutions by adapting codes and standard activities from public institutions. The objectives included defining standard activities tailored to healthcare settings, constructing relevant codes and standard activities, and developing detailed action contents.
Methods
A comprehensive literature review of SOP manuals and related public institution documents was conducted. Additionally, actual Coronavirus Disease 2019 response cases in healthcare settings. The Delphi method was employed to validate definitions and action contents through expert consensus.
Results
An initial set of 51 SOP items was reviewed through first Delphi survey. Based on expert feedback and quantitative criteria, 31 items were removed due to content overlap (11 items), irrelevance to healthcare settings (18 items), and redundancy in location terminology—‘on-site’ referring to hospital premises in infectious disease contexts—(2 items). Subsequent second Delphi survey refined the SOPs, confirming validity in definitions, validity of SOPs application in healthcare institutions, and detailed action contents. Ultimately yielding five major categories, 20 codes with corresponding standard activities, and detailed action contents suitable for healthcare institutions.
Conclusion
The developed SOPs provide clear operational guidance (Command), facilitate effective communication and reporting (Communication), support resource management and infection control (Control), and underpin training and drills (Coordination). Implementation of these SOPs can enhance healthcare institutions’ disaster preparedness, interagency collaboration, and patient-centered care quality during infectious disease emergencies.

Key words Infectious disease, Disasters, Standards, Delphi method