Research Paper: Effects Hospital Incident Command System Establishment on Disaster Preparedness of Tehran Hospitals Affiliated to Law Enforcement Staff Under Simulated Conditions (original) (raw)
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Health in Emergencies & Disasters Quarterly
Background: Hospitals as the essential health service providers should manage their performance during incidents and disasters. The Hospital Incident Command System (HICS) is helpful in this regard. The establishment of this system assists the hospital disaster risk management committee to get prepared in emergency situations. This study aimed to assess the effect of HICS establishment on preparedness of Police Hospitals in Tehran, Iran during disasters, under simulated conditions. Materials and Methods: This was a quasi-experimental interventional study. The study participants were 55 managers of Imam Sajjad and Vali Asr hospitals in Tehran selected by census method (23 from Imam Sajjad Hospital as the control group, and 32 from Vali Asr Hospital as the experimental group). The preparedness of hospitals was measured before the intervention using Hospital Preparedness Scale (HPS) designed by Khankeh (2012). After establishment of HICS in Vali Asr Hospital, the hospital managers received a 3-day training through incident scenario. After one month, their preparedness was measured again by HPS instrument. The collected data were analyzed in SPSS (Version 18) using descriptive statistics, Independent t test and Chi-square test. Results: Establishment of HICS significantly increased preparedness of hospitals in communications, continuity of vital services, manpower, and procurement and logistics areas. Conclusion: Establishment of HICS can improve the hospitals' preparedness at times of disasters in many aspects. It is suggested that similar studies be conducted in private and public hospitals with longer follow-up time.
Health in Emergencies & Disasters Quarterly
The current study aimed at examining Hospital Incident Command System (HICS) on the rate of accidents and disaster preparedness committee and nursing staff of Imam Ali Hospital in Zarand, Iran. Materials and Methods: The current semi-experimental study was conducted on the members of Crisis Committee (n=9) and nursing personnel (n=38) selected by fully count model. Data collection tools were two valid and reliable questionnaires: hospital disaster preparedness and the nurses' disaster preparedness. Hospital disaster preparedness also included a two-day workshop on hospital incident command system and the nurses' disaster preparedness included a one-day workshop on disaster management. Members of the Crisis Committee and nurses were evaluated based on hospital disaster preparedness and nurses' disaster preparedness questionnaires before and one month after intervention. SPSS V. 16 was used to analyze data. Results: Findings of the current study indicated a major increase in the disaster preparedness of the Crisis Committee (from 88.33 to 130.88) and nurses (from 132.63 to 2077.56) after intervention; in addition, a significant improvement was observed in the nurses group (P=0.000) Conclusion: It was concluded that the establishment of HICS and using disaster preparedness program can improve the preparedness of hospital disaster management committee and nursing personnel against disasters.
2019
Background: The current study aimed at examining Hospital Incident Command System (HICS) on the rate of accidents and disaster preparedness committee and nursing staff of Imam Ali Hospital in Zarand, Iran. Materials and Methods: The current semi-experimental study was conducted on the members of Crisis Committee (n=9) and nursing personnel (n=38) selected by fully count model. Data collection tools were two valid and reliable questionnaires: hospital disaster preparedness and the nurses' disaster preparedness. Hospital disaster preparedness also included a two-day workshop on hospital incident command system and the nurses' disaster preparedness included a one-day workshop on disaster management. Members of the Crisis Committee and nurses were evaluated based on hospital disaster preparedness and nurses' disaster preparedness questionnaires before and one month after intervention. SPSS V. 16 was used to analyze data. Results: Findings of the current study indicated a major increase in the disaster preparedness of the Crisis Committee (from 88.33 to 130.88) and nurses (from 132.63 to 2077.56) after intervention; in addition, a significant improvement was observed in the nurses group (P=0.000) Conclusion: It was concluded that the establishment of HICS and using disaster preparedness program can improve the preparedness of hospital disaster management committee and nursing personnel against disasters.
Assessment of the Incident Command System Preparedness of the Hospitals in Qom, Iran
Health in Emergencies & Disasters Quarterly
Background: Hospital and prehospital emergencies are the first lines of coping and dealing with emergencies as well as emerging crises of special status. Developing and improving the readiness of these centers is considered as the main component for success in the universities of Medical Sciences. This study aimed to assess the preparedness of the incident command system in Qom hospitals, Qom City, Iran. Materials and Methods: This descriptive-analytic study was conducted on 120 senior managers, nursing directors, administrative and financial members of the Crisis Committee of 7 hospitals in Qom. The obtained data were collected using the standard disaster preparedness questionnaire with 4 domains. The researcher collected the study data through observation, interview, and review of the committee's documents. The collected data were analyzed in SPSS V. 20 using descriptiveanalytical statistics, such as mean, standard deviation, and independent t-test. Results: The mean knowledge scores of supervisors and members of the Disaster Management Committee were 14.51 and 14.62, respectively, which was not significantly different (P = 0.486). In addition, the mean attitude scores of the supervisors and members of the Committee were 69.66 and 70.70, respectively, which was not significantly significant (P = 0.437). Regarding practice, the mean scores of the practice of the supervisors and members were 9.62 and 12.0, respectively, which was significantly different (P = 0.045). Conclusion: Proper management of crises is achievable by organizing, coordinating, and strengthening all members of the crisis team.
2019
Materials and Methods: The statistical population of the current descriptive, cross sectional study was all hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2017. The main tool to collect information in the study was the checklist of preparedness for disasters designed by Hojjat et al. A group of 20 faculty members of the Jundishapur University of Medical Sciences evaluated the checklist and confirmed its validity. Also, the reliability of the instrument was evaluated using a test-retest method on one of the research units based on Kappa test with a value of 0.8 in acceptable range. Data were collected and coded with SPSS software version 19. Results: The highest level of disaster preparedness at Jundishapur University of medical sciences in Ahvaz belonged to human inferiority with an average score of 67.66±8; 16 of 100, and the lowest belonged to the emergency areas with an average score of 3.75±0.77 or 43 of 100. Imam Khomeini Hospital was in a better status than the other hospitals in terms of emergency, reception, discharging and transferring, traffic, and communication. In terms of education, Abuzar Hospital had the highest level of preparedness; and regarding support and management of health care practices, Salamat Hospital had the highest level for disaster preparedness.
Assessment of a Military Hospital’s Disaster Preparedness Using a Health Incident Command System
Trauma Monthly, 2016
Background: A hospital emergency incident command system is one of the most reliable and popular organizational methods for disaster and emergency management. Objectives: The aim of the present study was to assess the level of disaster preparedness in the emergency department and other selected units of a military hospital in Tehran. Methods: This cross-sectional study was conducted in 2013 and involved 97 medical staff members from various departments: emergency, management, discharge and transport, camp (security and staff), information and communication technology, training, reception, and human resources. Three instruments were used for data collection: a self-reported questionnaire, unit evaluation checklist, and maneuver evaluation checklist. Results: The overall mean score for the maneuver checklist was 55.5%. The mean (± standard deviation) score for the questionnaire was 42.02 ± 8.62. The unit evaluation checklist had a score of 165 from a total of 244 possible points and a mean percentage of 67.62%. After conducting the maneuver, the hospital staff was reported to have weak performance in evaluating and prioritizing patients for quick release and tracking their conditions. Conclusions: The present study shows that the selected hospital had a moderate level of preparedness, which is in line with the previous studies. It is recommended that future studies evaluate the effect of education on the disaster preparedness of hospital units.
JPMA. The Journal of the Pakistan Medical Association, 2014
To determine the preparedness level of hospitals against natural disasters in Bandar Abbas, Iran. The cross-sectional, descriptive study was conducted in all the 9 hospitals in Bandar Abbas, Iran, during 2012. The required data was collected using a standard checklist comprising 220 items in 10 areas. It was completed for each hospital using observations and interviews. SPSS 16.0 was used to analyse the data. The overall level of preparedness against disasters in Bandar Abbas hospitals was 38.6%. They were at a poor level in the areas of reception (31.4%), evacuation (28.1%), traffic (33.3%), security (34.6%), communication (30.6%), human resources (38.6%), and commanding and management (20.1%). Areas of emergency services (55.1%), training (53.5%), and logistics (53.5%) were moderate, while none of the areas could score enough to be in the good or very good category. Preparedness was poor and hospital administrators should establish necessary technical and communication infrastruct...
Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences, 2011
Applying an effective management system in emergency incidents provides maximum efficiency with using minimum facilities and human resources. Hospital Emergency Incident Command System (HEICS) is one of the most reliable emergency incident command systems to make hospitals more efficient and to increase patient safety. This research was to study requirements, barriers, and strategies of HEICS in hospitals affiliated to Isfahan University of Medical Sciences (IUMS). This was a qualitative research carried out in Isfahan Province, Iran during 2008-09. The study population included senior hospital managers of IUMS and key informants in emergency incident management across Isfahan Province. Sampling method was in non-random purposeful form and snowball technique was used. The research instrument for data collection was semi-structured interview; collected data was analyzed by Colaizzi Technique. Findings of study were categorized into three general categories including requirements (org...
Health in Emergencies & Disasters Quarterly
Background: Hospitals, as the first and most important treatment centers for injured people, should be prepared before the crisis to provide health care services in the best possible manner, with appropriate and prompt action. The current study aimed at investigating the accident and disaster preparedness of hospitals affiliated to Jundishapur University of Medical Sciences in Ahvaz, Iran. Materials and Methods: The statistical population of the current descriptive, cross sectional study was all hospitals affiliated to Ahvaz Jundishapur University of Medical Sciences in 2017. The main tool to collect information in the study was the checklist of preparedness for disasters designed by Hojjat et al. A group of 20 faculty members of the Jundishapur University of Medical Sciences evaluated the checklist and confirmed its validity. Also, the reliability of the instrument was evaluated using a test-retest method on one of the research units based on Kappa test with a value of 0.8 in acceptable range. Data were collected and coded with SPSS software version 19. Results: The highest level of disaster preparedness at Jundishapur University of medical sciences in Ahvaz belonged to human inferiority with an average score of 67.66±8; 16 of 100, and the lowest belonged to the emergency areas with an average score of 3.75±0.77 or 43 of 100. Imam Khomeini Hospital was in a better status than the other hospitals in terms of emergency, reception, discharging and transferring, traffic, and communication. In terms of education, Abuzar Hospital had the highest level of preparedness; and regarding support and management of health care practices, Salamat Hospital had the highest level for disaster preparedness. Conclusion: The preparedness of hospitals affiliated to Jondishapour University was in moderate status and Imam Khomeini Hospital had the highest level of accident and disaster preparedness.
Assessment of Disaster Preparedness of Hospital in Mamasani, Iran
Journal of health sciences and surveillance system, 2020
Background: Iran is among the top ten disaster-prone countries in the world because of its size, geographical location, and climatic diversity. Practically, the healthcare sector is an active part in disaster management and an integral part of the national health plan. This study aimed to determine the preparedness of the personnel to cope with natural disasters in Valiasr Hospital of Mamasani, Iran. Methods: This cross-sectional study was conducted in Valiasr Hospital, which has 100 beds. Data were collected using a 210-item researcher-made checklist. For each target, six domains of equipment, human resources, structure, physical space, protocol, and performance charts were considered. Face and content validities were used to confirm the validity and reliability of the questionnaire. Results: The results of this study showed that the support unit scored the highest (69.45 %), followed by the command and management (66.16%) and education units (66%), respectively. Security units (5...