Research Paper: Evaluation of Accident and Disaster Preparedness of Hospitals Affiliated to Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran (original) (raw)
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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...
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...
Preparedness of Iranian Hospitals Against Disasters
Biotechnology and Health Sciences, 2016
Context: Over the past decade the number of accidents and disasters has been growing around the world. In addition to damaging communities and infrastructures, unexpected disasters also affect service providers. This study aimed to evaluate the readiness of hospitals when confronted with unexpected disasters. Evidence Acquisition: The present study was a simple review article, which was conducted via searching different sites, such as: Web of Science, Scopus, Science Direct and PubMed, using different key words such as: Disasters, Crisis, Hospital and preparedness. The relationship between the articles found in relation to our subject was investigated through the title and abstract of articles. The relationship between the articles, which were found in relation to our subject, was investigated through the title and abstract of the articles. Our search included papers published during the period between 2007 and 2015 and we only considered studies that measured the preparedness of hospitals in critical conditions. Among the 30 articles, which were found, 17 were excluded from the study due to lack of relevant data. Hence, 15 papers, which were of proper design and robust data analysis, were included in the current study. Results: Hospital preparedness in disaster was evaluated in three dimensions: structural, non-structural factors and vulnerability management performance. A total of readiness of hospitals in three dimensions was mediocre. Conclusions: Overall, the results derived from these studies indicated that hospital safety levels in most of the surveyed hospitals were moderate. Although the situation in hospitals is not critical, there is a need to plan and take appropriate measures to improve the safety level of the hospitals.
Hospital Preparedness Assessment Confronting Disasters In Bushehr Province, Iran 2015
Bushehr Province , Iran is located in an area where it has high likelihood of incidents and disasters. This article aims to study the level of hospital preparedness confronting disasters in Bushehr province in 2015. A checklist which was formerly used by Hojat et al. was employed in order to assess the hospital preparedness in disasters. Findings show that Persian Gulf Martyrs hospital is the most prepared hospital, while Assaluyeh Hospital is the least prepared hospital in earthquake. Concerning different fields, hospitals yield the most appropriate structure and the worst situation in terms of performance.
Assessment of Hospital Disaster Preparedness in the City of Birjand, Iran, in 2011
Introduction: In the past 25 years, natural disasters have taken lives of almost 3 million people and caused about 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith23 billion of damages worldwide. Iran is one of the 10 most disaster-prone countries in the world, and lack of preparedness of hospitals and healthcare centers burdens the healthcare system with 23billionofdamagesworldwide.Iranisoneofthe10mostdisaster−pronecountriesintheworld,andlackofpreparednessofhospitalsandhealthcarecentersburdensthehealthcaresystemwith280 million each year. Method: In this study, the research environment consisted of all hospitals of Birjand (Emam Reza, Valiasr, and Social Security Hospitals) and cases were collected via census method from our research environment. Data were collected by means of a standard checklist consisting of 220 questions in 6 sections of equipment, human resources, physical environment, structure, protocols, and performance chart. The tool was validated through content validity and face validity methods. Moreover, reliability which was estimated by the Kappa test was estimated as good (0.8). SPSS software was used for the analysis of checklist results. Descriptive analysis of data is presented through frequency, frequency percentage, and mean and standard deviation. Results: In general, the level of preparedness in terms of communication with a value of 28.51% was considered as weak. The admission, transfer and discharge, traffic, security, and management training, respectively, with values of 58.26, 43.45, 52.77, 49.07, 44.17, and 56.11% were measured as medium. However, the emergency, support, and staffing with values of 67.36, 66.41, and 60.92% were rated as good. The lowest and highest values were that of the communication and emergency sections, respectively. Altogether, the hospitals' preparedness, with a value of 52.27%, is at a moderate level. Discussion and Conclusion: Birjand hospitals are in need of improvement in the areas of communication, admission, transfer and discharge, traffic, safety, training, and management, and appropriate decisions need to be made with regard to this issue.
Saudi Medical Journal
To evaluate the Ministry of Health (MoH) hospitals preparedness for potential disasters and crisis events using the World Health Organization (WHO) hospital emergency response checklist. Methods: A cross-sectional study was conducted at MoH hospitals in Al-Madina, Saudi Arabia using the WHO hospital emergency response checklist. The overall level of hospital preparedness was categorized as unacceptable if the rating is between 0-64, insufficient if it is between 65-129 and effective preparedness if the score is between 130-184. The study conducted in 3 phases. First phase, Original Article the preintervention assessment was conducted from August 23 to 27, 2017. Second phase, intervention strategies were implemented between 2018 and 2019 to enhance the hospitals preparedness for any potential disaster situation. Third phase, the postintervention assessment was conducted from September 5 to 7, 2019, using with the same checklist. Results: The preparedness score of key components at the participating hospitals showed an "insufficient" level of preparedness. The mean preparedness score of the participating hospitals was 81.5±11.39 (range: 65-91), which is lower than the recommended WHO cutoff level of effective preparedness. The preparedness score of the post-recovery component was very low 01±1.15 compared to the WHO range (0-18). Conclusion: A total of 4 hospitals participated in the study. The participated hospitals showed insufficient levels of preparedness for potential disasters and crisis events.
Research Paper: Investigating Hospital Preparedness in Ardabil Province Against Unexpected Accidents
2019
Background: The most crucial issue in the disaster and accidents is the health management of the affected community because accidents and disasters always have a significant impact on hygiene, general health, and the wellbeing of the stricken community. Considering the hospitals' function and their front line position in managing the victims of accidents and having to continue and even increase their activity at the time of accidents and disasters, they should have a program of coping with accidents. In this regard, the current study investigated the preparedness of hospitals in Ardabil Province, Iran, in response to unexpected events. Materials and Methods: This was a descriptive, analytical, and cross-sectional study conducted in 15 hospitals in Ardabil Province in 2017. To collect study data, a two-part questionnaire was used. Its first part investigated the demographic data of the hospitals. The second part was the national tool to assess hospital preparedness in accidents and disasters with 91 questions in 9 areas of preparedness (command and control, communication, safety and security, triage, capacity increasing, continuity of essential services, workforce, resource management, and post-disaster recovery). The collected data were analyzed using descriptive statistics. Results: The findings of this study revealed that out of the 15 studied hospitals, only 4 were well prepared, 3 were poorly prepared, and 8 hospitals were moderately prepared for crisis management. On average, out of the 9 investigated aspects, triage, human resource management, and recovery after disasters had the lowest status. Conclusion: Considering the obtained results and the importance of preparing for unexpected events, it can be useful to plan and have an explicit instruction, and then implement and evaluate it to increase the preparedness to confront unexpected accidents in all hospitals.
Evaluation and Analysis of Hospital Disaster Preparedness in Jeddah
Introduction: Disaster damage to health systems is a human and health tragedy, results in huge economic losses, deals devastating blows to development goals, and shakes social confidence. Hospital disaster preparedness presents complex clinical operation. It is difficult philosophical challenge. It is difficult to determine how much time, money, and effort should be spent in preparing for an event that may not occur. Health facilities whether hospitals or rural health clinics, should be a source of strength during emergencies and disasters. They should be ready to save lives and to continue providing essential emergencies and disasters. Jeddah has relatively a level of disaster risk which is attributable to its geographical location, climate variability, topography, etc. This study investigates the hospital disaster preparedness (HDP) in Jeddah. Methods: Questionnaire was designed according to five Likert scales. It was divided into eight fields of 33 indicators: structure, architectural and furnishings, lifeline facilities’ safety, hospital location, utilities maintenance, surge capacity, emergency and disaster plan, and control of communication and coordination. Sample of six hospitals participated in the study and rated to the extent of disaster preparedness for each hospital disaster preparedness indicators. Two hazard tools were used to find out the hazards for each hospital. An assessment tool was designed to monitor progress and effectiveness of the hospitals’ improvement. Weakness was found in HDP level in the surveyed hospitals. Disaster mitigation needs more action including: risk assessment, structural and non-structural prevention, and preparedness for contingency planning and warning and evacuation. Conclusion: The finding shows that hospitals included in this study have tools and indicators in hospital preparedness but with lack of training and management during disaster. So the research shed light on hospital disaster preparedness. Considering the importance of preparedness in disaster, it is necessary for hospitals to understand that most of hospital disaster preparedness is built in the hospital system.
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.