Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-11T07:06:36.445Z Has data issue: false hasContentIssue false
  • English
  • Français

Emergency Response of Iranian Hospitals Against Disasters: A Practical Framework for Improvement

Published online by Cambridge University Press:  02 August 2017

Ali Janati ,
Homayoun Sadeghi-bazargani ,
Edris Hasanpoor ,
Mobin Sokhanvar ,
Elaheh HaghGoshyie  and
Abdollah Salehi
Ali Janati
Affiliation:
Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Homayoun Sadeghi-bazargani
Affiliation:
Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Edris Hasanpoor*
Affiliation:
Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Mobin Sokhanvar
Affiliation:
Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
Elaheh HaghGoshyie
Affiliation:
Road Traffic Injury Prevention Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
Abdollah Salehi
Affiliation:
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
*
Correspondence and reprint requests to Edris Hasanpoor, PhD candidate in Healthcare Management, Iranian Center of Excellence in Health Management (IceHM), School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran (e-mail: edihasanpoor@yahoo.com).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

Hospital emergency management is a continuous process that requires monolithic integration of planning and response attempts with local and national schemes. The aim of the current study is to evaluate emergency response by hospitals against potential disasters in Tabriz, north-west Iran.

Methods

A cross-sectional study was conducted in the city of Tabriz, in Iran, in 2016. The study population included all hospitals in Tabriz. A total of 18 hospitals were assessed. The hospital emergency response checklist was used to collect data. Tool components included command and control, communication, safety and security, triage, surge capacity, continuity of essential services, human resources, logistics and supply management, and post-disaster recovery. Data entry and analysis were carried out using SPSS software (version 20).

Results

The results showed that the emergency response rate of hospitals was 54.26% in Tabriz. The lowest response rates were for Shafaa hospital (18.89%) and the highest response rates were for Razi Hospital (91.67%). The components of hospital emergency response were assessed to be between 48.07% (surge capacity) and 58.95% (communication).

Conclusion

On the basis of the World Health Organization checklist, the emergency response rate for hospitals in Tabriz was only 54.26%. Therefore, hospital emergency responses against disasters have to be improved and must be made to reach 100%. It is essential to design a comprehensive framework for hospital emergency response. (Disaster Med Public Health Preparedness. 2018;12:166–171)

Keywords

hospital emergency responseevidence-based disaster managementdisasters
Type
Brief Reports
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 2 , April 2018 , pp. 166 - 171
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. World Health Organization (WHO). Hospital emergency response checklist-An all-hazards tool for hospital. World Health Organization (WHO) Regional Office for Europe: Copenhagen, Denmark; 2011.Google Scholar
2. Paul, JA, George, SK, Yi, P, et al. Transient modeling in simulation of hospital operations for emergency response. Prehospital and disaster medicine. 2006;21(4):223-236.Google Scholar
3. Bish, DR, Agca, E, Glick, R. Decision support for hospital evacuation and emergency response. Annals of Operations Research. 2014;221(1):89-106.Google Scholar
4. Deen, S. Pakistan 2010 floods. Policy gaps in disaster preparedness and response. International journal of disaster risk reduction. 2015;12:341-349.Google Scholar
5. Kaji, AH, Lewis, RJ. Hospital disaster preparedness in Los Angeles County. Academic emergency medicine. 2006;13(11):1198-1203.Google Scholar
6. Kaji, AH, Koenig, KL, Lewis, RJ. Current hospital disaster preparedness. Jama. 2007;298(18):2188-2190.Google Scholar
7. Noji, EK. Disaster epidemiology. Emergency medicine clinics of North America. 1996;14(2):289-300.Google Scholar
8. Arnold, J, O’Brien, D, Walsh, D, et al. The perceived usefulness of the Hospital Emergency Incident Command System and an assessment tool for hospital disaster response capabilities and needs in hospital disaster planning in Turkey. Prehospital and Disaster Medicine. 2001;16(S1):S12.Google Scholar
9. China, SS, Waswa, GW, Kundu, PM, et al. From disaster response to poverty reduction. International Journal for Disaster Management & Risk Reduction. 2008;1(2):104-108.Google Scholar
10. Guha-Sapir, D, Vos, F, Below, R, et al. Annual disaster statistical review 2011: the numbers and trends. Centre for Research on the Epidemiology of Disasters (CRED). Brussels, Belgium; 2012.Google Scholar
11. Buston, O, Smith, K. Global humanitarian assistance report 2013. Bristol, UK: Global Humanitarian Assistance. 2013;1(1):8-89.Google Scholar
12. Sorensen, BS, Zane, RD, Wante, BE. Hospital emergency response checklist: an all-hazards tool for hospital administrators and emergency managers. Copenhagen, Denmark; 2011.Google Scholar
13. Montazeri, A, Baradaran, H, Omidvari, S, et al. Psychological distress among Bam earthquake survivors in Iran: a population-based study. BMC public health. 2005;5(1):4.Google Scholar
14. Pan American Health Organization (PAHO), Safe hospitals: a collective responsibility; a global measure of disaster reduction. World Health Organization. Washington, D.C., United States of America (USA). 2009:32.Google Scholar
15. Von Schreeb, J, Riddez, L, Samnegård, H, et al. Foreign field hospitals in the recent sudden-onset disasters in Iran, Haiti, Indonesia, and Pakistan. Prehospital and disaster medicine. 2008;23(2):144-151.Google Scholar
16. Kılıç, C, Ulusoy, M. Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatrica Scandinavica. 2003;108(3):232-238.CrossRefGoogle ScholarPubMed
17. Wisner B., Disaster and Development: El Salvador 2001. Natural Hazards Research and Applications Information Center. Colorado, USA. 2001.Google Scholar
18. Yamamura, E. Public sector corruption and the probability of technological disasters. Economics of Governance. 2013;14(3):233-255.Google Scholar
19. Kouadio, IK, Aljunid, S, Kamigaki, T, et al. Infectious diseases following natural disasters: prevention and control measures. Expert review of anti-infective therapy. 2012;10(1):95-104.Google Scholar
20. Tang, R, Fitzgerald, G, Hou, XY, et al. Building an evaluation instrument for China’s hospital emergency preparedness: a systematic review of preparedness instruments. Disaster medicine and public health preparedness. 2014;8(1):101-109.Google Scholar
21. Asefzadeh, S, Varyani, AS, Gholami, S. Disaster Risk Assessment in Educational Hospitals of Qazvin Based on WHO Pattern in 2015. Electronic physician. 2016;8(1):1770.Google Scholar
22. Hasanpoor, E, Zahmatkesh, E, Nazari, M, et al. Hospital Emergency Response of Iran’s Hospitals against Disasters: A Case Study in Karaj. Journal of Hospital. 2015;14(4):67-74.Google Scholar
23. Jahangiri, K, Izadkhah, YO, Lari, A. Hospital safety index (HSI) analysis in confronting disasters: A case study from Iran. International Journal of Health System and Disaster Management. 2014;2(1):44-51.Google Scholar
24. Djalali, A, Castren, M, Khankeh, H, et al. Hospital disaster preparedness as measured by functional capacity: a comparison between Iran and Sweden. Prehospital and disaster medicine. 2013;28(5):454-461.Google Scholar
25. Troy, DA, Carson, A, Vanderbeek, J, et al. Enhancing community‐based disaster preparedness with information technology. Disasters. 2008;32(1):149-165.Google Scholar
26. Kaji, A, Koenig, KL, Bey, T. Surge capacity for healthcare systems: a conceptual framework. Academic Emergency Medicine. 2006;13(11):1157-1159.Google Scholar
27. Treat, KN, Williams, JM, Furbee, PM, et al. Hospital preparedness for weapons of mass destruction incidents: an initial assessment. Annals of emergency medicine. 2001;38(5):562-565.Google Scholar
28. Ardalan, A, Kandi, M, Talebian, MT, et al. Hospitals safety from disasters in IR Iran: the results from assessment of 224 hospitals. PLoS currents. 2014;6(1):1-15.Google Scholar
29. Niska, RW, Shimizu, IM. Hospital preparedness for emergency response: United States, 2008. National health statistics reports. 2011;24(37):1-4.Google Scholar