Fire risk assessment and emergency evacuation simulation in hospitals: Case study in a hospitals affiliated by Shiraz University of Medical Sciences

Jahangiri, Mehdi; Omidvari, Fateme; Mehryar, Reza; Kamalinia, Mojtaba; Alimohammadlo, Moslem

doi:10.1016/j.shaw.2021.12.1417

Cited by 4 publications

(4 citation statements)

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“…In a study in 2019, the status of Bushehr hospitals was matched with the international standards of NFPA101, the status of the hospitals was at an mean level, and defects, such as the lack of a smoke control system, the absence of automatic geysers in the buildings, and the inappropriate type of fire detectors in the kitchen existed [23]. In the study of Shiraz hospitals, moderate fire safety was also reported [24], which is consistent with the results of this study. In a study conducted in 2020, the status of passive defense in food and drug warehouses of hospitals was evaluated in two universities of medical sciences, which showed that the general status of compliance with the principles of defense in warehouses is mean, but in terms of the security status of the internal area and outside, the principle of camouflage and dispersion due to the lack of initial construction of the structure for the warehouse is weak, and improving the safety of warehouses is a priority in the planning of hospitals [25].…”

Section: Evaluation Of Non-structural Safetymentioning

confidence: 99%

Assessing Hospital Safety Index in the Iranian Hospitals

Abbasabadi-Arab

Miadfar

Yousefian

et al. 2023

HDQ

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Background: Hospital preparedness for accidents and disasters is vital in maintaining and promoting community health. However, the country’s hospitals are not well prepared for disasters. The hospital safety index (HSI) was 42% in Iranian hospitals in 2014. This study aims to investigate the HSI in Iranian hospitals in 2020 and to provide solutions to improve it. Materials and Methods: This cross-sectional descriptive study was performed for the country’s hospitals. The results recorded in the Farsi version of the hospital safety index (FHSI) software in 2020 were used. Hospital teams used the FHSI checklist (151 options) in three areas of structural, non-structural, and functional safety to assess the hospital and register in the FHSI system. The registered results of the hospitals were collected based on the medical universities of the country. Descriptive statistics were used to analyze the data. Results: A total of 604 hospitals registered safety index information in the system. The mean score of the HSI of the country’s hospitals was 60.84. A total of 130 hospitals (21.5%) had low safety levels, 418 hospitals (69%) had moderate safety levels, and 56 hospitals (9.2%) had high safety levels against disasters. The mean scores were in structural safety (57.20), non-structural (65.24), and functional safety (63.36). Hamedan (76.81) and Kerman (75.61) Provinces had the highest score, and Yazd (53.74), and Lorestan (57.31) Provinces had the lowest score in the country. Conclusion: The HSI against disasters in 2020 compared to 2014 has reached 6 out of 10 and we have about a 41.5% increase in safety (from 43 to 60.84). However, the HSI is moderate. Strengthening the safety and resilience of hospitals, improving the safety of medical equipment, improving the knowledge and skills of managers in the scientific development of preparedness, response and recovery programs, funding and support of crisis programs, attention to security programs, pollution, and evacuation are among the solutions of development and enhancement of hospital preparedness against disasters.

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Section: Evaluation Of Non-structural Safetymentioning

confidence: 99%

Assessing Hospital Safety Index in the Iranian Hospitals

Abbasabadi-Arab

Miadfar

Yousefian

et al. 2023

HDQ

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“…Jahangiri et al conducted a fire risk assessment on hospitals affiliated with the Shiraz University of Medical Sciences using a checklist based on NFPA101. They emphasized the necessity of implementing measures in exit areas, such as improving access to exits and increasing emergency exits, to mitigate fire risk levels in hospitals [14].…”

Section: Introductionmentioning

confidence: 99%

A Study on Nursing Personnel Operations to Ensure Evacuation Safety during Medical Facility Disasters

Kim,

Kim

et al. 2024

Sustainability

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Worldwide, the number of users of medical facilities is increasing due to the pandemic phenomenon and extended life expectancy. In addition, the majority of medical facility occupants are patients, leading to issues of inconvenience in movement and increased vulnerability during evacuations in the event of a fire. Therefore, the availability of nursing personnel, who serve as assistants in tasks such as transporting beds and wheelchairs essential for patient evacuation, is crucial for ensuring evacuation safety. However, a global shortage of nursing personnel has led to ongoing research on optimizing workforce allocation. In this study, the Available Safe Egress Time (ASET) and Required Safe Egress Time (RSET) were quantitatively compared for medical facilities with a combination of intensive care units and general wards, utilizing a Fire Dynamics Simulator (FDS) and Flexsim Healthcare simulations to assess fire risk. The research goal here is to provide sustainable research directions for determining the minimum ratio of nurses to patients required for evacuation in a disaster, ensuring the continuous availability of nursing personnel in medical facilities. To achieve this, the variable was set to five stages based on the total number of patients per nurse. As a result of this study, it was confirmed that when the nurse-to-patient ratio exceeded 1:6, more than 70% of bedridden patients died. Additionally, it was verified that maintaining a patient-to-nurse ratio of less than 1:1 is effective for ensuring evacuation safety.

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“…Fire protection in hospital is critically important since it predominantly houses people who are sick, elderly, disabled and need outside assistance for evacuation in case of an emergency [ 1 , 2 ]. Before 1950, no automatic fire systems had been installed in the Indian hospitals—which was how it was in most of the developing world.…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Failures Leading to Fire Accidents in Hospitals; with Specific Reference to India

Juyal,

Tabassum-Abbasi,

Abbasi

et al. 2023

J Fail. Anal. and Preven.

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Fire can be especially dangerous when it occurs in hospitals because many patients in any typical hospital are not physically fit enough to quickly respond to emergency measures, especially evacuation calls. The present paper reports an in-depth assessment of the factors which have led to major fire accidents in Indian hospitals. The study reveals that several building safety codes, acts and guidelines are available, not only to prevent accidental fires but also to minimize harm when such fires do take place. However, observance of the stipulations is very lax, and seems to be exercised more in breach than in compliance. The study reveals that hospitals have zones like the intensive care units which are not only more prone to accidents than other zones but can also cause greater loss of lives due to the presence of critically ill patients, or persons who are extremely vulnerable (for instance newborn babies). Special codes and practices need to be framed for such zones. The study has also identified and catalogued a series of measures which must be implemented in future to prevent accidental fires in hospitals. The study is with reference to accidents that have occurred in India from 2010 to the present but is representative of the situation prevailing in most developing countries.

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Fire risk assessment and emergency evacuation simulation in hospitals: Case study in a hospitals affiliated by Shiraz University of Medical Sciences

Cited by 4 publications

References 0 publications

Assessing Hospital Safety Index in the Iranian Hospitals

Assessing Hospital Safety Index in the Iranian Hospitals

A Study on Nursing Personnel Operations to Ensure Evacuation Safety during Medical Facility Disasters

An Analysis of Failures Leading to Fire Accidents in Hospitals; with Specific Reference to India

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