Hospital Disaster Preparedness as Measured by Functional Capacity: a Comparison between Iran and Sweden

Djalali, Ahmadreza; Castrèn, Maaret; Khankeh, Hamidreza; Gryth, Dan; Rådestad, Monica; Öhlén, Gunnar; Kurland, Lisa

doi:10.1017/s1049023x13008807

Cited by 64 publications

(99 citation statements)

References 27 publications

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“…Hospitals should continue to provide health services during disasters. So they need to be prepared [8]. The lack of prevention measures and preparedness to respond appropriately and effectively can create a terrible tragedy [9].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Karimiyan

Khankeh

Dalvandi

et al. 2017

HDQ

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Background:In the event of a disaster, hospitals and health care centers are among the first response units that their efficient and timely health care provision can have a crucial and decisive role in reducing mortality and rescuing injured patients. Accidents and disasters always have a negative impact on public health and welfare of their damaged population and health care measures are the main factors for survival in this situation. Hospitals are among the first centers that are engaged in unexpected complications of accidents. These events pose unique problems, responding to which requires preparation. This study aimed to investigate the effect of teaching principles of hospital preparedness according to the national program on preparedness of Shahid Motahari Burns Hospital of Tehran in response to disasters. Materials and Methods:This research was an interventional study of a quasi-experimental design with pretest and posttest. Tehran Shahid Motahari Burns Hospital has been purposefully selected as a research environment. Data collection instrument was the World Health Organization standard checklist comprised of 9 components and 91 questions which was used after confirming its validity and reliability. The researcher collected the relevant data by interview and observation. Training program which included 1-day workshop on hospital preparedness in accidents and disasters based on national program was taught to directors and crisis committee members. One month later, the study instrument was completed by the researcher again as the posttest. Wilcoxon test was used to analyze the data. Results:The results showed that total score of hospital preparedness changed from 178 to 210 in the follow-up. Before the intervention, the hospital had the highest preparedness regarding components of command and control and the lowest preparedness in the post-disaster recovery. After the intervention, the highest increase of preparedness was observed in the communication component. Also with respect to safety and security, the preparedness of the hospital did not change.

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Section: Introductionmentioning

confidence: 99%

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Karimiyan

Khankeh

Dalvandi

et al. 2017

HDQ

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“…1,2 A well-established preparedness program is a prerequisite for an effective response of health and medical systems, including hospitals, to disasters. 3,[7][8][9][10] Even for a well-prepared hospital, giving an effective response to a disaster is a complex challenge. 7 Hospital response includes immediate and ongoing activities, programs, and services to provide essential medical care for casualties of an incident, and also minimizes negative effects of the incident on critical services of the hospital.…”

Section: Introductionmentioning

confidence: 99%

“…7 Hospital response includes immediate and ongoing activities, programs, and services to provide essential medical care for casualties of an incident, and also minimizes negative effects of the incident on critical services of the hospital. 9,11,12 However, a valid and standardized evaluation methodology is required to assess both the level of preparedness and the efficacy of response performance, and the correlation between them. 2 The assessment of hospital disaster preparedness and response performance is a way to find and remove possible gaps and weaknesses in the hospital disaster management functions and effectiveness.…”

Section: Introductionmentioning

confidence: 99%

Does Hospital Disaster Preparedness Predict Response Performance During a Full-scale Exercise? A Pilot Study

Djalali

Carenzo

Ragazzoni

et al. 2014

Prehosp. Disaster med.

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This pilot study showed that it is possible to use standardized evaluations tools, to simultaneously assess the relationship between preparedness elements and response performance measures. An experimental study including a group of hospitals, also using more comprehensive evaluation tools, should be done to evaluate the correlation between the level of preparedness and the response performance of a hospital, and the impact of hospital disaster planning, on the outcome of disasters victims.

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“…However, most studies have focused on teaching, training, PPE, radiation detectors, and response plans to disasters because these factors are of the main areas of preparedness for disasters and accidents. All crisis management phases require a comprehensive and complete plan, but usually, the measures taken prior to the accident are more important and have the most protective effect in the accidents (26,27). Surge capacity is one of the most important measures to increase preparedness when exposed to radiation accidents.…”

Section: Discussionmentioning

confidence: 99%

Emergency Department Preparedness of Hospitals for Radiation, Nuclear Accidents, and Nuclear Terrorism: A Qualitative Study in Iran

Marzaleh

Rezaee

Rezaianzadeh

et al. 2019

Iran Red Crescent Med J

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Background:The emergency department is the entrance gate of patients to a hospital. Hospitals are confronted with major challenges in radiation, nuclear accidents, and nuclear terrorism. Iran is also at risk of disasters, accidents, and threats, so, the possibility of nuclear and radiation accidents cannot be neglected. Objectives: The present study aimed to extract the effective factors in emergency department preparedness of hospitals for radiation, nuclear accidents, and nuclear terrorism in Iran. Methods: This qualitative study was conducted using in-depth semi-structured interviews with 32 key informants selected through purposive and snowball sampling. Experts were from seven different specialties. Data were analyzed using the thematic analysis method in order to extract the effective factors in emergency department preparedness of hospitals for radiation, nuclear accidents, and nuclear terrorism in Iran in 2019. The interviews were held in the cities of Bushehr, Tehran, Shiraz, and Isfahan from September 2018 to February 2019. Results: Effective factors in emergency department preparedness of hospitals were categorized into staff preparedness, equipment preparedness, and system preparedness with 20 subcategories. The experts emphasized that training courses and exercises could enhance the preparedness and response to these accidents. Conclusions: This study showed that the emergency departments of hospitals in Iran have many challenges. When the country moves towards having nuclear technology, must also provide the infrastructure of the preparedness. There must be an attempt to reduce these challenges by providing financial and structural support. Identifying effective factors in preparation can be helpful in setting up programs for emergency department preparedness of hospitals against nuclear and radiation accidents.

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Hospital Disaster Preparedness as Measured by Functional Capacity: a Comparison between Iran and Sweden

Cited by 64 publications

References 27 publications

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

The Effect of Teaching Principles of Hospital Preparedness According to the National Program on Preparedness of Shahid Motahari Burns Hospital of Tehran in Response to Disasters

Does Hospital Disaster Preparedness Predict Response Performance During a Full-scale Exercise? A Pilot Study

Emergency Department Preparedness of Hospitals for Radiation, Nuclear Accidents, and Nuclear Terrorism: A Qualitative Study in Iran

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