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

Published online by Cambridge University Press:  02 August 2017

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).

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)

Type
Brief Reports
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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