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Identifying the Challenges of Simulating the Hospital Emergency Department in the Event of Emergencies and Providing Effective Solutions: A Qualitative Study

Published online by Cambridge University Press:  18 July 2022

Fahimeh Barghi Shirazi Open the ORCID record for Fahimeh Barghi Shirazi [Opens in a new window] ,
Shandiz Moslehi Open the ORCID record for Shandiz Moslehi [Opens in a new window] ,
Mohammad Reza Rasouli Open the ORCID record for Mohammad Reza Rasouli [Opens in a new window]  and
Gholamreza Masoumi Open the ORCID record for Gholamreza Masoumi [Opens in a new window]
Fahimeh Barghi Shirazi
Affiliation:
Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Shandiz Moslehi
Affiliation:
Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
Mohammad Reza Rasouli
Affiliation:
Department Industrial Engineering, Iran University of Science and Technology, Tehran, Iran
Gholamreza Masoumi*
Affiliation:
Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
*
Corresponding author: Gholamreza Masoumi, E-mail: masoumi.gh@iums.ac.ir.
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Abstract

Introduction:

Emergencies and disasters occur in any society, and it is the hospitals and their emergency department staff who must be prepared in such cases. Therefore, 1 of the effective methods of training medical care staff is the use of simulators. However, when introducing new simulation approaches, we face many challenges. The aim of this study was to identify challenges of the simulation of the hospital emergency department during disasters and provide effective solutions.

Methods:

This conventional content, thematic, analysis study was conducted in 2021. Participants were selected from Iranian experts using purposeful and snowball sampling methods. Data were collected using semi-structured interviews and were analyzed by the content analysis.

Results:

After analyzing the data, the challenges of simulating the hospital emergency department during disasters were identified in 2 main components and 6 perspectives, which included organizational components (inappropriate and aimless training methods, lack of interaction and cooperation, lack of funding, and inadequate physical space) and technological components (weak information management and lack of interdisciplinary cooperation). Solutions included management (resource support) and data sharing and exchange (infrastructures, cooperation and coordination).

Conclusion:

The simulation technology can be used as a method for training and improving the quality of health care services in emergencies. Considering that most of these challenges can be solved and need the full support of managers and policy makers, by examining these issues, supporting staff of health care centers are advised to make a significant contribution to the advancement of education and problem reduction in the event of disasters.

Keywords

challengessimulationemergency departmenthospitalemergenciessolutionsresponsive education
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 17 , 2023 , e202
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc.

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