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A Longitudinal Study of Hospital Safety From Disasters in Kermanshah Province, Iran: Insights for Disaster Risk Reduction

Published online by Cambridge University Press:  29 April 2024

Vahid Ghanbari Open the ORCID record for Vahid Ghanbari [Opens in a new window] ,
Yaghob Hidari ,
Nader Salari ,
Joseph Kimuli Balikuddembe ,
Ehsan Rahimi  and
Leili Rostamnia
Vahid Ghanbari
Affiliation:
Emergency Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
Yaghob Hidari
Affiliation:
Treatment deputy, Kermanshah University of Medical Sciences, Kermanshah, Iran
Nader Salari
Affiliation:
Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
Joseph Kimuli Balikuddembe
Affiliation:
Institute for Disaster Management and Reconstruction, Sichuan University and Hong Kong Polytechnic University, Chengdu, Sichuan, China
Ehsan Rahimi
Affiliation:
Student research committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
Leili Rostamnia*
Affiliation:
Nursing Department, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran
*
Corresponding author: Leili Rostamnia; Email: leili.rostamnia@kums.ac.ir.
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Abstract

Objective:

The Hospital Safety Index (HSI) developed by the World Health Organization (WHO) was adopted by most countries to evaluate the safety of hospitals against disasters. This study aimed to assess the status of hospital safety from disasters between 2016 and 2022 in Kermanshah province in Iran.

Methods:

This is a retrospective longitudinal study which investigated HSI data from 23 hospitals. Data were gathered by Farsi Hospital Safety Index (FHSI) and analyzed with a repeated measures analysis of variance (ANOVA).

Results:

The risk of hydro-meteorological (from 43.1 to 32.7) and biological hazards (51.3 to 35.5) significantly decreased. Although structural safety remained constant (from 67.8 to 70.1), nonstructural (from 51.5 to 71.2), and functional (from 47.1 to 71.2) safety scores increased significantly over study period.

Conclusions:

The findings revealed hospitals safety in Kermanshah province gradually improved. However, the health-care stakeholders should pay the necessary attention to improving the structural safety of hospitals.

Keywords

disasterhospital safetyhospital safety indexstructural safetynonstructural safetyfunctional safety
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 18 , 2024 , e77
Copyright
© The Author(s), 2024. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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References

Downey, E, Hebert Chpa, A, Kim, D. (A283) Hospital security planning for patient surge incidents: a comparison of three national systems in China, India, and Japan. Prehosp Disaster Med. 2011;26(S1):s78-s79. doi: 10.1017/S1049023X11002676 CrossRefGoogle Scholar
World Health Organization. Evaluation of hospital safety in Georgia (112 hospitals): summary report, Tbilisi 2018. 2019. Accessed April 4, 2024. https://www.who.int/europe/publications/i/item/WHO-EURO-2019-3598-43357-60822 Google Scholar
Yari, A, Zarezadeh, Y, Fatemi, F, et al. Disaster safety assessment of primary healthcare facilities: a cross-sectional study in Kurdistan province of Iran. BMC Emerg Med. 2021;21(1):23.CrossRefGoogle ScholarPubMed
Ardalan, A, Mowafi, H, Yousefi Khoshsabeghe, H. Impacts of natural hazards on primary health care facilities of Iran: a 10-year retrospective survey. PLoS Curr. 2013;5:ecurrents.dis.ccdbd870f5d1697e4edee5eda12c5ae6.Google Scholar
Barbera, JA, Yeatts, DJ, Macintyre, AG. Challenge of hospital emergency preparedness: analysis and recommendations. Disaster Med Public Health Prep. 2009;3(2 Suppl):S74-S82.CrossRefGoogle Scholar
Omidvar, B, Golestaneh, M, Abdollahi, Y. A framework for post-earthquake rapid damage assessment of hospitals. Case study: Rasoul-e-Akram Hospital (Tehran, Iran). Environ Hazards. 2014;13(2):133-160.CrossRefGoogle Scholar
Rajaei Ghafouri, R, Mirzahosseini, S, Pouraghaei, M et al. Are our hospitals safe against disasters? An evaluation of hospital safety index in Tabriz, Iran. J Anal Res Clin Med. 2018;6(3):139-144.CrossRefGoogle Scholar
Djalali, A, Massumi, A, Öhlen, G, et al. (A282) Comparison of safety index in Iranian hospitals. Prehosp Disaster Med. 2011;26(S1):s78. doi: 10.1017/S1049023X11002664 CrossRefGoogle Scholar
Ardalan, A, Kandi, M, Talebian, MT, et al. Hospitals safety from disasters in I.R.Iran: the results from assessment of 224 hospitals. PLoS Curr. 2014;6: 6:ecurrents.dis.8297b528bd45975bc6291804747ee5dbGoogle Scholar
Sadeghi, S, Kalantari, A, Zaman Abadi Esmaeel, I. Effect of construction deficiencies on seismic performance of hospitals during the 2017 Sarpol-e Zahab earthquake. J Perform Constr Facil. 2021;35(1):04020140. doi: 10.1061/(ASCE)CF.1943-5509.0001550 CrossRefGoogle Scholar
World Health Organization. Hospital safety index: guide for evaluators. 2nd ed. 2015. Accessed April 4, 2024. https://www.who.int/publications/i/item/9789241548984 Google Scholar
Ardalan, A, Najafi, A, Sabzghabaie, A, et al. A pilot study: Development of a local model to hospital disaster risk assessment. Hospital Journal. 2011:9.Google Scholar
Ardalan, A, Kandi Keleh, M, Saberinia, A, et al. 2015 estimation of hospitals safety from disasters in I.R.Iran: the results from the assessment of 421 hospitals. PLoS One. 2016;11(9):e0161542.CrossRefGoogle Scholar
Mirzaee, F, Kakaei, H, Farasati, F, et al. Investigation on the safety status and preparedness of Ilam’s Hospitals against disasters in 2012. Research. J Ilam Uni Med Sci. 2015;22(7):14-23.Google Scholar
Sabzghabaie, A, Kondori, A, Shojaee, M, et al. Hospital safety in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2011-13. Pajoohandeh J. 2013;18(2):83-87.Google Scholar
Caruana, EJ, Roman, M, Hernández-Sánchez, J, et al. Longitudinal studies. J Thorac Dis. 2015;7(11):E537-E540. doi: 10.3978/j.issn.2072-1439.2015.10.63 Google ScholarPubMed
UNDRR. Global assessment report on disaster risk reduction 2022: our world at risk: transforming governance for a resilient future. UN; 2022. Accessed April 4, 2024. https://reliefweb.int/report/world/global-assessment-report-disaster-risk-reduction-2022-our-world-risk-transforming Google Scholar
Ingrassia, PL, Mangini, M, Azzaretto, M, et al. Hospital disaster preparedness in Italy: a preliminary study utilizing the World Health Organization Hospital Emergency Response Evaluation Toolkit. Minerva Anestesiol. 2016;82(12):1259-1266.Google ScholarPubMed