Document Type : Original Article
Authors
- . Mehdi Beyramijam 1
- . Seyedeh Moloud Rasouli‑Ghahfarokhi 2
- . Abazar Fathollahzadeh 3
- . Aziz Rahimzadeh 3
- . Mohammad Ali Shahabirabori 4
- . Mohsen Aminizadeh 5
1 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
2 Department of Nursing and Midwifery, Masjed‑Soleiman Branch, Islamic Azad University, Masjed Soleiman, Iran
3 Department of Health in Disasters and Emergencies, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
4 Department of Anatomical Sciences, Afzalipour Faculty of Medicine, Kerman Medical University, Kerman, Iran
5 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Health in Emergency and Disaster Research Center, Kerman University of Medical Sciences, Kerman, Iran
Abstract
INTRODUCTION: Hospitals as the first place for injuries have to keep up and increase activities in
emergency and disasters. Therefore, any hospital necessarily requires disasters plan to improve its
preparedness. The aim of this study is to investigate the effect of education and implementation of
“National Hospital Disaster Preparedness Plan (NHDPP)” on Vali Asr Hospital preparedness in Iran.
METHODOLOGY: In a pre‑ and post‑intervention study, NHDPP educated in five sessions, and it
was used as a guide in the promotion of Vali Asr Hospital preparedness in Iran. The Iranian version
of “Hospital Disaster Preparedness (HDP) assessment tool” was used to measure the hospital
preparedness score. Finally, the quantitative data analyzed by using IBM SPSS Statistics for Windows,
Version 22.0. Armonk, NY: IBM Corp.
RESULTS: Before intervention, the HDP score was measured in total and in the nine dimensions
of preparedness. But after the intervention, it increased, 33% in command and control dimension,
33% in communication, 21% in safety and security, 26% in triage, 36% in surge capacity, 24% in the
continuity of vital services, 27% in human resources, 13% in support and supplies management, and
7% in post disaster recovery dimension. Furthermore, the total HDP score increased about 24.5%
after the intervention.
CONCLUSION: This study demonstrates that the “Iranian HDP plan” leads to improve the Vali
Asr HDP score. Therefore, by planning and implementation of effective educational programs, it is
possible to improve the hospitals’ preparedness in Iran.
Keywords
for health organizations in a developing country. J Urban Plann
Dev 2010;137:77‑81.
2. Khankeh H, Kolivand PH, Beyrami Jam M, Rajabi E. Kermanshah
health care services: a lesson learned from iran’s recent
earthquake. J Health Emerg Disaster Q 2018;3:221‑33.
3. Nekoie‑Moghadam M, Kurland L, Moosazadeh M, Ingrassia PL,
Della Corte F, Djalali A. Tools and checklists used for the
evaluation of hospital disaster preparedness: A systematic review.
Disaster Med Public Health Prep 2016;10:781‑8.
4. Smith S, GorskiJ, Chandra Vennelakanti H. Disaster preparedness
and response: A challenge for hospitals in earthquake‑prone
countries. Int J of Emergency Management. 2010;7:209‑20.
5. Walker RT, Bergman E, Jackson J, Ghorashi M, Talebian M. The
2002 June 22 Changureh (Avaj) earthquake in Qazvin province,
Northwest Iran: Epicentral relocation, source parameters, surface
deformation and geomorphology. Geophys J Int 2005;160:707‑20.
6. Ghasemi H, Kamalian N, Hamzeloo H. Stochastic finite‑fault
simulation for the 2002 Changureh‑Avaj earthquake, NW Iran.
J Earth Space Phys 2006;32:25‑35.
7. HamidReza Khankeh. Hospital Disaster Preparedness: National
Program. Iran: Publications of University of Welfare and
Rehabilitation Sciences; 2013.
8. Masoumi GhR, Dehghani A. Challenges of Implementing Disaster
Preparedness Plan in Iran Hospitals. Health in Emergencies and
Disasters Quarterly. 2016; 2 (1):3‑4.
9. Vali L, Masoud A, JabariBeyrami H, Yaghobian B. Readiness of
hospitals affiliated with Tabriz University of medical sciences to
face disasters. J Health Dev 2014;3:62‑70.
10. Hojat M. Disaster preparedness in hospitals of Jahrom University
of medical sciences (2010). J Qazvin Univ Med Sci 2012;16:72‑7.
11. Janati A, Sadeghi‑Bazargani H, Hasanpoor E, Sokhanvar M,
HaghGoshyieE, SalehiA. Emergency response of Iranian hospitals
against disasters: A practical framework for improvement.
Disaster Med Public Health Prep 2018;12:166‑71.
12. Asefzadeh S, Rajaee R, Ghamari F, Kalhor R, Gholami S.
Preparedness of Iranian hospitals against disasters. Biotechnol
Health Sci 2016;3:1‑6.
13. Hosseini S, Izadfar A, Rajabzadeh R, Sadeghi M, Sadeghi A.
Assessing the levels of preparedness against disaster of the
hospitals in North Khorasan; Iran, in 2016. J Biol Todays World
2017;6:191‑5.
14. Farajzadeh M, Ghanei Gheshlagh R, Beiramijam M, Dalvand S,
Ghawsi S, Amini H. Preparedness of Nurses for Crises and
Disasters in Imam Khomeini and Social Security Hospitals of
Saqqez. HDQ. 2017; 3 (1):57‑63
15. Naser WN, Ingrassia PL, Aladhrae S, Abdulraheem WA. A study
of hospital disaster preparedness in South Yemen. Prehosp
Disaster Med 2018;33:133‑8.
16. Vick DJ, Wilson AB, Fisher M, Roseamelia C. Assessment of
community hospital disaster preparedness in New York state.
J Emerg Manag 2018;16:213‑27.
17. Walczyszyn M, Patel S, Oron M, Mina B. Perceptions of hospital
medical personnel on disaster preparedness. F1000 Res 2016;5:9.
18. Hamid reza Khankeh. Risk Assessment Tools and Health
Capabilities Indicators of Specialized in Disaster. University of
Welfare and Rehabilitation Sciences Publications of University
of Welfare and Rehabilitation Sciences; 2013.
19. Hospital Emergency Response Checklist: An All‑Hazards Tool
for Hospital Administrators and Emergency Managers. World
Health Organization ROfE; 2011.
20. Karimian, Evaluation of education of hospital disaster
preparedness principles according to National Program on
Response Preparedness of the Shahid Motahari Hospital. Tehran:
University of Social Welfare and Rehabilitation Sciences; 2015.
21. Ghafari SK, Ghanbari V, Ranjbar M. Readiness Assessment of
Affiliated Hospitals of Rehabilitation Science University Against
Unexpected Events in 2011. Q Sci J Rescue Relief 2012;4:21‑34.
22. Ardalan A, Kandi Keleh M, Saberinia A, Khorasani‑Zavareh D,
Khankeh H, Miadfar J, 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:e0161542.
23. Delshad V, Borhani F, Khankeh H, Abbaszadeh A, Sabzalizadeh S,
Moradian MJ, et al. The effect of activating early warning system
on Motahari hospital preparedness. J Health Emerg Disaster Q
2015;1:3‑8.
24. Pouraghaei M, Sadegh Tabrizi J, Moharamzadeh P,
Rajaei Ghafori R, Rahmani F, Najafi Mirfakhraei B. The effect of
start triage education on knowledge and practice of emergency
medical technicians in disasters. J Caring Sci 2017;6:119‑25.
25. Rahmati H, Azmoon M, Kalantari Meibodi M, Zare N. Effects of
triage education on knowledge, practice and qualitative index of
emergency room staff: A quasi‑interventional study. Bull Emerg
Trauma 2013;1:69‑75.
26. Aminizadeh M, Rasouli Ghahfarokhi SM, Pourvakhshoori N,
Beyramijam M, Majidi N, Shahabi Rabori MA. Comparing the
effects of two different educational methods on clinical skills
of emergency intermediate technician: A quasi‑experimental
research. J Educ Health Promot 2019;8:54.
27. Rajabi S, Khankeh H, Delshad V, Rahgozar M, Arsalani N,
Mohammadi F, et al. Effects of comprehensive risk management
program on the preparedness of rofeide rehabilitation hospital in
disasters and incidents. Health Emerg Disaster Q 2017;2:179‑86.
)