Yarmohammadian Mohammad Hossein, Atighechian Golrokh, Shams Lida, Haghshenas Abbas
Associate Professor, Health Management & Economics Research Center (HMERC), Isfahan University of Medical Sciences, Isfahan, Iran.
J Res Med Sci. 2011 Aug;16(8):1070-7.
Applying an effective management system in emergency incidents provides maximum efficiency with using minimum facilities and human resources. Hospital Emergency Incident Command System (HEICS) is one of the most reliable emergency incident command systems to make hospitals more efficient and to increase patient safety. This research was to study requirements, barriers, and strategies of HEICS in hospitals affiliated to Isfahan University of Medical Sciences (IUMS).
This was a qualitative research carried out in Isfahan Province, Iran during 2008-09. The study population included senior hospital managers of IUMS and key informants in emergency incident management across Isfahan Province. Sampling method was in non-random purposeful form and snowball technique was used. The research instrument for data collection was semi-structured interview; collected data was analyzed by Colaizzi Technique.
Findings of study were categorized into three general categories including requirements (organizational and sub-organizational), barriers (internal and external) of HEICS establishment, and providing short, mid and long term strategies. These categories are explained in details in the main text.
Regarding the existing barriers in establishment of HEICS, it is recommended that responsible authorities in different levels of health care system prepare necessary conditions for implementing such system as soon as possible via encouraging and supporting systems. This paper may help health policy makers to get reasonable framework and have comprehensive view for establishing HEICS in hospitals. It is necessary to consider requirements and viewpoints of stakeholders before any health policy making or planning.
在紧急事件中应用有效的管理系统能够以最少的设施和人力资源实现最高效率。医院应急事件指挥系统（HEICS）是使医院提高效率并增强患者安全的最可靠的应急事件指挥系统之一。本研究旨在探讨伊斯法罕医科大学（IUMS）附属医院中HEICS的要求、障碍及策略。
这是一项于2008 - 2009年在伊朗伊斯法罕省开展的定性研究。研究对象包括IUMS的高级医院管理人员以及伊斯法罕省应急事件管理方面的关键信息提供者。抽样方法为非随机目的抽样，并采用了滚雪球技术。数据收集的研究工具为半结构化访谈；收集的数据通过科莱齐技术进行分析。
研究结果分为三大类，包括HEICS建立的要求（组织层面和子组织层面）、障碍（内部和外部）以及提供短期、中期和长期策略。这些类别将在正文详细阐述。
鉴于HEICS建立过程中存在的障碍，建议医疗保健系统各级的责任部门通过鼓励和支持系统尽快为实施该系统创造必要条件。本文可能有助于卫生政策制定者获得合理框架，并对在医院建立HEICS有全面的认识。在制定任何卫生政策或规划之前，有必要考虑利益相关者的要求和观点。
