Mahdaviazad Hamideh, Abdolahifar Gholam Reza
Shiraz University of Medical Sciences, Shiraz, Iran.
Am J Disaster Med. 2013 Winter;8(1):65-73. doi: 10.5055/ajdm.2013.0112.
In disasters, hospitals play a crucial role in supplying essential medical care to the society but there is no standardized checklist for assessing hospital disaster preparedness.
The objective of this study was to recognize and compare almost all the components of disaster preparedness between teaching and private hospitals in Shiraz, Iran, focusing on incident command systems (ICS), communications, surge capacity, human resources, supply management, logistic service, case management, surveillance, laboratory and operating room management.
From May to August 2011, we assessed the preparedness of teaching and private hospitals in Shiraz, using the 10-key component World Health Organization checklist.
Twenty four out of 31 hospitals responded. The scores for preparedness of ICS, communication, surge capacity and human resources was 73.9 percent, 67.3 percent, 49 percent, and 52.6 percent respectively. The preparedness scores for supply management and logistic services were 68.5 percent and 61.8 percent. While the levels of preparedness of laboratory and operating room management were low, preparedness of the surveillance system and case management were 66.7 percent and 70.8 percent, respectively. The average total preparedness of all hospitals was 59.5 percent, with scores of 62.2 percent in teaching hospitals and 55 percent in private hospitals.
At the time of our study, the total preparedness among hospitals was at the intermediate level, but in some key components such as operating room management, surge capacity, and human resources, the total preparedness was very limited and at an early stage of development, therefore, requiring urgent attention and improvement.
在灾难中，医院在为社会提供基本医疗护理方面发挥着关键作用，但目前尚无用于评估医院灾难准备情况的标准化清单。
本研究的目的是识别并比较伊朗设拉子教学医院和私立医院在灾难准备方面几乎所有的组成部分，重点关注 incident command systems（ICS）、通信、应急能力、人力资源、供应管理、后勤服务、病例管理、监测、实验室及手术室管理。
2011年5月至8月，我们使用世界卫生组织的10项关键组成部分清单对设拉子的教学医院和私立医院的准备情况进行了评估。
31家医院中有24家做出了回应。ICS、通信、应急能力和人力资源的准备得分分别为73.9%、67.3%、49%和52.6%。供应管理和后勤服务的准备得分分别为68.5%和61.8%。虽然实验室和手术室管理的准备水平较低，但监测系统和病例管理的准备水平分别为66.7%和70.8%。所有医院的平均总体准备水平为59.5%，教学医院为62.2%，私立医院为55%。
在我们研究期间，医院的总体准备处于中等水平，但在一些关键组成部分，如手术室管理、应急能力和人力资源方面，总体准备非常有限，尚处于发展初期，因此需要紧急关注和改进。
