Peyravi Mahmoudreza, Marzaleh Milad Ahmadi, Gandomkar Fatemeh, Zamani Aman Allah, Khorram-Manesh Amir
Assistant Professor, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Candidate, Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Am J Disaster Med. 2019;14(1):25-32. doi: 10.5055/ajdm.2019.0313.
Hospitals are the vital part of disaster management and their functionality should be maintained and secured. However, it can be the target of natural and man-made disasters. In Iran, Fars Province is prone to major incidents and disasters in its hospitals at any time during the course of a year. This study aimed to examine the Hospital Safety Index (HSI) in all hospitals (public and private) affiliated to Shiraz University of Medical Sciences (SUMS).
This cross-sectional study was conducted during 2015-2016, using the World Health Organization's HSI checklist. All 58 hospitals in Fars Province affiliated to SUMS were included. The hospital assessment team was formed to collect the data retrospectively and by visiting and interviewing hospital's authority based on the checklist. The collected data were analyzed using Microsoft Excel.
The results showed that in the above-mentioned years, the structural safety of hospitals reached the highest optimal level, whereas functional safety reached the lowest level. The results of the studies conducted in 2016 showed that during this year, the overall hospital safety level improved (6 and B).
Although safety in hospitals located in Fars Province has improved due to continuous disaster mitigation and preparedness activities, there is still space for more improvement to achieve and maintain higher levels of safety in hospitals. Paying attention to this, the authors recommend that proper policies, legislation, and intra and inter-institutional coordination are the requirements for a successful outcome.
医院是灾害管理的重要组成部分,其功能应得到维持和保障。然而,医院可能成为自然灾害和人为灾害的目标。在伊朗,法尔斯省的医院在一年中的任何时候都容易发生重大事件和灾害。本研究旨在调查设拉子医科大学(SUMS)附属的所有医院(公立和私立)的医院安全指数(HSI)。
本横断面研究于2015 - 2016年进行,使用世界卫生组织的HSI检查表。纳入了法尔斯省隶属于SUMS的所有58家医院。成立了医院评估小组,根据检查表通过回顾性收集数据以及走访和访谈医院管理部门来收集数据。收集到的数据使用Microsoft Excel进行分析。
结果显示,在上述年份中,医院的结构安全达到了最高的最佳水平,而功能安全达到了最低水平。2016年进行的研究结果表明,在这一年中,医院的整体安全水平有所提高(6级和B级)。
尽管由于持续的减灾和备灾活动,法尔斯省医院的安全状况有所改善,但仍有进一步提升的空间,以实现并维持医院更高水平的安全。鉴于此,作者建议适当的政策、立法以及机构内部和机构间的协调是取得成功结果的必要条件。