Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Department of Health in Disasters and Emergencies, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Islamic Republic of Iran.
East Mediterr Health J. 2021 Feb 25;27(2):131-141. doi: 10.26719/2021.27.2.131.
During epidemics and pandemics, health systems, and especially hospitals, face many challenges in the management of patients and staff. Hospital preparedness measures are critical for hospitals to respond effectively to the admission and management of COVID-19 patients. Ministry of health policy for pandemics must cover the ability of hospitals to respond to COVID-19.
The aim of this study was to develop a checklist for evaluating the preparedness of hospitals to respond to the COVID-19 pandemic.
We searched for and reviewed available evidence, including the literature and guidelines presented by related organizations. Due to the COVID-19 outbreak, face-to-face interview was not possible so we used telephone and video connections, mobile applications and email for unstructured interviews. Checklist development was carried out by a multidisciplinary panel of experts.
After applying the opinions of the experts, the final checklist had 2 main domains: measures at national and measures at hospital level. Preparedness at national level was categorized into 3 aspects that are implemented by the health ministry. Preparedness at hospital level was categorized in 24 subgroups.
Hospital preparedness for admission and management of COVID-19 patients is essential. A checklist for the assessment of hospital preparedness for COVID-19 patient management and hospital management was designed and developed. Our preparedness assessment checklist is an expanded tool that provides clear and practical guidance that can be adapted for any hospital admitting COVID-19 patients.
在流行病和大流行期间，卫生系统，尤其是医院，在管理患者和工作人员方面面临许多挑战。医院的准备措施对于医院有效应对 COVID-19 患者的入院和管理至关重要。卫生部门的大流行政策必须涵盖医院应对 COVID-19 的能力。
本研究旨在制定一份检查表，以评估医院应对 COVID-19 大流行的准备情况。
我们搜索并审查了现有证据，包括文献和相关组织提出的指南。由于 COVID-19 疫情爆发，无法进行面对面访谈，因此我们使用电话和视频连线、移动应用程序和电子邮件进行非结构化访谈。检查表的制定由多学科专家小组进行。
在征求专家意见后，最终检查表有 2 个主要领域：国家层面的措施和医院层面的措施。国家层面的准备工作分为卫生部实施的 3 个方面。医院层面的准备工作分为 24 个小组。
医院对 COVID-19 患者的入院和管理的准备工作至关重要。设计和制定了一份用于评估 COVID-19 患者管理和医院管理的医院准备情况的检查表。我们的准备情况评估检查表是一个扩展工具，提供了明确实用的指导，可适用于任何收治 COVID-19 患者的医院。
