Social Determinants of Health Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.
Department of Health in Emergencies and Disasters, School of Medicine, Kurdistan University of Medical Sciences, Sanandaj, Iran.
BMC Emerg Med. 2024 Apr 23;24(1):68. doi: 10.1186/s12873-024-00981-4.
Road traffic accidents (RTAs) are predicted to become the world's seventh leading cause of death by 2030. Given the significant impact of RTAs on public health, effective hospital preparedness plays a pivotal role in managing and mitigating associated health and life-threatening issues. This study aims to meticulously evaluate the preparedness of selected hospitals in western Iran to handle road traffic accidents with mass casualties (RTAs-MC).
The study employed a descriptive-analytical approach, utilizing a reliable and valid questionnaire to measure hospitals' preparedness levels. Descriptive statistics (frequency distribution and mean) were utilized to provide an overview of the data, followed by analytical statistics (Spearman correlation test) to examine the relationship between hospital preparedness and its dimensions with the hospital profile. Data analysis, performed using SPSS software, categorized preparedness levels as weak, moderate, or high.
The study found that hospitals in Kurdistan province had a favorable preparedness level (70.30) to respond to RTAs-MC. The cooperation and coordination domain had the highest preparedness level (98.75), while the human resource management (59.44) and training and exercise (54.00) domains had the lowest preparedness levels. The analysis revealed a significant relationship between hospital preparedness and hospital profile, including factors such as hospital specialty, number of beds, ambulances, staff, and specialized personnel, such as emergency medicine specialists.
Enhancing preparedness for RTAs-MC necessitates developing response plans to improve hospital profile, considering the region's geographic and topographic features, utilizing past experiences and lessons learned, implementing of Hospital Incident Command System (HICS), providing medical infrastructure and equipment, establishing communication channels, promoting cooperation and coordination, and creating training and exercise programs.
预计到 2030 年，道路交通伤害（RTA）将成为全球第七大死亡原因。鉴于 RTA 对公共健康的重大影响，有效的医院准备工作在管理和减轻相关健康和危及生命的问题方面起着关键作用。本研究旨在细致评估伊朗西部选定医院处理多发性创伤性 RTA（RTA-MC）的准备情况。
本研究采用描述性分析方法，使用可靠有效的问卷来衡量医院的准备水平。采用描述性统计（频率分布和平均值）提供数据概述，然后采用分析性统计（Spearman 相关检验）检验医院准备情况及其维度与医院概况之间的关系。使用 SPSS 软件进行数据分析，将准备水平分为弱、中、高。
研究发现，库尔德斯坦省的医院对 RTA-MC 有较好的准备水平（70.30）。合作与协调领域的准备水平最高（98.75），而人力资源管理（59.44）和培训与演练（54.00）领域的准备水平最低。分析表明，医院准备情况与医院概况之间存在显著关系，包括医院专业、床位、救护车、人员和急诊医学专家等专业人员等因素。
为增强对 RTA-MC 的准备，需要制定应急预案，改善医院概况，考虑到该地区的地理和地形特征，利用过去的经验和教训，实施医院事故指挥系统（HICS），提供医疗基础设施和设备，建立沟通渠道，促进合作与协调，并制定培训和演练计划。
