Sehdeh Ali Mohammdi, Ebadi Abbas, Saghafi Abdollah, Basiri Alireza, Heidaranlu Esmail
Trauma Research Center, Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nursing Care Research Center, Clinical Sciences Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Int J Emerg Med. 2024 Dec 18;17(1):187. doi: 10.1186/s12245-024-00786-z.
In today's societies, the threats caused by chemical, biological, radiological and nuclear accidents, whether accidental or intentional, have become a great concern. Acquiring knowledge about how to respond to the management of these incidents and the complications caused by them in order to preserve societies and ensure stability is essential. Due to the fact that hospitals play an important role in dealing with the victims of biological threats, this study was conducted with the aim of auditing the preparedness of selected military Hospital in facing biological threats in 2023-2024.
This applied research was conducted with the participatory action research method in all departments of selected military Hospital during one year from July 2023 to July 2024. The level of biological preparedness of the hospital was investigated using the hospital's preparedness tool in biological events with 147 items in 8 main dimensions and 20 sub-dimensions, and the weak areas of the hospital (9 areas) were identified. Then, in the hospital audit cycle, using the FOCUS-PDCA model, a program to improve work processes and improve the biological preparedness of different departments of the hospital in the face of accidents and disasters was implemented. The level of biological preparedness of the hospital before and after the implementation of the change was compared and analyzed using SPSS. version 22 software.
The preparedness in the studied hospital in facing biological threats before the change was 196 out of 294 and the hospital's biological preparedness percentage was 66.66%, which was in the average range, and after the change, the preparedness score reached 228 and the hospital's preparedness percentage was 77.55%, which was in the range Well classified. In 9 fields where the level of biological preparedness was moderate and weak, the highest preparedness was created in the field of employees and volunteers with 86.36% and the lowest preparedness was related to the field of corpse management with 50%.
Considering the impact of training in improving the hospital's preparedness program in the face of biological threats, it is suggested that other medical centers include audits in their work plan.
在当今社会，化学、生物、放射和核事故所造成的威胁，无论是意外还是故意的，都已成为人们高度关注的问题。了解如何应对这些事件的管理以及它们所引发的并发症，以维护社会并确保稳定，这至关重要。由于医院在应对生物威胁的受害者方面发挥着重要作用，本研究旨在审核选定的军事医院在2023 - 2024年面对生物威胁时的准备情况。
本应用研究于2023年7月至2024年7月的一年时间里，采用参与式行动研究方法在选定军事医院的所有科室开展。使用医院生物事件准备工具对医院的生物准备水平进行调查，该工具包含8个主要维度和20个子维度的147个项目，并确定了医院的薄弱领域（9个领域）。然后，在医院审核周期中，使用FOCUS - PDCA模型，实施了一个改进工作流程并提高医院不同科室在面对事故和灾难时生物准备水平的项目。使用SPSS 22版软件对变革实施前后医院的生物准备水平进行比较和分析。
变革前，研究医院面对生物威胁的准备情况得分为294分中的196分，医院的生物准备百分比为66.66%，处于平均水平；变革后，准备得分达到228分，医院的准备百分比为77.55%，处于良好分类范围。在生物准备水平为中等和薄弱的9个领域中，员工和志愿者领域的准备情况最佳，为86.36%，而尸体管理领域的准备情况最差，为50%。
考虑到培训对提高医院面对生物威胁时准备计划的影响，建议其他医疗中心在其工作计划中纳入审核。
