Bathaei Seyed Ahmad, Sheikholeslami-Kabiri Fatemehsadat, Rahmani-Javinani Setare, Khahan-Yazdi Iman
Spirituality Health Research Center, Department of Operating Room, School of Allied Medical Sciences, Qom University of Medical Sciences, Qom, Iran. ORCID: https://orcid.org/0000-0003-1677-3377.
Qom University of Medical Sciences, Qom, Iran. ORCID: https://orcid.org/0000-0003-1485-9556.
J Emerg Manag. 2024 Nov-Dec;22(6):629-637. doi: 10.5055/jem.0840.
Inadequate preparedness of hospitals is associated with negative outcomes in the treatment procedure. During the coronavirus disease 2019 (COVID-19) pandemic, healthcare systems faced many problems due to the widespread prevalence of the disease. This study was designed and conducted with the aim of investigating and comparing the preparedness levels of hospitals against mass-casualty disasters and the COVID-19 pandemic.
This research was a cross-sectional, descriptive-analytical study conducted in January 2022 in five educational hospitals affiliated with Qom University of Medical Sciences, Qom, Iran, admitting COVID-19 patients. The National Hospital Preparedness Checklist and the Hospital Preparedness Checklist for the COVID-19 pandemic were used to collect the required data.
The total preparedness level against mass-casualty disasters was estimated to be 79.81 percent. The lowest and highest average preparedness scores were related to the dimensions of "Logistic and management of supplies" (74 percent) and "command and control" (96.66 percent), respectively. In addition, the overall preparedness level against COVID-19 was estimated to be 87.20 percent. The lowest and highest average percentage of preparedness scores were related to the fields of "supply management" (71.81 percent) and "laboratory services" (97.14 percent), respectively.
The duration of exposure to emergency situations and managerial perspectives are among the factors affecting the preparedness of -medical systems against disasters. It is assumed that some kind of adaptation exists in healthcare systems, which leads to an improvement in their preparedness level. In order to deal with crises, it is suggested to set up specialized hospitals (such as trauma centers), train crisis managers, and use them in the management of medical centers.
医院准备不足与治疗过程中的负面结果相关。在2019年冠状病毒病（COVID-19）大流行期间，医疗系统因该疾病的广泛传播而面临诸多问题。本研究旨在调查和比较医院针对大规模伤亡灾难和COVID-19大流行的准备水平。
本研究为横断面描述性分析研究，于2022年1月在伊朗库姆医科大学附属的五家收治COVID-19患者的教学医院开展。使用国家医院灾难准备清单和COVID-19大流行医院准备清单收集所需数据。
针对大规模伤亡灾难的总体准备水平估计为79.81%。准备得分最低和最高的平均水平分别与“物资后勤与管理”维度（74%）和“指挥与控制”维度（96.66%）相关。此外，针对COVID-19的总体准备水平估计为87.20%。准备得分最低和最高的平均百分比分别与“供应管理”领域（71.81%）和“实验室服务”领域（97.14%）相关。
暴露于紧急情况的持续时间和管理视角是影响医疗系统灾难准备的因素。据推测，医疗系统中存在某种适应性，这导致其准备水平有所提高。为应对危机，建议设立专科医院（如创伤中心），培训危机管理人员，并将他们用于医疗中心的管理。
