Investigating the level of Safety and Preparedness of Educational Hospitals in the First District of Tehran Against Disasters in 2022
Irtiqa Imini Pishgiri Masdumiyat (Safety Promotion and Injury Prevention),
Vol. 12 No. 1 (1403),
22 Mehr 2024
,
Page 47 - 39
https://doi.org/10.22037/iipm.v12i1.45737
Abstract
Background and Aim: The ability of hospitals to deliver healthcare services during critical situations is vital. Therefore, assessing hospital safety levels during emergencies is necessary to ensure acceptable performance. This study aimed to evaluate the readiness of educational hospitals in a district of Tehran in 2022.
Methods: This descriptive cross-sectional study was conducted in 2022 to assess the disaster safety status of four educational hospitals in one district of Tehran. Data were collected through observations, interviews, and the WHO Hospital Safety Index questionnaire, which examines 151 indicators across functional, structural, and non-structural domains. Hospitals were classified into levels A, B, or C based on their scores. Data analysis was performed using EXCEL 2010 and SPSS software.
Results: In the functional domain, hospital (a) achieved the highest score (19.25), while hospital (b) had the lowest (9). For the structural domain, hospital (d) scored the highest (40.13), while hospitals (b) and (a) had lower scores (24.84 and 24.87, respectively). In the non-structural domain, hospital (c) had the lowest score (12.56), and hospital (a) had the highest (24.15). Overall, hospitals (d) and (a) were classified as having high safety levels, while hospitals (b) and (c) were categorized as medium according to WHO standards.
Conclusion: Given that 50% of the hospitals showed moderate safety levels, it is recommended to adopt a proactive risk management approach. Strategies include continuous training and empowerment of managers and staff in safe evacuation, sheltering principles, risk reduction, and field treatment capacity building to enhance hospital preparedness against disasters.
Please cite this article as:
Pourbaba S, Safari M, Jahangiri K, Beladian SE. Investigating the level of Safety and Preparedness of Educational Hospitals in the First District of Tehran Against Disasters in 2022. Irtiqa Imini Pishgiri Masdumiyat. 2024; 12(1):39-47.
- educational hospital; Disasters;Preparedness;Safetyindex
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References
Roberts KH, Tadmor C. Lessons learned from non-medical industries: the tragedy of the USS Greeneville. Qual Saf Health Care 2002;11(4):355-7.
McCarthy D, Blumenthal D. Stories from the sharp end: case studies in safety improvement. Milbank Q 2006;84(1):165-200.
Knox G, Simpson K, Garite T. High reliability perinatal units: an approach to the prevention of patient injury and medical malpractice claims. J Healthc Risk Manag 1999;19(2):24-32.
Wilson K, Burke C, Priest HA, Salas E. Promoting health care safety through training high reliability teams. Qual Saf Health Care 2005;14(4):303-9.
Singer SJ, Gaba DM, Geppert JJ, Sinaiko AD, Howard SK, Park KC. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Health Care 2003;12(2):112-8.
Robb G, Seddon M. Measuring the safety culture in a hospital setting: a concept whose time has come? N Z Med J 2010:4;123(1314):68-78.
Ardalan A, Najafi A, Sabzghabaie A, Zonoobi V, Ardalan S, Khankeh HR, et al. A pilot study: Development of a local model to hospital disaster risk assessment. Hospit 2011;9(3-4):7-14. (Full text in Persian)
Vogel L. Imperfect measure of hospital safety. CMAJ 2012;184(9):E451-2.
Pan American health organization, regional office for WHO. Hospital safety index: guide for evaluators. Washington DC: Pan American Health Organization; 2008. p.110.
Etchegaray JM, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf 2012;21(6):490-8.
Singer S, Meterko M, Baker L, Gaba D, Falwell A, Rosen A. Workforce perceptions of hospital safety culture: development and validation of the patient safety climate in healthcare organizations survey. Health Serv Res 2007;42(5):1999-2021.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. What is patient safety culture? A review of the literature. J Nurs Scholarsh 2010;42(2):156-65.
Genther DJ, Gourin CG. The effect of hospital safety-net burden status on short-term outcomes and cost of care after head and neck cancer surgery. Arch Otolaryngol Head Neck Surg 2012;138(11):1015-22.
Gibbs T. Safe in an emergency. Bull World Health Organ. 2009;87(3):172
Ardalan A, Najafi A, Sabzeghabaei A, Zonobi V, Ardalan S, Khanke HR, et al.[Native model index of hospital risk assessment in disaster]. J Hospital 2010;9 :321- 7.
Lari A, Jahangiri K, Hajinabi K. [Analysis of Hos crisis , a case study]. J Re Res 1391;16 :142-8.(Persian)
Sabzghabaie A, Kondori A, Shojaee M, Kamrani Rad A, Amini A, Hatamabadi HR. [Hospital safety in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2011-13]. Pejouhandeh 2013; 18:83-7. (Persian)
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