ArticlePloS one2016
2015 Estimation of Hospitals Safety from Disasters in I.R.Iran: The Results from the Assessment of 421 Hospitals.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Towards developing a model for the evaluation of hospital disaster resilience: a systematic review.BMC health services research · 2020Pooled it
- Preparedness components of health systems in the Eastern Mediterranean Region for effective responses to dust and sand storms: a systematic review.F1000Research · 2019Pooled it
- Preventive measures for fire-related injuries and their risk factors in residential buildings: a systematic review.Journal of injury & violence research · 2019Pooled it
- A direct qualitative content analysis on the design, implementation, and evaluation of prehospital earthquake exercises aligned with the HSEEP framework.International journal of emergency medicine · 2026Article
- Learning from the past: a scoping review of hospital disaster preparedness assessment.BMC emergency medicine · 2026Article
- Fire safety status and evacuation of medical facility considering elevated oxygen concentrations.Heliyon · 2024Article
- Design and psychometrics of risk assessment tool for makeshift hospitals: Focusing on pandemics.Heliyon · 2023Article
- Hospitals as disaster victims: Lessons not learned?Journal of the American College of Emergency Physicians open · 2022Review
- Heat wave adaptation paradigm and adaptation strategies of community: A qualitative phenomenological study in Iran.Journal of education and health promotion · 2022Article
- Determining factors on volunteers' presence in hospital response to disasters and emergencies: a qualitative study.Journal of injury & violence research · 2021Article
- Risk analysis and safety assessment of hospitals against disasters: A systematic review.Journal of education and health promotion · 2021Review
- Earthquake Preparedness in Iranian Hospitals: A Systematic Review and Meta-Analysis.Bulletin of emergency and trauma · 2021Review
- Factors affecting emergency evacuation of Iranian hospitals in fire: A qualitative study.Journal of education and health promotion · 2021Article
- Development and Validation of a Scoring Assessment Tool for Hospital Safety: A Pilot Study Comparing Hospital Preparedness in Thailand.Risk management and healthcare policy · 2021Article
- Evaluating Disaster Damages and Operational Status of Health-Care Facilities During the Emergency Response Phase of Hurricane Maria in Puerto Rico.Disaster medicine and public health preparedness · 2020Article
- The Feasibility of Increasing Hospital Surge Capacity in Disasters through Early Patient Discharge.Bulletin of emergency and trauma · 2019Article
- Developing a Hospital Disaster Risk Management Evaluation Model.Risk management and healthcare policy · 2019Article
- Preparedness challenges of the Iranian health system for dust and sand storms: A qualitative study.Journal of education and health promotion · 2019Article
- The effect of education and implementation of "National Hospital Disaster Preparedness Plan" on an Iranian hospital preparedness: An interventional study.Journal of education and health promotion · 2019Article
- Continuous post-disaster physical rehabilitation: a qualitative study on barriers and opportunities in Iran.Journal of injury & violence research · 2019Article
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9 authors.
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Abstract
BACKGROUND AND
objectiveIran's health system has developed a Farsi edition of the Hospital Safety Index (HSI) and has integrated the related assessment program into the health information system. This article presents the results of the 2015 estimation of hospital safety from disasters in I.R.Iran using HSI.
methodsWe analyzed data from 421 hospitals that had submitted a complete HSI assessment form on the Ministry of Health and Medical Education Portal System. Data collection was based on the self-assessments of the hospital disaster committees. HSI includes 145 items categorized in three components including, structural, non-structural and functional capacity. For each item, safety status was categorized into three levels: not safe (0), average safety (1) and high safety (2). A normalized scoring scheme on a 100-point scale was developed. Hospitals were classified to three safety classes according to their normalized total score: low (≤34.0), average (34.01-66.0) and high (>66.0).
resultsThe average score of all safety components were 43.0 out of 100 (± 11.0). Eighty-two hospitals (19.4%) were classified as not safe, and 339 hospitals (80.6%) were classified in the average safety category. No hospital was placed in the high safety category. Average safety scores were 41.0, 47.0, and 42.0 for functional capacity, non-structural safety, and structural safety respectively. The average safety score increased between 2012 and 2015, from 34.0 to 43.0.
conclusionsHospital safety in the event of disasters has improved in Iran in recent years and more hospitals have joined the HSI program. This is a result of continuous efforts invested in capacity building programs and promotion of the 2012 HSI estimation. The HSI should be maintained to monitor the progress of Iran's health system in regards to hospital safety in the case of disasters. It is recommended that WHO continue advocacy of HSI, establish a HSI monitoring system, and add it to country profiles on WHO website.
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