Showing 55 results for Type of Study: Case Study
M Asgari , M Arab , A Rahimi-E Foroushani , F Ebadi Fard-Azar , Mh Mousavi,
Volume 12, Issue 2 (9-2013)
Abstract
Background: Patient`s self-discharge from the hospital is a process in which a patient leaves the hospital before completing his or her determined treatment period by his own will. This study is aimed to survey the factors affecting patient`s self-discharge from the hospital in emergency ward of a referred hospital. Materials and Methods: This is a case-control study. The 280 selected samples were divided to two groups, each with 140 members. The data were gathered using a questionnaire evaluating the scale of patients and their companions` satisfaction of the hospital services. Chi-square test was used for analyzing the relationship between independent variables and the patient discharge type. Moreover logistic regression was used in order to identify the effect of significant independent variables on own will-discharge possibility. Results: Results indicate that there is a meaningful relationship between variables such as age, having supplementary insurance, residency, income rate, reference shift, reference day, satisfaction of the physicians, satisfaction of the physical environment and welfare facilities, the patient`s satisfaction, the waiting time, satisfaction of the instructions given by nurses and physicians and total satisfaction with discharge type(p<0.05). Conclusion: The matter of patient`s self-discharge is a multi-dimensional phenomenon and depends on patient’s characteristics and structural and medical factors. Therefore predicting its scale and determining factors might play an effective role in controlling this phenomenon.
Zh Agharezaei , Sh Tofighi Sh, A Nemati , L Aagharezaei , K Bahaadinbeigi ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: This research aims to design and implement a software with the ability to identify patients who are facing the risk of pulmonary embolism and deep venous thrombosis instantly as well as the ability to send timely reminders for any prophylactic action. The main target is introduce a clinical decision- support system which could finally lead to preventing mortality and handicap cases caused by embolism and thromboses in patients who are confined to bed in hospitals. Materials and Methods: The software was designed using the Visual Basic.Net and SQL Server database. Afterwards the software was installed in the largest educational hospital of Kerman and a survey was conducted amongst the physicians using multiple questionnaires and interviews. Finally, the data were analyzed using the SPSS software. Results: The average score was 21.16 for the physicians and 20.76 for the nurses. T-Test results show that there is no significant difference between the total average score of the physicians and that of the nurses. Conclusion: The results have shown that both groups (physicians and nurses) have a positive viewpoint about the software therefore using the clinical decision support system can be effective in reducing the occurrence of pulmonary embolism and deep venous thrombosis through sending timely electronic alerts to the medical staff.
Seyed A Alavi , A Ahmadabadi , M Molaei Qelichi , V Pato , K Borhani ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: In Iran, the rapid growth of urbanization is in a way that it fits into the appropriate location for urban spaces are not switching. The main consequence of this is failure of service delivery and service system to citizens. One of the most important public services that hospitals provide most of the citizens' health. The purpose of this study, “Optimal locating of hospitals in region 7 in Tehran city”.
Material and methods: This research is descriptive - analytical study has been done. For collecting information and data is used field studies and According to information obtained, To review the study area in terms of access to communication road, green space, away from industrial centers, military, and the fault, as well as for weighting the criteria, is used the AHP model. Then, using a decision model of TOPSIS in GIS software, valuation of criteria has been studied and appropriate maps is prepared, finally map that represents the best location for the construction of hospitals in this area is extracted.
Results: with combination and overlaying of data layers, the final map was obtained and determined that the northeastern section (Cross Resalat Street and cabli), central (martyr Motahari streets and Miremad) and southeast (Bakhshi fard and part of Damavand street) in district 7 are have priority and more points to construct hospitals.
Conclusion : System of Multi Criteria Decision Making (MCDM) with GIS can be used as effective tool in site selection of hospitals. Being located of hospitals, near to green spaces and comunication road and its distance from the industrial and military areas as well as the fault, capability of this model in this study is prove.
M Soofi , A Rashidian , F Aabolhasani , A Akbari Sari, M Bazyar ,
Volume 12, Issue 2 (9-2013)
Abstract
Background: Achieving equitable financial contribution and removing the risk of households' exposure to catastrophic expenditures are the most important challenges for health systems all over the world. This study aimes to measure Iranian households' exposure to catastrophic health care expenditures and surveying the factors affecting this expenditure, based on the World Health Organization and the World Bank approach.
Materials & Methods: Sectional data of the World Health Survey in Iran in 2001 has been analyzed. This survey covered 10300 urban and rural households across the country. The catastrophic expenditure has been calculated based on the ability to pay in the thresholds of 40, 50, and 60 percent and the income at the threshold of 20 percent. Logistic regression model was used to examine factors influencing catastrophic health expenditures.
Results: The proportion of families confronting catastrophic health expenditures was estimated at 9-15 per cent. Facing catastrophic expenditures showed a statistically significant relationship with variables such as having a family member suffering from a chronic disease, family`s financial condition, and living in rural areas regardless of the thresholds used. The insurance coverage showed a statistically significant relationship with exposure of catastrophic health expenditure just in case it was measured using the 40% threshold.
Conclusion: Political interventions and policies of the government such as implementing fee exemptions for certain target groups, designing benefits packages, extending population coverage through prepayment mechanisms and protecting the poor and disadvantaged groups can protect households from experiencing catastrophic health expenditures.
H Yaghfoori , A Sahrai , S F Khalifelo ,
Volume 13, Issue 2 (8-2014)
Abstract
Abstract
Background: Zone 3 of Zahedan City includes the most deprived areas in province and country. The purpose of this research was assessing the distribution of the health care center (hospitals) and determining the underserved areas based on hospital locating concidering standards and criteria.
Materials and Methods: In order to achieve accurate results based on GIS software, spatial and descriptive data using statistics and field observation gathered and connected to database. Besides, AHP Model used to set priorities in locating the optimal urban spaces for building hospitals in the city.
Results: Suitable zone with special symbol severance divide from another zones was determine to develop landuse based on dependency to health care centers aimed at providing services in local level . Similarly, two Places recommended constructing health care centers in complete suitable zone. Unsuitable and compeletly Unsouitable zones was determined in zone three of zahedan city in finaly map.
Conclusion: study analysis based on urben percapita, population and needed availibilty to health care centers suggests that Zahedan city need two new hospitals setting which has been indexed on final map.
Habib Ebrahimpour, Hassan Khalili, Mohammad Pourali,
Volume 13, Issue 3 (12-2014)
Abstract
In many countries, different methods and tools for improving the quality of health cares have been used. Among these methods, the NHS clinical governance provided by the NHS British government as a strategy to enhance the quality of clinical cares was introduced in 1998. Clinical governance both responsibilities for maintain the current level of cares and improving the quality of future care are emphasized.
Materials & Methods: The aim of this study was to investigate the relationship between clinical governance and organizational performance of hospitals in Ardabil. The research is an applied one questionnaire is used to collecting data. The population comprises patients, doctors employees and hospitals managers of Ardabil 180 were selected as the sample. To investigate the hypothesis test, correlation and regression analysis were used.
Results: According to data, there is a significant relationship between organizational performance and clinical governance. On the other hand, the results of F test showed meaningful level for the components of %99, so we can use linear regression. Furthermore, the coefficient of all the components of clinical governance has a positive and significant effect on performance. Among the components of clinical governance, clinical audit component has %163 of the minimum amount, and staff management component 908 percent has the most effect on hospital performance.
Conclusion: According to the results, are considered essential patient’s engagement in treatment, the use of information and patients' family’s experiences to provide more services to patients, credit allocation for staff training and staff expertise in the field of employees training.
Abbas Jahangiri, Mohammad Ali Keramati,
Volume 13, Issue 3 (12-2014)
Abstract
Background : All managers want to improve their organization 's efficiency . The purpose of this paper In addition to the asses the efficiency of Hospital during the time, is trying to answer to this question that, is the recruitment of new personnel able to increase hospital efficiency?
Materials & Methods : In this sectional study, the relative efficiency of Imam Khomeini Hospital in Arak during the thirty-one months Since April 2011 to November 2013 (16 months before and 15 months after the recruitment) by input-oriented DEA method with five inputs and five outputs and with considering each month as a decision making unit, was calculated by DEAP 2.1 software. Then, the efficiency scores during the two stages, once for sixteen months, and once for a total of thirty one month separately by Mann - Kendall test via Minitab 16 software was analyzed and the most important event in the hospital during the study period, was asked from hospital authorities.
Results: Most inputs and outputs of hospital have increased. The efficiency of the last eight months was equal to one . In addition, the efficiency of eleventh month was lower. The value of zs for first sixteen months and for a total of thirty-one months -0.55769 and 2.05318, respectively calculated .
Conclusion: Trend analysis of the efficiency Scores showed that simultaneously with the recruitment of new personnel without reports of other influential factors, Hospital efficiency has significantly improved.
Mohammad Arab, Farugh Mohammadian, Abdolrasoul Rahmani, Abbas Rahimi, Leyla Omidi, Parvin Abbasi Brojeni, Mehdi Asghari,
Volume 13, Issue 3 (12-2014)
Abstract
Background and Objective: The operating room is one of the main units in hospital, where the most important phase of patient treatment is performed. This study aimed to investigate the safety attitude among the staff of operating room in selected hospitals of Tehran University of Medical Sciences.
Methods: In this descriptive - analytical study, 230 staff of operating room of hospitals affiliated to Tehran University of medical sciences were selected by Random cluster sampling. Research tool was a safety attitude questionnaire (Cronbach’s alpha 0.854) that classified in 3 categories: demographic questions (11questions), quality of communications (14questions) and safety attitude questions (58 questions). All data collected were analyzed using SPSS18. T-test, Spearman correlation, analysis of variance (ANOVA) and Chi-square have been used for data analyzing.
Results: The results indicated that 90.9% of staffs had moderate safety attitude and the average of the safety attitude score was 188.52(± 22.4). As the results showed, there was a positive and significant relationship between the safety attitude score and age, total work experience and work experience at hospital (p 046/0=, r =±0.141). There were significant differences between: average of the safety attitude score among men and women (P=0.047) average of the safety attitude score among staffs who have been trained and untrained safety (P=0.004).
Conclusion: The safety attitude score among the staff. It is therefore necessary to implement the effective interventions to improve safety attitude among operating room staff in understudy hospitals.
Keywords: Safety attitude, Operating Room, Hospital, Staff
Feizollah Akbari Haghighi , Ebrahim Jafari Poyan , Negar Aghighi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Monitoring and/or control are the management main duties. This duty is so important which some of authorities believed that efficient management depends on Effective Control System (ECS).This study aimed at identifyingbarriersandfacilitators of performance monitoring and providing some strategies for effective health care monitoring.
Materials and Method: This study was a qualitative one which data was collected bySemi-structured questionnaire filled by interview in2011-2012 and analyzed usingframeworkanalysis. Study population consisted of 25 experts and directors of care/treatment performance monitoring.
Results:Based on study results, nineconceptswere extracted as following:specialized nature of treatment performance monitoring, health assessors’ education, work experience in line units, prerequisites for new treatment performance monitoring, personal characteristics of care monitoring expert, managerial support of assessors, culture of monitoring process acceptability, facilitators and barriers of monitoring. Based on these concepts, 28 codes were identified.
Conclusion: Experienced assessors’ assessment, based on their specialty professionals’accurate and applied systematic education and management support are main items which will be result in more effective care/treatment performance monitoring.
Sakineh Alizadeh, Mohammad Reza Maleki, Rahim Khodayari Zarnaq , Sajad * . Darzi Ramandi , Ahmad Sadeqi,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Strategy is one of the important factors affecting the organizational structure. Taking the relationship between these two mentioned factors into consideration is essential. This study surveys the relationship between organizational structure and strategies of public and private hospitals in Tehran.
Materials & Methods: This study is a descriptive and analytical study of 20 selected public and private hospitals conducted in Tehran in the year 2012. The statistical population included supreme hospitals managers .We did a complete count because the sample size was small(60 managers). Research instrument was Miles and Snow strategy and Robbins's organizational structure questionnaire. A panel of experts were used for validity of questionnaires while the estimation of their reliability was calculated by Cronbach`s Alpha which was 0.75. The data analysis was conducted with descriptive statistics and Spearman correlation test.
Results: Among the structural dimensions, “centralization” was between was 85% and 75%, “formality” was 92% and 88% and “complexity” was 81% and 100% public and private hospitals respectively. Dominant strategy for both groups of hospitals was analytic. Correlation coefficient between strategy and organizational structure in public hospitals was -0.2 and in private hospitals was +0.3 which showed that relationship was not significant.
Conclusion: There was not a significant relationship between dimensions of organizational structure and the dominant strategy (analytical strategy) in public and private hospitals. If these hospitals tend to follow analytical strategies, they should reduce their complexity. Moreover, centralization could be towards analytical strategies if there is a strict control on current activities and little on new ones.
Shabnam Ghasemyani, Abollghasem Pourreza, Sara Forotan,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Organizations need dedicated human resource to achieve their goals. Doing justice to personnel result in increasing job satisfaction and organizational commitment. This study is aimed to determine the relationship between organizational justice and organizational commitment among Shariati and vali Asr (as) hospital staff in the year 1390.
Materials and Methods: This survey has been done using a cross-sectional descriptive analytical method. 140 of personnel of Shariati and vali asr hospital were involved in the survey. Nyhvf and Moorman (1993) and Meyer (1990) questionnaire were used. The former was used for measuring dimensions of organizational justice and the latter was used for determining the level of organizational commitment. The data were analyzed descriptively inferentially using SPSS version 18.
Result: The mean and standard deviation of organizational justice were 2/84 and 0/72 respectively and the mean and standard deviation of organizational commitment were 2/89 and 0/66 respectively. The results showed a direct significant relationship between organizational justice and organizational commitment .The value of correlation coefficient indicates a direct relationship between variables.
Conclusions: According to the results of study, organizational Justice and organizational commitment were in average level among samples. These variables merit further consideration as their direct and significant relationship and also their crucial role in increasing efficiency of organizations especially hospitals. Managers would have to give increasing organizational justice serious consideration
Habibullah Danaee, Hojat Rahmani, Leyla Torkzade, Mohsen Nazari ,
Volume 13, Issue 3 (12-2014)
Abstract
Background: Industry growing and work load of financial turnovers are one of the medical tourism’s reason. Because of additional capacity building in health domain especially in medical levels, medical tourism can be solved some problems similar to extra capacityby means of an essential strategy. The aim of this study was to Segment external clients based on their benefits expectations about health services in four hospitals in Iran.
Materials andMethods:In current study, library reviewing and health care experts’ viewpoints were used in order to determine the characteristics of healthcare services.After determining the variables, factor analysis was performed to brief variables.Then, cluster analysis was performed on extracted factors using K MEANS algorithm and characteristics of each cluster was determined.
Results: Four factors were extracted by factor analysis .Then, Cluster analysis was done on the factors andPatients were divided into four sections whilethe first section respect with health care services efficacy, the second and fourthparts tend to get care with respect and the third parthave a tendency to have individual ability
of hospitals.
Conclusion: Individuals obtained the most important percent to care providing with respects among four extracted clusters. Thus, hospitals should have the most focus on communication quality regarding their marketing efforts with their clients.
Edris Hoseinzadeh, Mahmoud Taghavi, Mohammad Reza Samarghandie,
Volume 13, Issue 3 (12-2014)
Abstract
Background and objective: Bioaerosols are airborne particles which can cause a wide range of health effects including hospital and occupational infections, acute toxic effects, allergies and cancer. Hence, the aim of this study was the qualitative and quantitative evaluation of bioaerosol in different wards of Malayer city’s hospitals.
Material and methods: Sampling was conducted from twelve wards in two hospitals. Both bacterial and fungal sample were taken based on method of ACGIH bioaerosol committee. The samples were transported to blood agar and sabouraud medium then cultivated immediately. The type and number of colonies were determined in the laboratory then, the bioaerosol concentration was calculated in terms of cfu/m3.
Results: Overall, the maximum concentration of bacterial (21.27 cfu/m3) and fungal (66.49 cfu/m3) colonies were found in pediatric and CCU wards, respectively. The minimum concentration of both bacterial (8.74 cfu/m3) and fungal (2.18 cfu/m3) colonies were found in autoclaving ward. Staphylococ negative coagulase(33.76%), Micrococ species(16.23%) and Bacillus species(15.58%) were found to be the most common organisms and, Penicillium spp. (50.9%), Cladosporium spp. (27.02%) and Aspergillus spp. (8.1%) were the most common fungal genus.
Conclusion: Except of a few cases, total concentration of bioaerosols was lower than the guideline concentration (30 cfu/m3) in the all wards. High concentrations of bioaerosols in some wards can be explained by some reasons such as wear and tear of buildings, improper ventilation, incomplete disinfection of wards and, the high number of patients and visitors.
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Volume 14, Issue 1 (6-2015)
Abstract
Background: This study is aimed at investigating the effect of work-life balance in hospitals of Sanandaj. Work-life balance includes different aspects such as : family, work,leisure and personal growth. Moreover,the quality of life had been assessed by physical, mental, social, and environmental dimensions of health.
Materials and Methods: The statistical population includes personnel of hospitals of Sanandaj including doctors, nurses, office employees, technicians and guards. 150 individuals had been selected among mentioned population by using cluster sampling and Cochran formula as sampels. The data were analyzed using structural equations and AMOS18 and SPSS20 softwares.
Results:The results of this study showed that the main hypothesis of work-life balance among personnel of hospitals had an effect of 0.70 on the quality of their working life. Nevertheless , second hypothesis titled as "The effect of holding the balance in family on quality of life" was rejected because its critical value was in the range of rejecting the hypotheses.
Conclusion: Each three non-working dimension had an effect on the quality of life personnel which might be a result of the current economic downturn in Sanandaj.
Mr Saied Saeed Tabatabaee, Mr Mohammad Reza Ghamari, Mrs Tahereh Sharifi, Mr Ruhola Kalhor, Mrs Mahboubeh Asadi,
Volume 14, Issue 2 (8-2015)
Abstract
Background: Patient safety is one of main indicators in quality control of health services. The most prevalent threatening cause of patient safety is medical errors especially medication errors. This study aimed at assessing the rate and type of nurses’ medication errors.
Materials and Methods: This study was a descriptive – analytical one which performed in a non-public hospital in East North Country. The studied hospital has 180 active beds in the fields such as general surgery, obstetrics and gynecology, infants, cardiology, angiography, CCU, ICU, and NICU. Due to limited population, all the nurses in the hospital (97 nurses) were participated in the study. The instrument was a self-designed questionnaire which was composed of two main parts (demographic data and medication errors information). Its reliability and validity was confirmed. Data were analyzed by SPSS software version 15 using t- test and ANOVA.
Results: Among the studied nurses, 76 nurses (78.3%) were female and 21 (21.7%) were male. The mean of age and work experience of participants were 29.3 and 8.7 respectively. The most frequent of medication errors included medication without prescription 136(23.7%), lack of attention to medical complications 134(23.4%), Giving the medication at the wrong time 128(22.4%). The lowest common of medication errors reported as using expired date medication4(0.7%), wrong medication 5(0.9%) and non administered medication 6(1.1%).
Conclusion: The nursing managers should be consider more attention to reduce medication errors by implementing Training classes, improving nurse's processes and promoting attitudes towards importance of patient safety.
Farnaz Attar Jannesar Nobari, Taraneh Yousefinezhadi, Faranak Behzadi Goodari, Mohammad Arab,
Volume 14, Issue 2 (8-2015)
Abstract
Background: The goal of clinical risk management is to improve the quality of health care organization’s services and to ensure patients' safety. Thus, this study has identified and evaluated the potential failures by Failure Mode and Effects Analysis (FMEA) approach to eliminate errors occurrence of an Intensive Care Unit (ICU) in a hospital in Tehran city.
Materials and Methods: This study is a descriptive one in which data were gathered qualitatively by direct observation, document review, and Focus Group Discussion (FGD) with the process owners in an Intensive Care Units (ICUs) of a Tehran non-governmental hospital in 2014. According to FMEA method, quantitative data analysis was carried out based on failures’ Risk Priority Number (RPN).
Results: By FMEA, 378 potential failure modes in 180 ICU tasks were identified and evaluated. Then, with 90% confidence, 18 failure modes with RPN≥100 are identified and analyzed as non-acceptable risks totally.
Conclusion: Identifying 18 failures as non accepted risk from identified 378s, and identifying causes, analyzing and then suggesting correction actions reveals the FMEA high capability to identify, evaluate, prioritize and analyze potential failure modes in a such complex and critical hospital ward(ICU).
Masoumeh Saeedian, Mohammadmehdi Sepehri, Hassan Aghajani, Toktam Khatibi,
Volume 14, Issue 3 (9-2015)
Abstract
Background: Myocardial Infarction (MI) is the most common cause of death in developed and developing countries. Based on World Health Organization prediction, MI will be the leading cause of death in the world up to 2020. The main goal of acute myocardial infarction therapy is reperfusion which is performed by two treatment approaches, although these two methods use for unique complication treatment but they are different in treatment cost and quality; Since the costs of health care is growing, this study aimed at identifying affected differentiated costs among patients with acute MI with the purpose of providing a framework to compare two treatment methods.
Materials and Methods: In presented model in current study, with the purpose of select affecting cost attributes utilized hybrid of Genetic algorithm and decision tree approach as a new method and compare its result using random method.
Results: Study result presented classifies error reduction up to 0.2 compare with random method error. Then, based on selected attributes, presented a framework comparing two treatment methods. Also, in the majority of direct cost and total cost, Primary Angioplasty was cost effective more than Thrombolytic Therapy, but in indirect cost, we achieved some results dissimilar to physicians' expected results such as kidney failure.
Conclusion: Suggested approach in this research can be a guidance to physicians and insurances institutes in acute myocardial infarction treatment policies.
Edris Hasanpoor, Bahram Delgoshie, Hassan Gorji, Masoomeh Khogam, Mobin Sokhanvar,
Volume 14, Issue 3 (9-2015)
Abstract
Background: one of the most essential components in patient- physician relationship is the length of visit. Short time visit can affect visit quality and patient- physician relationship. This study aimed at comparing specialists visit length with standards in general hospitals of Qazvin.
Materials and Methods: This cross-sectional study conducted in general hospitals of Qazvin in 2013. 428 patients were randomly selected to participate who were referred to the outpatient clinics of selected general hospitals. Studied specialties were including Internal Medicine, Surgery, Pediatrics and Obstetrics and Gynecology. In order to data collection, a Checklist including physician and patient related items was used and data analysis performed using SPSS version 19.
Results: The study results revealed the mean score of outpatients' visits length was 4.67±2.43 minutes which had a significant difference from standards (p<0.0001).Higher mean score was relate to pediatrics (2.55±7.08) and the lower one was internal physicians (1.82±3.93).
Conclusion: In this study, Visit time in developed countries was lower than developing ones. Several factors were identified which affect visit time. Thus, decision makers should use the results to improve outpatients visit quality.
Mr. Ayoub Pazhouhan,
Volume 14, Issue 4 (1-2016)
Abstract
Background: Today, intellectual and social capitals as intangible and knowledge-based assets are one of the main factors of organizations’ success. On the other hand, knowledge management is a process which helps organizations engenders wealth from knowledge, intellectual and social capitals. This study aimed to determine the role of intellectual and social capitals in predicting knowledge management.
Materials and Methods: The present research is a descriptive-analytical study carried out in the spring 2015. The target population consisted of all staff of Imam Ali hospital in which selected 155 employees using the quota non-random sampling. The data were collected using three standard questionnaires of Bontis’ intellectual capital (42 items) including human, structural, and relational dimensions, Nahapiet and Goshal’s social capital (17 items) including structural, relational, and cognitive dimensions, and Lawson’ knowledge management (24 items). The data were analyzed using Pearson correlation, employing IBM SPSS version 22 software and structural equation technique of AMOS.
Result: 71% of study participants had bachelor's degree and 40% aged less than 30 years old. The results indicated that the dimensions of social and intellectual capitals were significantly and positively correlated with knowledge management. The results of path analysis revealed the intellectual and social capitals predicted knowledge management with the positive changes 0.79 and 0.89 respectively. As a final point, the structural dimension of intellectual capital and the relational dimension of social capital had the highest direct impact on knowledge management.
Conclusions: Given the important role of intellectual and social capitals in the application of strategies of knowledge management, hospital officials are able to facilitate hospitals increase added value and improve performance and excellence in presenting clinical services by investing more in knowledge-based assets.
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Volume 14, Issue 4 (1-2016)
Abstract
Background: Emergency response of hospitals to deal with disasters is essential to success in providing qualified emergency services. The aim of current study was to evaluate emergency response of hospitals in Karaj against disasters.
Materials and Methods: This study was a cross sectional one which performed among 13 Karaj hospitals in 2013. To collect data, emergency response Checklist WHO (2011) was utilized with 90 questions prepared in 9 domains (Command and control, Communication, Safety and security, Triage, Surge capacity, Continuity of essential services, Human resources, Logistics and supply management and Post-disaster recovery). Data analysis carried out using SPSS version 20 with descriptive tests.
Results: mean score of emergency response was 44.17%. The most and the worst dimensions were hospital triage 70.30% and accident reconstruction after the emergency 24.84% respectively.
Conclusions: Based on WHO checklist, only 44.17% of studied hospitals were able to respond disaster events. Planning and providing a systematic framework to deal with disasters is a necessity, and the major role of hospitals should not be ignored in providing services considering its priority in plans and budgets in disasters conditions.
