Showing 4 results for Disaster
Bolhari J, Chime N,
Volume 65, Issue 13 (3-2008)
Abstract
Background: Mental health needs to increase in disasters and this study assesses the
basic and mental health needs and delivered services during the first month after Bam
(Iran) earthquake disaster in year 2004.
Methods: Thirty Five mental health professionals and experts were involved in mental
health care and interventions for survivors in Tehran general hospitals and in the Bam,
were participated in a focus group qualitative study, and finding analyzed after coding
from tape recorder.
Results: The primary and immediate needs of survivors were: water, food, shelter,
security, finding family members, treating and helping injured ones, respect and good
relationship by others, and information and news about disaster and others. Second and
long time needs and services were the previous needs and services and also immediate
starting the daily routine activities, opening schools and workplaces, participating in
community services and resettlement or housing. Lack of previous program and
inadequate services are discussed in the paper.
Conclusion: It is the first time in Iran survivors get immediate mental health intervention
in disaster, but based on finding and the survivors needs, and the problems reported in
services were delivered, the study proposes a new mental health intervention program in
natural disaster for Iran.
Sadr Momtaz N, Tabebi S J, Mahmode M,
Volume 65, Issue 13 (3-2008)
Abstract
Background: Assessment of different strategic in disaster planning in selected countries.
According to the international report indicating that IRAN is among the seven countries
most susceptible to disaster, experiencing 31 known disasters out of 40 in the world,
occurrence of 1536 moderate to severe earthquake, during 1370-80 and 712 other disasters
at the same period it seems necessary to design a disaster plan.
Methods: This research is a comparative-descriptive and case based study in which the
researcher used random sampling process in selecting the statistical society from both
developed and developing countries. In this goal oriented research the necessary
information are extracted from valid global reports, articles and many questionnaires
which were subjected to scientific analysis.
Results: Studying different countries (which includes: Canada, Japan, India, USA,
Turkey, Pakistan and Iran) shows that there is a direct relationship between the level of
countries development and their success in disaster planning and management (including
preventive measures and confrontation). In most of the studied countries, decentralized
planning caused many professional planners participate in different levels of disaster
management which ultimately led to development of efficient and realistic plans which in
turn decreased the catastrophic effects of disasters dramatically. The results of the
aforementioned countries showed that a balanced approach to disaster plan with
investment in prophylactic area is very important.
Conclusion: As our country uses a centralized strategy for disaster management which
has proven its ineffectiveness, the researcher suggests that we should change our
approach in disaster management and let our planners participate from all levels include:
provincial, rural and etc. This will led to a reality based planning and using all potential
capacities in disaster management. According to this study it will be possible to use
prophylactic delusions and to mitigate the outcome of threatening disasters.
Abbasali Ebrahimian , Ali Fakhr-Movahedi , Raheb Ghorbani , Hossein Ghasemian-Nik,
Volume 76, Issue 7 (10-2018)
Abstract
Background: Hospital bed capacity is one of problems in intensive care unit during at the time of crisis, emergencies and disasters. At this regard, it seems reverse triage can resolve this issue by using predictive score systems. This study was purposed to develop a reverse triage system in intensive care unit using APACHE II scoring system for crisis, emergencies and disasters situations.
Methods: This study was performed by a prospective longitudinal design that lasted from March 2016 to February 2017. Research population were 420 internal patients that were admitted in intensive care units of Imam Reza Hospital in Mashhad, Iran. Data were collected and documented for each patient by demographic questionnaire and APACHE II scoring system daily until discharging time from intensive care units. The patient’s status after discharge from the intensive care unit was used as a criterion for statistical tests.
Results: APACHE II mean score in first day of admission was 18.9±16.20. Risk ratio of patients’ discharging from intensive care unit was 1.034. The patients were placed in four levels of inverse triage according to mortality rate and risk ratio. The scores of four levels were including: 0-10 (first level and green color), 11-16 (second level and yellow color), 27-71 (third level and black color) and 17-26 (fourth level and red color).
Conclusion: The Apache II system can be used as a tool for reverse triage in intensive care units during at the time of crisis, emergencies and disasters. When using this system for reverse triage, patients at the first to third levels can be discharged from intensive care unit. However, patients on the fourth level should not be discharged from intensive care units under any circumstances.
Masoumeh Abbasabadi-Arab , Ali Mohammad Mosadeghrad , Hamid Reza Khankeh, Akbar Biglarian,
Volume 79, Issue 7 (10-2021)
Abstract
Background: The preparedness and safety of hospitals in disasters are essential to maintain the health and survival of the community. Numerous studies have shown that the level of preparedness of Iranian hospitals is moderate and low. Lack of comprehensive hospital standards for disaster preparedness is one of the reasons. This study aimed to develop hospital accreditation standards for hospital disaster risk management.
Methods: This comparative study was conducted between April and September 2016. Hospital disaster risk management accreditation standards were extracted from the hospital accreditation standards of 11 countries including the United States, Canada, Australia, Malaysia, India, Thailand, Egypt, Turkey, Saudi Arabia, Denmark and Iran. Overall, 27 hospital disaster risk management accreditation standards were introduced. The opinions of 22 disaster risk management experts were used to assess the content validity of the proposed disaster risk management accreditation standards.
Results: Differences were observed in the quality and quantity of those countries’ disaster risk management standards. The national accreditation standards of the United States, Australia, and Canada had comprehensive standards and covered all aspects of the disaster risk management cycle. Finally, 27 standards were proposed for developing Iranian hospitals’ disaster risk management accreditation standards. The CVI & CVR validity of the proposed standards were acceptable.
There were significant differences in the quantity and quality of hospital disaster risk management accreditation standards in selected countries. The most comprehensive standards belonged to the US National Standards (12 standards and 113 sub-standards), followed by the Australian and Canadian accreditation standards. The accreditation standards of the developing countries and Iran were not comprehensive and did not meet the international goals of disaster risk management. The proposed hospital disaster risk management accreditation standards had high content validity.
Conclusion: Disaster risk management accreditation standards in Iran and developing countries need to be revised and upgraded. Comprehensive standards based on international experiences and expert opinions were introduced in this study that can be used to develop hospital accreditation standards in Iran and other countries.
