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Response capability of hospitals to an incident caused by mass gatherings in southeast Iran
Affiliation:1. Health in Disasters and Emergencies Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran;2. Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran;3. Non-Communicable Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran;1. Pietermaritzburg Burn Service, Pietermaritzburg Metropolitan Department of Surgery, Nelson R. Mandela School of Medicine, University of KwaZulu-Natal, South Africa;2. Developing Research, Innovation, Localization and Leadership (DRILL), College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa;1. Susan Wakil School of Nursing and Midwifery, Faculty of Medicine and Health, RC Mills Building, The University of Sydney, NSW 2006, Australia;2. Emergency Services, Illawarra Shoalhaven LHD, Wollongong, NSW, Australia;3. Illawarra Health and Medical Research Institute, Wollongong, NSW, Australia;4. The George Institute for Global Health, King St, Newtown, NSW, Australia;5. Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, 75 Talavera Rd, North Ryde NSW 2113, Australia;6. Faculty of Medicine and Health, The University of Sydney, Science Rd, Camperdown NSW 2006, Australia;7. Greater Sydney Area HEMS, NSW Ambulance, 33 Nancy Ellis Leebold Drive, Bankstown Airport NSW 2200, Australia;8. NSW Institute of Trauma and Injury Management, Agency for Clinical Innovation, 1 Reserve Rd, St Leonards NSW 2065, Australia;9. The Children''s Hospital at Westmead, Locked Bag 4001, Westmead NSW 2145, Australia;1. Department of Surgery, Auckland City Hospital, Auckland, New Zealand;2. Department of Surgery, University of the Witwatersrand, Johannesburg, South Africa;3. Department of Surgery, Chris Hani Baragwanath Academic Hospital, Johannesburg, South Africa;4. Department of Surgery, St James’s Hospital, Dublin, Ireland;5. Department of Surgery, University of KwaZulu Natal, Durban, South Africa;6. Department of Surgery, University of Auckland, Auckland, New Zealand;1. Biobehavioral Health Sciences Department, School of Nursing, University of Pennsylvania, 418 Curie Blvd. Fagin Hall, Philadelphia, PA 19104 United States;2. Penn Injury Science Center, University of Pennsylvania, 418 Curie Blvd. Fagin Hall, Philadelphia, PA 19104 United States;3. Firearm Injury among Children and Teens Consortium, University of Michigan North Campus Research Complex, 2800 Plymouth Road, Ann Arbor, MI 48109, United States;4. Center for Injury Research and Prevention, Children''s Hospital of Philadelphia, Roberts Center for Pediatric Research, 2716 South Street, 13th Floor Philadelphia, PA 19146, United States;5. Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania 2716 South Street, 13th Floor Philadelphia, PA 19146, United States;6. Department of Surgery, Perelman School of Medicine, University of Pennsylvania 3440 Market Street, Suite 101 Philadelphia, PA 19104, United States
Abstract:Background and ObjectivesHospitals are expected to provide a safe environment for patients, visitors, and employees during emergencies and disasters, as well as provide health care to disaster survivors. The aim of this study was to evaluate the response capability of hospitals to an incident caused by mass gatherings (MG) in Kerman province.MethodsThis cross-sectional study was performed among hospitals of Kerman city in 2021. To collect data, the emergency response checklist-WHO (2011) was utilized with 90 questions prepared in nine domains. Data analysis was carried out using SPSS version 20 with descriptive tests.ResultsIn this incident, 438 people were injured and 61 killed (31 women and 30 men). Of the 438 injured taken to hospitals, 193 were treated on an outpatient basis, 146 were hospitalized and 99 were treated at Advanced Medical Post (AMP) and mobile hospital in the scene. Results showed a moderate response level of hospitals to an incidence (151.50±18.28). Among the components of hospitals' response to incidence, the command and control component had the highest mean score (159.16 ± 22.39) while the surge capacity component had the lowest mean score (129.78 ± 25.21).ConclusionOur hospitals faced new challenges in this incident; therefore, policymakers and executives managers of the health system in Iran should develop a comprehensive strategic plan to promote hospitals’ preparedness for suitable and timely response to MG incidences and improve risk perception of mass gathering participants and hospitals personnel through training and implementing discussion and operation–based exercises.
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