فهرست مطالب ساجد بخشی

Objective (s):

 Pre-hospital emergency centers need proper equipment and facilities to provide adequate and satisfactory services. Therefore, the present study aimed to compare the pre-hospital emergency equipment in Guilan province with the pre-hospital emergency medicine and equipment guidelines of the Ministry of Health of Iran (6th edition).

 This cross-sectional descriptive study was conducted in year 2022. All urban and road pre-hospital emergency centers of Guilan province were assessed (a province in the north of Iran). The conditions of the equipment were checked and determined based on the pre-hospital emergency medicine and equipment instructions of the Ministry of Health of Iran (6th edition). SPSS version 22 software was used for data analysis.

 In all 78 centers were studied. The average score obtained for medical equipment was 556 (76%), non-medical equipment was 46 (63%), and in total, pre-hospital emergency centers scored 602 (75%) from the instructions for medical and non-medical equipment, which is classified as average.

 Comparing the condition of the equipment in pre-hospital emergency ambulances with the directives of the Iranian Ministry of Health showed that there is need for systematic planning to upgrade and improve the quality of the equipment, funding and continuous monitoring, which can lead to improve the quality of pre-hospital emergency services.

 Safety against disasters and accidents is one of the basic components of preparedness planning for dealing with disasters and it is important for controlling complications or minimizing the risks. The purpose of this research is to analyze the level of safety of Guilan province’s hospitals in dealing with accidents and disasters.

 In this cross-sectional, descriptive-analytical study, all hospitals affiliated to Guilan University of Medical Sciences or Social Security Organization, and private centers of Guilan province in 2021, which were 35 hospitals in total, were evaluated regarding safety and preparedness for facing disasters and accidents. The data was collected using the 150-question national standard tool checklist for evaluating hospital safety index, and the results were presented in the form of points in each component and overall score, preparedness rank, and comparison with the overall average of the province.

 The average relative preparedness in the studied hospitals in facing disasters was 65.66%. The 25 hospitals affiliated to Guilan university of Medical Sciences had 62.36% preparedness and 10 private hospitals affiliated to social insurance had 73.89% preparedness. Out of the 25 hospitals affiliated to Guilan University of Medical Sciences, 3 hospitals had good preparedness, 17 hospitals had average preparedness, and 5 hospitals were had poor preparedness, and among private hospitals and those affiliated to Social Security Organization, 6 hospitals had good preparedness and 2 hospitals had average preparedness.

 A significant portion of the hospitals in Guilan province, like other hospitals in the country, have inadequate preparedness in the face of disasters, and it is necessary and vital to pay attention to the improvement of hospital preparedness in all its dimensions in order to adequately deal with accidents and disasters.