Assessment of Early Warning Systems for Emergencies and Disasters in Hospitals of Mazandaran, Iran, in 2024: A Cross-Sectional Study.

Bulletin of emergency and trauma Pub Date : 2026-01-01 DOI:10.30476/beat.2026.108590.1632

Zoya Hadinejad, Yahya Saleh Tabari, Mohsen Saleh Tabari, Abolfazl Hoseinnataj, Kimia Khonakdar, Zeinab Sajjadi, Farnam Gohardehi, Nahid Aghaei, Tahereh Yaghoubi

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引用次数: 0

Abstract

Objective: This study aimed to assess the status of early warning systems (EWS) for disaster and emergency response in hospitals affiliated with Mazandaran University of Medical Sciences in 2024.

Methods: This descriptive-analytical study was conducted from April to December 2024 across all affiliated hospitals with Mazandaran University of Medical Sciences. Data were collected using a validated 55-item EWS checklist evaluating preparedness in both pre-incident and during-incident phases. Overall hospital preparedness was categorized as good (≥75%), moderate (50-74%), or poor (<50%).

Results: In the pre-incident phase, 28 out of 32 hospitals (87.5%) demonstrated good preparedness score (mean±SD: 74.8±12.1). During the incident phase, overall preparedness declined, with only 25 hospitals (78.1%) classified as good (mean±SD: 61.7±14.9). Based on total performance scores, Hospital No. 29 and 30 ranked the highest, while Hospital No. 4 demonstrated the weakest overall preparedness across both phases.

Conclusion: While most hospitals exhibited adequate preparedness in key EWS components, such as warning dissemination and response readiness, notable weaknesses were identified in hazard identification, hazard monitoring, and documentation. Strengthening targeted training programs, establishing integrated monitoring systems, and conducting regular simulation exercises are essential for enhancing operational effectiveness.

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2024年伊朗Mazandaran医院突发事件和灾害预警系统评估：一项横断面研究

目的：对马赞达兰医科大学附属医院2024年灾害应急预警系统（EWS）状况进行评估。方法：本描述性分析研究于2024年4月至12月在马赞达兰医科大学所有附属医院进行。使用经过验证的55项EWS检查表收集数据，评估事件前和事件期间的准备情况。总体而言，医院准备分为良好（≥75%）、中等（50-74%）和差(结果：在事件发生前阶段，32家医院中有28家（87.5%）表现出良好的准备得分（平均值±标准差：74.8±12.1）。在事件阶段，整体准备程度下降，只有25家医院（78.1%）被评为良好（平均±标准差：61.7±14.9）。根据总体表现得分，29号和30号医院排名最高，而4号医院在这两个阶段的整体准备情况最弱。结论：虽然大多数医院在关键的EWS组成部分（如警报传播和响应准备）方面表现出充分的准备，但在危害识别、危害监测和记录方面发现了明显的弱点。加强有针对性的培训计划，建立综合监测系统，定期进行模拟演习，对提高作战效率至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Bulletin of emergency and trauma

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： BEAT: Bulletin of Emergency And Trauma is an international, peer-reviewed, quarterly journal coping with original research contributing to the field of emergency medicine and trauma. BEAT is the official journal of the Trauma Research Center (TRC) of Shiraz University of Medical Sciences (SUMS), Hungarian Trauma Society (HTS) and Lusitanian Association for Trauma and Emergency Surgery (ALTEC/LATES) aiming to be a publication of international repute that serves as a medium for dissemination and exchange of scientific knowledge in the emergency medicine and trauma. The aim of BEAT is to publish original research focusing on practicing and training of emergency medicine and trauma to publish peer-reviewed articles of current international interest in the form of original articles, brief communications, reviews, case reports, clinical images, and letters.