Context: In crises, a lot of casualties and victims are referred to hospitals to receive health care services. Appropriate reaction to crises necessitates hospital readiness for such conditions. So, each hospital should have previously designed action plan for confronting the crises. Aims: This study aimed to determine the hospital disaster preparedness in Tehran and identify lessons learned on disaster and mass casualty management system. Settings and Design: A mixed qualitative and quantitative approach in hospital settings. Methods and Material: This descriptive- sectional study was performed in the 2013-2014. The 21 selected hospitals of Tehran comprised the study populations that were purposively selected. The Mass Casualty Disaster Plan Checklist was used for data collection. Also a part of data was gathered by focus group meetings with who were experienced. Statistical Analysis Used: The data analysis was performed using the IBM SPSS version 15 and ANOVA and Tukey tests. Results: The results showed that weakness of management and communications, structural problems, facility deficiencies, in appropriate organization of human resources, and budget inadequacy, were among the most important problems of hospitals in crisis. Conclusions: Hospital emergency incidence commanding systems is a standard system that can be used by all hospitals both in national and local levels. Using this system in hospitals, along with the systematic arrangement of human resources and exact distribution of managerial duties and developing a commanding unity can improve crisis management in hospitals.
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Sajadi et al. (2014) studied this question.