Hospital Practices and Research

Abstract Background: The COVID-19 virus has created many problems for human beings in the real world, particularly in the health sector. One of the issues is in emergency hospitals, which are vital pillars of the healthcare system in every country. Providing timely treatment and access to healthcare facilities is a major problem in developing countries.
Objectives: The aim of the study was to simulate a hospital emergency department under COVID-19 conditions.
Methods: This study simulates the operations of an emergency department in a hospital under COVID-19 conditions as a case study in Iran. This study considers several assumptions about hospital facilities, including doctors, nurses, and patients. The patients are divided into two categories: some require immediate examination, while others wait in line for appropriate services.
Results: A flow diagram for the department is provided and converted into a model, which is implemented using GPSS software. The model is then run multiple times, and the outputs are collected. The outputs of the simulation and their statistical distributions are analyzed, and the performance of various statistical tests is examined. Finally, recommendations for improving the performance of the emergency system are presented.
Conclusion: The findings of this study can be used as the first step in preparing this tool. Accordingly, this study was conducted to identify existing and valid tools for measuring hospital readiness against the COVID-19 virus, translate those tools, and compare them.

Abstract Background: During disasters, hospitals play a key role in providing quality and appropriate medical services to increase resilience.
Objectives: This study was carried out with the aim of determining the response rate of the emergency department of Shiraz University of Medical Sciences hospitals to the Corona pandemic in 2021.
Methods: This cross-sectional descriptive research was conducted in educational-therapeutic hospitals of Shiraz University of Medical Sciences. For this purpose, 230 senior and middle managers, emergency department nurses and emergency medicine specialists participated in this study. Hospitals were placed in two categories: special centers for COVID-19 (3 hospitals) and other educational and medical centers (general and specialized centers) (8 hospitals). The information was collected by the hospital readiness assessment checklist (2020) for the management of infectious disease epidemic crisis based on the guidelines of the World Health Organization for the response of hospitals to the COVID-19. After collecting the data, it was entered into SPSS 22 and analyzed.
Results: Findings of this study showed that the readiness of hospitals is at a good level (87%). The studied hospitals performed very well in items of support and management of financial resources, communication management, human resources management, diagnosis and management of patients, but in item of rapid identification and control and prevention of infection, they performed very poorly. The centers of COVID-19 scored higher than other educational-treatment centers, continuation of services and increased capacity, rapid identification, diagnosis, prevention and control of infection, which was statistically significant (p <0.05).
Conclusion: Rapid identification of patients seems to be an important challenge in Shiraz University of Medical Sciences. The allocation of special hospitals for the care of COVID-19 patients is also effective in preparing them for the pandemic.