A scrutiny of tools used for assessment of hospital disaster preparedness in Iran


  • Esmail Heidaranlu, BSN, MSN
  • Abbas Ebadi, PhD
  • Ali Ardalan, MD, PhD
  • Hamidreza Khankeh, PhD




disasters, hospital preparedness, Iran


Introduction: In emergencies and disasters, hospitals are among the first and most vital organizations involved. To determine preparedness of a hospital to deal with crisis, health system requires tools compatible with the type of crisis. The present study aimed to evaluate the accuracy of tools used for assessment of hospitals preparedness for major emergencies and disasters in Iran.

Method: In this review study, all studies conducted on hospital preparedness to deal with disasters in Iran in the interim 2000-2015 were examined. The World Health Organization (WHO) criteria were used to assess focus of studies for entry in this study.

Results: Of the 36 articles obtained, 28 articles that met inclusion criteria were analyzed. In accordance with the WHO standards, focus of tools used was examined in three areas (structural, nonstructural, and functional). In nonstructural area, the most focus of preparation tools was on medical gases, and the least focus on office and storeroom furnishings and equipment. In the functional area, the most focus was on operational plan, and the least on business continuity. Half of the tools in domestic studies considered structural safety as indicator of hospital preparedness.

Conclusion: The present study showed that tools used contain a few indicators approved by the WHO, especially in the functional area. Moreover, a lack of a standard indigenous tool was evident, especially in the functional area. Thus, to assess hospital disaster preparedness, the national health system requires new tools compatible with scientific tool design principles, to enable a more accurate prediction of hospital preparedness in disasters before they occur.

Author Biographies

Esmail Heidaranlu, BSN, MSN

Nursing PhD Candidate, Health Management Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Abbas Ebadi, PhD

Associate Professor, Behavioral Sciences Research Center, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, IR Iran

Ali Ardalan, MD, PhD

Associate Professor, Department of Disaster and Emergency Health, National Institute of Health Research, Tehran University of Medical Sciences, Tehran, IR Iran

Hamidreza Khankeh, PhD


Associate Professor, Department of Health in Emergency and Disaster, University of Social Welfare and Rehabilitation Sciences, Evin, IR Iran; Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden.



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How to Cite

Heidaranlu, BSN, MSN, E., A. Ebadi, PhD, A. Ardalan, MD, PhD, and H. Khankeh, PhD. “A Scrutiny of Tools Used for Assessment of Hospital Disaster Preparedness in Iran”. American Journal of Disaster Medicine, vol. 10, no. 4, Oct. 2015, pp. 325-38, doi:10.5055/ajdm.2015.0215.




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