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Challenges of Hospital Incident Command System (HICS) from Experts’ Perspectives: A Qualitative Research
Background: Hospital Incident Command System (HICS) is one of the most valid incident command systems for preparing and increasing efficiency of hospitals. With regard to hospitals’ key roles in Medical Incident Management, the present study aims at obtaining experts’ ideas for investigating challenges of establishment of HICS in Iran’s hospitals. Methodology: The present study is qualitative one conducted via the semi-structured interviewing method. Interviews were conducted on 23 experts selected from HICS in the Medical University, Red Crescent Society and Social Security Organization in 2016 so that after recording each interview, they were transcribed and, then, the raw data were reduced and organized via the content analysis technique. Results: According to findings of the present study, since the HICS is established based on the principles that ensure the effective deployment of resources on one hand and decrease the disorder in policy making and the operations of responding organizations, on the other hand, the point of view of most participants in this study showed that the HICS in Iran is not implemented properly. The studies showed that consistency of this system with existing management structure in hospitals cause internal and external barriers to its implementation. Conclusion: Based on the present results, the most important cases causing inefficiency of HICS in Iran are as follows: complete lack of understanding of HICS’s components and features, lack of adequate training of the staff, and lack of localization HICS in Iran. Thus, appropriate planning, necessary intra-and inter-organizational coordination in incidents, reinforcement of forces by appropriately organizing them, supply of required training, suggestion of long-term strategies, and finally design of a HICS by applying components of the Quality Management System with regard to conditions in Iran seem necessary.
Challenges, Hospital Incident Command System (HICS), Qualitative Research, Semi-Structured Interview
- Brunsma D, Picou JS. A special section disasters in the twenty-first century: Modern destruction and future instruction. Social Forces. 2008 Dec; 87(2):983–91. Crossref.
- Cooke MW, Brace SJ. Training for disaster. Resuscitation. 2010; 81(7):788–9. Crossref. PMid:20483521
- Sapir DG, Hoyois P, Below R. Annual disaster statistical review 2013. The numbers and Trends; 2013. p. 1–50.
- Centre for research on the epidemiology of disasters; 2016.
- Green GB, Modi S, Lunney K, Thomas TL. Generic evaluation methods for disaster drills in developing countries. Annals of Emergency Medicine. 2003 May; 41(5):689–99. Crossref. PMid:12712037
- Bajow NA, Alkhalil SM. Evaluation and analysis of hospital disaster preparedness in Jeddah. Health. 2014 Nov; 6(19):1–21. Crossref.
- Olivia FW, Claudia LK, Yuen LA. Nurses’ perception of disaster: Implications for disaster nursing curriculum. Journal of clinical nursing. 2009 Nov; 18(22):3165–71. Crossref. PMid:19619209
- Rubin CB. Emergency management: The american experience 1900-2010. CRC Press; 2012. p. 314. Crossref.
- Bagaria J, Heggie C, Abrahams J, Murray V. Evacuation and sheltering of hospitals in emergencies: A review of international experience. Prehospital and Disaster Medicine. 2009 Oct; 24(5):461–7. Crossref. PMid:20066652
- Yarmohammadian MH, Atighechian G, Shams L, Haghshenas A. Are hospitals ready to response to disasters? Challenges opportunities and strategies of Hospital Emergency Incident Command System (HEICS). Journal of Research in Medical Sciences. 2011 Aug; 16(8):1070–7. PMid:22279484 PMCid:PMC3263085
- Schoenthal L. A case study in the identification of critical factors leading to successful implementation of the hospital incident command system; 2015. p. 1–164.
- Hospital Incident Command System Guidebook (HICS); 2014. p. 1–170.
- Jensen J, Thompson S. The incident command system: A literature review. Disasters. 2016 Jan; 40(1):158–82. Crossref.PMid:26271932
- Macintyre AG, Barbera JA, Brewster P. Health care emergency management: Establishing the science of managing mass casualty and mass effect incidents. Disaster Medicine and Public Health Preparedness. 2009 Jun; 3(2):52–8. Crossref. PMid:19491589
- Reilly MJ, Markenson DS. Health care emergency management: Principles and practice. Jones & Bartlett Publishers; 2010. p. 490.
- Djalali A, Castren M, Hosseinijenab V, Khatib M, Ohlen G, Kurland L. Hospital incident command system (HICS) performance in Iran; decision making during disasters. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine. 2012 Feb; 20:14. Crossref. PMid:22309772 PMCid:PMC3296571
- Gerrish K, Lacey A. The research process in nursing. John Wiley & Sons; 2010 May. p. 568.
- Comfort LK. Crisis management in hindsight: Cognition, communication, coordination, and control. Public Administration Review. 2007 Dec; 67(s1):189–97. Crossref.
- Zane RD, Prestipino AL. Implementing the Hospital Emergency Incident Command System: An integrated delivery system’s experience. Prehospital and Disaster Medicine. 2004 Dec; 19(04):311–7. Crossref. PMid:15645627
- Donabedian A. Evaluating the quality of medical care. Milbank Quarterly. 2005 Dec; 83(4):691–729. Crossref. PMid:16279964 PMCid:PMC2690293
- Röger U, Rütten A, Heiko Z, Hill R. Quality of talent development systems: Results from an international study. European Journal for Sport and Society. 2010 Jan; 7(1):7–19. Crossref.
- Salari H, Esfandiari A, Heidari A, Julaee H, Rahimi SH. Survey of natural disasters preparedness in public and private hospitals of Islamic republic of Iran. International Journal of Health System and Disaster Management. 2013 Jan; 1(1):26–31. Crossref.
- Albtoush R, Dobrescu R, Ionescou F. A Hierarchical model for emergency management systems. University Politehnica of Bucharest Scientific Bulletin, Series C: Electrical Engineering. 2011; 73(2):53–62.
- O’Neill PA. The ABC’s of disaster response. Scandinavian Journal of Surgery. 2005 Dec; 94(4):259–66. Crossref. PMid:16425620
- Thomas TL, Hsu EB, Kim HK, Colli S, Arana G, Green GB. The incident command system in disasters: Evaluation methods for a hospital-based exercise. Prehospital and Disaster Medicine. 2005 Feb; 20(01):14–23. Crossref. PMid:15748010
- Lazar EJ, Cagliuso NV, Gebbie KM. Are we ready and how do we know? The urgent need for performance metrics in hospital emergency management. Disaster Medicine and Public Health Preparedness. 2009 Mar; 3(01):57–60. Crossref. PMid:19002013
- Shooshtari S, Tofighi S, Abbasi S. Benefits, barriers, and limitations on the use of Hospital Incident Command System. Journal of Research in Medical Sciences. 2017; 22(1):36. Crossref. PMid:28465695 PMCid:PMC5393096
- Wagner C, Groene O, Thompson CA, Klazinga NS, Dersarkissian M, Arah OA, Su-ol R. DUQuE Project Consortium. Development and validation of an index to assess hospital quality management systems. International Journal for Quality in Health Care. 2014 Apr; 26:16–26. Crossref. PMid:24618212 PMCid:PMC4001698
- Abbasi SH, Tavakoli N. External evaluation of four hospitals according to health care management standards. Indian Journal of Fundamental and Applied Life Sciences. 2013; 3(1):24–32.
- Semnani F, Asadi R. Designing a developed balanced score-card model to assess hospital performance using the EFQM JCI accreditation standards and clinical governance. Journal of Business and Human Resource Management. 2016; 2(1):1–16.
- Shaw CD. External quality mechanisms for health care: Summary of the expert project on visitatie accreditation EFQM and ISO assessment in European Union countries. International Journal for Quality in Health Care. 2000 Jun; 12(3):169–75. Crossref. PMid:10894187
- Wagner C, Gulacsi L, Takacs E, Outinen M. The implementation of quality management systems in hospitals: A comparison between three countries. BMC health services research. 2006 Apr; 6(1):1–11. Crossref. PMid:16608510 PMCid:PMC1475833
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