Background and Aim: Acknowledging that preventing accidents and natural disasters is not always feasible, the presence of a well-prepared hospital can significantly mitigate fatalities and injuries resulting from such events. This study aimed to evaluate the readiness of naval hospitals in responding to accidents and natural disasters. Methods: A descriptive cross-sectional study was conducted in 2019-1400 at three selected Navy hospitals using Heydaranlou et al.'s (2015) functional preparedness tool for handling natural disasters and accidents. Results: hospital A scored 465, hospital B scored 442, and hospital C scored 378, placing them in the average range (60%-41%). The study assessed 17 dimensions across the hospitals. hospital A excelled in risk assessment and rapid warning systems with a perfect score (100%), while hospital B lagged in security preparedness with a score of 13.91%. hospital C demonstrated weak recovery capabilities post-disaster with a score of 27/27, falling within the weak category (40%-21%). hospital A scored exceptionally well in risk assessment (100%) but poorly in security preparedness (2.27%). Conclusion: The evaluation of the three naval hospitals indicates they are moderately prepared compared to civilian hospitals. The findings suggest a focus on hospital accreditation standards. Collaboration among these hospitals could enhance preparedness, reduce costs, and improve future evaluations to achieve higher scores.

Aims: This research intended to specify the rate of satisfaction among outpatients and hospitalized patients in different parts of a Military hospital and its related factors.Methods: This is a descriptive cross sectional study. The studied group includes 165 people referred to outpatient and hospitalization wards of a Military hospital. Samples chosed on achievement.Results: The greatest satisfaction (36%) expressed in emergency ward because of religious issues being considered. The greatest dissatisfaction (19.2%) seen in pharmacy, which was due to the long waiting time for getting the medication. The least rate of satisfaction (7.8%) in radiology section was due to insufficient explanation required for radiology preparation. The least rate of satisfaction (19.2%) in clinic was due to the physician’s being late and keeps the patients waiting. Nursing mental psychic cares shows a satisfaction rate of 38.5% because of well mannered behavior to patients. The least rate of satisfaction (12%) in physicians’ services was due to insufficient explanation of disease to patient and repetition of tests and radiology. The most satisfaction rate (43.5%) on food services was due to the care shown to patients’ appetite. In reception section, the most satisfaction rate (21.7%) reported for the high speed of patients being transferred to wards after the reception stages covered.Conclusion: In general, satisfaction rate on all outpatient and hospitalization wards are acceptable.

Aims: Awareness of hospital incidents and their causes can affect the managerial planning of hospitals and finding preventive measures in order to reduce occupational incidents and ultimately reduce in hospital expenses. This study was performed with the aim of investigating the prevalence rate of hospital accidents and their associating factors among the staff of one of Tehran hospitals.Methods: This descriptive cross-sectional study was performed on 190 staffs of one of Tehran hospitals during 2008-2009. All incidents were considered and subjects were selected by systematic random sampling method. Data was collected by a questionnaire and a checklist. Data was analyzed by SPSS 17 software using Chi square test and paired proportion test.Results: 62.6% of cases had been injured only once and 34.7% had been injured more than once. Cuts, perforations and ulcerations (92 cases) had the highest prevalence rate. Inobservance and imprudence was the cause of most cases of incidents and unsafe working conditions and lack of individual protective equipments were in the next order respectively. The effect of subjects’ education level (p<0.001) and work experience (p<0.05) on incident rate was significant.Conclusion: Cuts, perforations and ulcerations have the highest prevalence rate among hospital accidents. Inobservance and imprudence is responsible for most cases of incidents. The education level and work experience have significant effect on the rate of hospital incidents.

Background and Aim: In recent years, the construction industry, and in particular the hospital, affected by sustainable development, created concepts such as "sustainable building" and "green hospitals". Various methods have been developed with the development and implementation of green hospitals. The point of sharing all of these three methods was the use of optimum water, energy and waste production. This study was conducted to study the status of these areas. Methods: This retrospective study was a descriptive cross-sectional study. The research population consisted of one selected Military hospital in Tehran. The 3-year (2014-2016) preliminary data was collected on costs and energy costs, water and waste generation in 2017 and analyzed by Excel software. Results: On average, the hospital consumes 80. 79 kilowatts of electricity and 12. 12 cubic meters of gas, respectively, at 25861 Rials and 10808 Rials, respectively. These figures to water consumption are 1124 liters at a cost of 16, 993 Rials per day bed. Waste production also averaged an average of 3. 67 kg per day bed, 42% of which was made up of infectious waste. Conclusion: The results showed that utilization of water and electricity was 2. 20 and 10. 1 times higher than existing standards. The total amount of waste produced on average was 2. 5 to 3. 7 times, and infectious waste was 27 percent higher than global standards. hospitals are recommended adopting environmental protection strategies, training courses, waste management and allocate necessary funding. In the large dimension, the binding nature of these measures and the development of indigenous indicators will be a useful strategy. The lack of mandatory standards for measuring and reducing indicators is a national challenge, and it is recommended that the hospital reduces the number of statistics

Background and Aim: Nowadays, providing the high quality service and reducing costs, have converted health care industry into a challenging environment for the managers. One of the ways to achieve these goals given the importance of productivity and systems’ efficiency, is to optimize the number of facilities. In this regard, the present study aimed at optimizing the bed number of different wards of a Military hospital.Methods: This research is a study which utilizes the operations research and mathematical modeling techniques. In This matter firstly, a model assuming no interaction between various wards has been designed and then in the next step another model has been developed without this assumption. To evaluate the models the real life data of a Military hospital has been used and ultimately the developed model has been coded and solved in GAMS.24.5.6 software.Results: The results of implementation of first and second models showed that annual costs of the hospital is equal to 372,984,500,0 and 352,984,500,0 Rials respectively, whereas the value for the current situation is 408,408,000,0 Rials per year. Based on importance of reducing costs models have shown the proper efficiency. Conclusion: In general, using mathematical programming for capacity planning has shown high performance capability at any previous studies. It is recommended to apply the models for specialized and general hospitals to allocate the beds into their wards optimally.

Background and purpose: Presently, computers and the development of information technology have resolved many limitations in the health and medical arena, and have also opened many doors to improve communication, information and ability for better patient care, in health and medical care provider centers. Moreover, they have many applications such as virtual reality, medical data-bank, tele-health, expert systems and information-networks. The purpose of this study was to evaluate reporting software of ADS9 counteri’s program.Materials and methods: This research is a descriptive study which was performed in 2008. Population of this study include employees in office of statistics of Medical Universities in Iran, that work in conjunction with Hospimp software and is answerable regarding Hospimp software in the Ministry of Health and Medical Education. For data collection, researcher used a two-part questionnaire for evaluating general and specified criteria pertaining to the software. The analysis of data was used in descriptive manner with SPSS. The grade of variables studied in this research involved: evaluation of general properties, specified properties, statistical reporting, data-bases, goal of groups and aim of the program with Hospimp software, that is, in average 37.5, 22.58, 41.66, 57.14, 36.36 and 27.27, with a standard deviations of 0.09, 0.08, 0.15, 0.2, 0.15 and 0.14.Results: Technical tissue fall in the slide was not observed. 93.93 % of SCC was stained by p63. None of the small cell carcinoma was stained by p63. In the first 2 months, 53.34% of distained section’s had similar staining intensity, compared with re-cut sections, 46.66% of cases were decreased in staining intensity and none were negative.Conclusion: Generally, in the evaluated dimensions, Hospimp software has more blind spots rather than strength spots. General properties of the software have a better intensity level, than its specified properties. In order to improve and develop useable software’s in the health and medical arenas, we will recommend the development of international standards in designing, production, testing, measuring and software conservation.

Background: Leishmaniasis is one of the important parasitic diseases in tropical and subtropical regions of the world.Iran are one of the endemic areas of cutaneous leishmaniasis in worldwide. Staff of the Armed Forces, sometimes, is forced to accommodate in or around cities and villages thus they are at the risk of this disease and they can transfer the disease to other parts of the country. In this study cutaneous Leishmaniasis status has been studied in patients referring to a 554 Military Zanjan hospital in 2009.Materials and methods: This study is descriptive and cross-sectional. The Military personnel with Leishmaniasis returning from the south west of the country (Fakeh) were examined according to questions of a questionnaire.Results: This Study was done on 37 cases of positive cutaneous Leishmaniasis referred to the 554 Military Zanjan hospital. Most of the patients had one scar (54.1%). The wounds were mostly on hand (35.1%) and then foot (24.3%). 90% of patients did not notice their bites, because the bite may had no symptoms and pain at first.Conclusion: The results of this study show that prevention and control among the troops is necessary and recommended before the establishment of camps in the endemic areas of leishmaniasis.

Introduction: Every patient without any discrimination has the legal right that it is required by the service providers. Knowing their rights and compliance by the service providers can lead to satisfaction in patients. The aim of this study was to evaluate of patients› knowledge of their rights in the selected Military hospitals.Methods: This study is a descriptive cross sectional evaluation in 6 selected Military hospitals in three months of 2012; this survey was conducted using a questionnaire containing 50 questions on 360 patients. The data were analyzed by the spss16 using T student and one way ANOVA tests.Results: only %7.3 patients had good awareness of patient rights and %9.10 average and %8.81 poor. Between The awareness and knowledge (p=0.001) and hospitalizations (p=0.003), were significant relationship. The rights respecting of the patient was shown that %5.2 poor, %75.8 moderate and %19 have been good. Between the respecting patient rights and hospitalized (p=0.04) and Job (p=0.001) and age (p=0.008) A significant relationship was observed.Conclusion: The results showed that not only patients have poor awareness of their rights, but also their rights disregarded appropriate by service providers. So awareness training is recommended.

Background and Aim: hospitals are One of the vital and sensitive places as well as practical that maintaining their function in normal conditions and in times of crisis is one of the biggest concerns of health system managers. By using the principles of fire safety, hospitals' vulnerability can be reduced. Fire is one of the risks that can lead to many human and financial losses as well as disruption of hospital performance. Fire risk assessment is a more effective way to assess the vulnerability, capacity and capability of the hospital. The aim of this study was to evaluate the risk of fire in one of the hospitals in Tehran to analyze the vulnerability of these uses. Methods: This cross-sectional study was performed by using the Fire Risk Assessment Method for Engineers (FRAME) in the hospital building of a Military hospital. Fire risk was calculated using the formulas of the mentioned method in EXCEL software. Factors influencing the level of risk obtained were identified and evaluated. Results: The level of fire risk for residents in all units was higher than one. Level factor, fire load factor and normal protection factor were identified as effective factors that result in the existing fire risk level. Conclusion: The numerical value of the risk for the residents was at an unfavorable level. The results of this study showed that the use of FRAME method in assessing the risk of health facilities such as hospitals, by determining the strengths and weaknesses of the assessed locations, the possibility of identifying effective factors to predict and prevent accidents and maintain the performance of these centers at times. Be sensitive to such manmade or natural emergencies.