Risk assessment of resilience engineering level and integrated resilience engineering with safety, health and environment of hospitals (case study: two selected hospitals of Faraja in 1400)

R Jannaty; S Haghi; H Jannaty; L Jannaty; F Pargar; M Ali Doust

doi:10.18502/tkj.v14i3.11370

R Jannaty Bachelor of Occupational Health Engineering, Police Trauma Research Center, Deputy Health, Relief and Treatment, Police Force, Tehran, Iran.
S Haghi Bachelor of Nursing, Police Trauma Research Center, Deputy Health, Relief and Treatment, Police Force, Tehran, Iran.
H Jannaty Faculty of Health, Urmia University of Medical Sciences, Urmia, Iran.
L Jannaty Department of Statistics and Applications, Tabriz University, Tabriz, Iran.
F Pargar Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
M Ali Doust Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran.

DOI: https://doi.org/10.18502/tkj.v14i3.11370

Keywords: Resilience, Safety, Health and Environment, Crisis management, Risk assessment

Abstract

Introduction: By evaluating the level of resilience engineering and resilience engineering combined with safety, health, and environment, the priorities of medical centers to face crises are determined. Therefore, this study aimed to implement a risk assessment model with a checklist designed in a fuzzy environment.

Materials and Methods: This cross-sectional study, in 2014, in two Faraja hospitals in Iran, using two risk assessment forms including seven resilience indicators (24 sub-indices) and three integrated resilience indicators with safety, health, and environment (8 sub-index) was done that the final risk level in each index was calculated with trapezoidal fuzzy numbers in the fuzzy environment and multiplied by the weight of each expert. Based on this, the priorities of each hospital were determined.

Results: In the evaluation results, it was found that in the first hospital, management commitment and transparency, and in the second hospital, flexibility are the main priorities. In both hospitals, management commitment in HSE, knowledge in HSE, and learning culture in HSE were RE-HSE priorities, respectively.

Conclusion: Based on these results, it is suggested to focus on all the parameters, especially the parameters related to management commitment indicators, transparency and flexibility in RE, and management commitment in HSE..