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In February 2020, the first sample test was confirmed as positive for corona virus in Masih Daneshvari Hospital that is the reference center in Iran for all pulmonary and respiratory diseases. The decisions made in a hospital or organization to manage a crisis is very vital. Success in managing any crisis requires a scientific and scholarly attitud...
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Citations
... According to the researchers, the model was helpful in the better management of COVID-19 disease in the hospital and better crisis management. 29 Limitations of the study: "This study had some limitations including the relatively small sample size, limited to the only one tool for its measurements (WHO checklist) and focus on the one province of Iran (Hamadan) instead of all over the country. The limitations were mainly due to time constraints, and implementation of the research in defined geographic areas." ...
The COVID-19 pandemic has challenged the capacity of health systems in various countries. This study was designed to evaluate the response rates of hospitals in the prevention and control of COVID-19 in Hamadan province, Iran. In this cross-sectional study, all 20 hospitals in Hamadan province were monitored in February 2020. The instrument used in this study was the WHO checklist, entitled “Infection prevention and control health-care facility response for COVID-19.” In each hospital, the hospital infection control officials completed the checklists under the supervision of the hospital managers and were then provided to the project manager. Data analyzed by SPSS 22 software. There were 3482 hospital beds (the average beds of each hospital was 174) in the studied hospitals. Of 15 055 patients admitted to all hospitals, 2196 (14.6%) individuals were COVID-19 patients. The total average score obtained from the checklist was 62.25. Among 7 domains studied, the lowest scores belonged to 2 domains of “infrastructure and equipment” and “patient screening and triage.” The scores of domains “IPC programs” and “visitors” were significantly higher in hospitals with ICU beds than other hospitals (P-value = .03 in both domains). A comparison between university-teaching hospitals with other hospitals and those in Hamadan city with other cities revealed no significant differences in any of the domains. The mean response rate (62.25) of hospitals in terms of COVID-19 in Hamadan province indicates their relative readiness to prevent and control the COVID19 pandemic. The shortage of infrastructure and equipment and screening and triage problems of patients were the main challenges of hospitals in managing the COVID-19 pandemic in Hamadan province, Iran.
... In late December 2019, a group of patients affected by pneumonia were identified with unusual symptoms. This specific pneumonia was caused by a new coronavirus (SARS-CoV-2) [3]. The prevalent symptoms of this virus include a body temperature of over 37.8°C, tiredness, dry cough, shortness of breath, sore throat, and muscle pain [4]. ...
... The coronavirus outbreak was first reported in December 2019 in Wuhan, China [1,2] . In late December 2019, a group of patients with specific symptoms of pneumonia were reported, and the cause of this disease was a specific coronavirus called COVID-19 [3] . This new viral disease was identified as the third coronavirus epidemic in the 21 st century after SARS (Severe Acute Respiratory Syndrome) and MERS (Middle Eastern Respiratory Syndrome) [4] . ...
... The government injected financial aid into hospitals during the pandemic. Due to a shortage of personal protective equipment (PPE) in hospitals, the Ministry of Health and Medical Education (MOHME) purchased the equipment and made it available to hospitals [15], especially hospitals in high-prevalence provinces suffering from shortages of ICU beds. Hospitals' FP and SP have changed the pandemic. ...
Background and objective:
The COVID-19 pandemic placed considerable pressure on the health care systems and caused many disruptions to the care hospital system around the globe. This study aimed to analyze the performance of hospitals affiliated with the University of Medical Sciences and Health Services of South Khorasan Province before and during COVID-19.
Method:
This cross-sectional study tracked the financial performance (FP) and service performance (SP) of 12 hospitals affiliated with South Khorasan University of Medical Sciences and Health Services using the Farabar system and Hospital Information System (HIS). Our study covered two time periods: from February 2018 to February 2020 (pre-COVID-19) and from February 2020 to February 2021 (during COVID-19). SP analysis of hospitals was performed by examining the trend of monthly changes before and during the COVID-19 pandemic and analyzed using SPSS software version 22 and Paired Sample T-Test. FP of hospitals was analyzed through relevant ratios and analyzed using Microsoft Office Excel.
Results:
Most SP indicators decreased considerably in all hospitals during COVID-19. FP ratios (e.g., activity and leverage ratios) increased during either or both pre-COVID or COVID periods. Compared to before COVID-19, the operating margin ratio and operating expenses coverage from operating income increased from -0.50 and 66.55 to -1.42 and 41.32, respectively, during COVID-19. Moreover, the net profit margin ratio and Return On Assets (ROA) ratio were increased during COVID-19.
Conclusion:
COVID-19 has decreased the FP and SP of hospitals due to limitations in providing services to patients since the beginning of COVID-19. Measures such as providing various financing resources and improving the financial resilience of hospitals are essential. Funds should be disbursed to offset hospitals' losses due to reduced elective and outpatient revenue. Policymakers should come up with holistic policies to tackle the adverse impact of such crises in the future, support hospitals financially, and consider allocating additional funding to them during emergencies.
... Some studies in this eld have shown that transforming hospitals into COVID-19 centers has improved the managerial performance and control of the situation, helped to organize the conditions, and improved health team members' preparedness [34]. ...
Background
The outbreak of COVID-19 as a global crisis has required nurses, first-line providers of safe and quality care to patients with this disease, to have a high level of competence, which demands an acceptable level of knowledge, attitude, and performance. Therefore, this study was conducted to model the relationship between knowledge, attitude, and performance with the competence of nurses caring for patients with COVID-19 regarding crisis management.
Methods
This descriptive-correlational study was conducted on 291 hospital nurses using the structural equation modeling approach in three provinces of Iran, including Kerman, Hormozgan, and Fars, from June to December 2021. Data were collected via self-administered or electronic records and a questionnaire that provided information on demographics, knowledge, attitude, performance, and competence regarding crisis management. Data analysis was performed in SPSS and AMOS software and included descriptive and inferential statistics. Moreover, to test the proposed model of the relationship between knowledge, attitude, and performance with nurses’ competence, the structural equation modeling method was based on the covariance.
Results
The results showed that nurses’ mean knowledge, attitude, performance, and competence scores were average and higher. There was a statistically significant difference between nurses’ age and knowledge, attitude and performance; education level and performance; gender and knowledge and attitude; position and knowledge, attitude and performance; work experience and knowledge, attitude and competence (P < .05). Moreover, obstacles to upgrading their competence include a lack of expert personnel in the nursing field in crisis and organizational support, nurses’ limited role in crisis management and insufficient authorized educational resources. A positive and significant relationship between knowledge, attitude, and performance with nurses’ competencies is found (P < .05). Furthermore, the coefficient of determination of nurses’ competence in the modified structural model indicates that exogenous variables, namely knowledge, attitude, and performance, could predict 36% of the changes in nurses’ competence. Finally, the path coefficient of the effect of knowledge, attitude, and performance on nurses’ competence is higher than 1.96.
Conclusions
Nurses caring for patients with COVID-19 require managers’ comprehensive support and need to participate in exercises and maneuvers. Identifying and prioritizing educational needs and learning preferences according to nurses’ cultural differences and backgrounds are also emphasized.
... There is no effective and approved treatment for this respiratory infection. Prevention of other respiratory pathogen infec-tions would help decrease COVID-19 infection mortality (7,8). ...
: The COVID-19 pandemic has prompted researchers to find treatments and vaccines to control SARS-CoV-2. There are some hypotheses about the benefit of respiratory virus vaccines, like MMR, for COVID-19 pneumonia severity, morbidity, and mortality. The influenza vaccine is one of the most frequently used respiratory virus vaccines covered by one of the Iranian insurance institutes. We have a symmetrical group of participants that have received this vaccine that could be compared with each other. We compared 3,379 persons aged 20 - 75 years for the effect of the influenza vaccine on COVID-19 mortality. We ultimately found that it does not affect mortality caused by COVID-19 pneumonia, but it can decrease the hospitalization cost in people over 65 years with a history of chronic disease.
... The government injected financial aid into hospitals during the pandemic. In this regard, at the beginning of the pandemic, there was a shortage of personal protective equipment in hospitals; thus, MOHME purchased the equipment and made it available to hospitals [21]. More funding was also injected to high-prevalence provinces, and hospitals suffering from shortages of ICU beds. ...
Background
The “Coronavirus Disease 2019” (COVID-19) pandemic has become a major challenge for all healthcare systems worldwide, and besides generating a high toll of deaths, it has caused economic losses. Hospitals have played a key role in providing services to patients and the volume of hospital activities has been refocused on COVID-19 patients. Other activities have been limited/repurposed or even suspended and hospitals have been operating with reduced capacity. With the decrease in non-COVID-19 activities, their financial system and sustainability have been threatened, with hospitals facing shortage of financial resources. The aim of this study was to investigate the effects of COVID-19 on the revenues of public hospitals in Lorestan province in western Iran, as a case study.
Method
In this quasi-experimental study, we conducted the interrupted time series analysis to evaluate COVID-19 induced changes in monthly revenues of 18 public hospitals, from April 2018 to August 2021, in Lorestan, Iran. In doing so, public hospitals report their earnings to the University of Medical Sciences monthly; then, we collected this data through the finance office.
Results
Due to COVID-19, the revenues of public hospitals experienced an average monthly decrease of $172,636 thousand (P-value = 0.01232). For about 13 months, the trend of declining hospital revenues continued. However, after February 2021, a relatively stable increase could be observed, with patient admission and elective surgeries restrictions being lifted. The average monthly income of hospitals increased by $83,574 thousand.
Conclusion
COVID-19 has reduced the revenues of public hospitals, which have faced many problems due to the high costs they have incurred. During the crisis, lack of adequate fundings can damage healthcare service delivery, and policymakers should allocate resources to prevent potential shocks.
... Allocation and designation of special referral hospitals was an effective approach to manage COVID-19 patients during the early phases of the COVID-19. 31 Based on a survey in Jakarta, in addition to the deployment of primary interventions, such as handwashing, public education, patient screening, use of PPE, distancing and etc., referral specialized hospitals played a crucial role in the management of patients with COVID-19. 32 Adherence to infection control guidelines, employee movement control, immediate screening, patient isolation, and patient management have been highlighted as the main measures to control contagious diseases such as COVID-19 in hospital. ...
Objective
The COVID-19 outbreak is the most threatening public health challenge in the 21th century, and more than 200 countries are affected. Considering that Iran was one of the first countries influenced by the COVID-19 pandemic, this study aimed to explain the crisis management strategies during the COVID-19 pandemic in Ardabil province.
Methods
This study employed a qualitative method using content analysis in which 12 healthcare managers or decision makers involved in the management of the COVID-19 crisis were recruited through purposeful sampling. In-depth, semi-structured interviews were used to collect data which continued until data saturation.
Results
Data analysis led to 9 categories, including prior preparation for the COVID-19 crisis; challenges and management of workforce shortages; benefiting from the participation of volunteer staff; challenges and strategies for physical space, supplies, and PPE; designation of referral centers for COVID-19; protocolized patient transport; benefiting from donations and charity support; management of information about COVID-19; and learning from the prior stages of crisis.
Conclusion
This study revealed that in critical situations, managers use multiple and, to some extent, unique strategies for decision making and crisis control. Therefore, the health system can use the findings of the current study for proper response to similar crises and training of future managers.
... The emergence of Coronavirus Disease 2019 in China on December 2019 caused a pandemic around the world. 1 More than five million cases have been reported worldwide with 355,942 deaths by May 2020. 2 In Iran, the first confirmed positive case for COVID-19 was reported in Masih Daneshvari Hospital in Tehran on February 2020. 3 This novel virus can cause severe inflammation, respiratory tract infections and subsequent injury to the lungs. 4 The severity of COVID-19 cases varies from mild to severe pneumonia and thromboembolism events with high morbidity and mortality. ...
Coronavirus Disease 2019 (COVID-19) is a significant medical and public health problem in the world. It is believed that it can worsen in extreme conditions. Also, it is suggested that blood disorders such as sickle cell disease (SCD) may increase the risk of COVID-19 symptoms. The present study reports a family facing COVID-19, in which one of two members with SCD presented with fever, repeated cough and dizziness followed by acute chest syndrome leading to death. The remained members that had sickle cell trait manifested mild symptoms based on our findings. Although COVID-19 in individuals with SCD showed an increased risk for COVID19 compared with individuals with sickle cell trait, it seems that SCD cannot lead to worse condition in our patients.
... A novel pandemic was emerged in 2019 by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2); also, this novel pandemic called COVID-19 (1,2). SARS-CoV-2 mortality is currently computed in the range of 0.5-6% (3). ...
The recent prevalence of novel “coronavirus disease 2019” has expanded quickly globally, causing a universal pandemic. Herein, an effort was constructed to design a potent drug to inhibit the main protease of SARS-Cov-2 (3CLp) by means of structure-based drug design. A large library of the compounds was used for virtual screening. After molecular docking and ADME studies, we selected a compound with a better binding affinity to the 3CLp active site and acceptable ADME properties compared to the selected positive control drug. Molecular dynamic (MD) simulation (200 ns) and Molecular Mechanics–Poisson Boltzmann Surface Area (MM-PBSA) were used for further analysis. MD simulation outcomes have proved that the 3CLp-ZINC31157475 complex possesses a considerable value of dynamic properties such as flexibility, stability, compactness, and binding energy. Our MM-PBSA computation illustrates that ZINC31157475 is more potent (-88.03 kcal mol⁻¹) than nelfinavir (-19.54 kcal mol⁻¹) against COVID-19 3CLp.
Further, we have determined that the main residues of the 3CLp interact with ligands from per-residue binding energy. In conclusion, we suggest that ZINC31157475 can potentially treat COVID-19 by inhibition of the 3CLp. However, in-vitro and in-vivo study is essential for approval of this suggestion.
