Explanation of a process-based model for crisis medicine: a qualitative study

Background: The goal of crisis medicine management is to provide uniform ways to encounter with, interfere and renovation in the case of disasters in health system. With regard to the importance of hospitals’ awareness against crisis, the present study has tried to explain a process based model for crisis medicine to prevent inter- and intra- hospital incidents and minimize the resulting physical and financial damages of crisis. Materials and methods: The study was a qualitative research with a grounded theory approach. The population of the study was purposefully selected from medical and non-medical employees of Tohid Hospital (Boushehr, Iran) through a deep interview. The participants included 20 medical staffs, 10 department supervisors and five experts in crisis management. The data collection performed until data saturation was achieved. Data analysis was performed using coding (open, axis and selective coding). The credibility was confirmed through plausibility, transformability, reliability and verifiability. Results: The components of crisis medicine management process are: risk assessment, resource evaluation, planning (prevention, preparation, coping, and recovery), process effectiveness, process upgrade that designed in a nine steps concept model. Conclusion: To succeed in planning of crisis medicine management in hospitals, a systematic approach is needed. Process-based management of crisis medicine is a regular, transparent, measurable and monitorable method that is recommended for improvement in crisis medicine.