Volume 20, Issue 1 (2023)                   ioh 2023, 20(1): 178-193 | Back to browse issues page

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Shakiba Z, Farshad A A, Alimohamadi I, Hassanzadeh-Rangi N, Khosravi Y. CAUSATION OF FIRE ACCIDENT IN MEDICAL CENTERS: LEARNING FROM THE ACCIDENT IN SINA MEHR MEDICAL CLINIC IN TEHRAN (JUNE 30, 2020). ioh 2023; 20 (1) :178-193
URL: http://ioh.iums.ac.ir/article-1-3428-en.html
Department of Occupational Health and Safety Engineering, School of Health, Non-communicable Diseases Research Center, Research Center for Health, Safety and Environment, Alborz University of Medical Sciences, Karaj, Iran , yakhosravi@yahoo.com
Abstract:   (608 Views)
Background and aims:
Little is known about the causes and contributing factors of fire accidents in medical centers, like the fire accident in Sina Mehr medical clinic in Tehran on June 30, 2020 (19 killed and 14 injured). This study aims to analyze the causes and contributing factors of fire accidents in medical centers to prevent similar accidents.

Methods: We used literature review, official reports, regulations, and interviews with experts for data collection. Partial and holistic thematic analysis approaches were used to extract causes and causal factors. Fish Bone (FB), Bow Tie (BT), and Swiss Cheese Model (SCM) were used in open and axial coding of causes and causal factors, and extracting logical sequences of events and consequences of accidents. To confirm the findings, we used expert opinion.
Results: We identified 174 causal factors by open coding and 17 causal factor categories by axial coding. FB and SC were evaluated as efficient in the inductive classification of incident sub-systems. BT was able to help in presenting the system components and the logical relationships between them, drawing the time sequence, and providing control suggestions in an inductive and deductive approach.
Conclusion: Latent failures in management and supervision in issuing building and operation licenses and in occupational health and safety take medical centers to the edge of accidents. It leads to active failures in fire control and emergency response. Finally, it causes mishaps, like the fire accident in Sina Mehr medical clinic in Tehran. New accident models are useful for identifying factors that cause fire accidents and providing practical interventions for medical centers.

Full-Text [PDF 3195 kb]   (166 Downloads)    
Type of Study: Applicable | Subject: Safety
Received: 2022/07/17 | Accepted: 2023/01/30 | Published: 2023/03/30

1. Setyawan H, Qodrijati I, Widjanarti M, Rinawati S, Atmojo T, Fajariani R, et al., editors. The impact of hot work climate on textile industry productivity. IOP Conference Series: Earth and Environmental Science; 2018: IOP Publishing. [DOI:10.1088/1755-1315/200/1/012053]
2. Lu S, Mei P, Wang J, Zhang H. Fatality and influence factors in high-casualty fires: A correspondence analysis. Safety science. 2012;50(4):1019-33. [DOI:10.1016/j.ssci.2011.12.006]
3. Aslani AM, Habibi E. Evaluation of the risk of fire by the FRAME method and survey of the effect of crisis management team, on the level of fire risk at a university hospital during year 2017. Health Scope. 2019;8(1). [DOI:10.5812/jhealthscope.68151]
4. Campbell R. Structure fires in health care facilities. NFPA, Quincy, MA. 2017;8.
5. Leveson N. A systems approach to risk management through leading safety indicators. Reliability engineering & system safety. 2015;136:17-34. [DOI:10.1016/j.ress.2014.10.008]
6. Rahmani A, Salem M. Fire risk assessment in high-rise hopitalls in accordance with NFPA 101. Revista Latinoamericana de Hipertension. 2018;13(3):242-5.
7. Sarsangi V, Saberi H, Malakutikhah M, Sadeghnia M, Rahimizadeh A, Aboee Mehrizi E. Analyzing the risk of fire in a hospital complex by "fire risk assessment method for engineering"(FRAME). International Archives of Health Sciences. 2014;1(1):9-13.
8. Martiana T, Wahyudiono YDA. Fire risk Analysis with Fishbone Analysis Method in Surabaya Hospital. Indian Journal of Public Health Research and Development. 2018;9(3):195-9. [DOI:10.5958/0976-5506.2018.00208.5]
9. Omidvari F, Jahangiri M, Mehryar R, Alimohammadlou M, Kamalinia M. Fire risk assessment in healthcare settings: application of FMEA combined with multi‐criteria decision making methods. Mathematical Problems in Engineering. 2020;2020. [DOI:10.1155/2020/8913497]
10. Juran JM, De Feo JA. Juran's quality handbook: the complete guide to performance excellence: McGraw-Hill Education; 2010.
11. Wujie J, Le J, Cheng Z. Analyzing and predicting railway operational accidents based on fishbone diagram and Bayesian networks. Tehnički vjesnik. 2022;29(2):542-52. [DOI:10.17559/TV-20211102092922]
12. Puthillath B, Marath B, Ayappan BC. Analyzing the cause of human electrical accidents using Swiss Cheese model. Vilakshan-XIMB Journal of Management. 2021. [DOI:10.1108/XJM-01-2021-0004]
13. Mohamed HY, El Shafey AM, Mahmoud LAAA, EL Zeney RS, Abo Bkr AY, Idris AM, et al. Implementation of Fire Safety Using Quality Protocols in Port Said Private Hospital. Medicine Updates. 2021;5(5):31-59. [DOI:10.21608/muj.2021.61475.1041]
14. Asilian-Mahabadi H, Khosravi Y, Hassanzadeh-Rangi N, Hajizadeh E, Behzadan AH. A qualitative investigation of factors influencing unsafe work behaviors on construction projects. Work. 2018;61(2):281-93. [DOI:10.3233/WOR-182799]
15. Primrose M, Bentley P, van der Graaf G, Sykes R, editors. The HSE Management System in Practice-lmplementation. SPE Health, Safety and Environment in Oil and Gas Exploration and Production Conference; 1996: OnePetro. [DOI:10.2118/35826-MS]
16. Borgheipour H, Tehrani G, Eskandari T, Mohammadieh O, Mohammadfam I. Dynamic risk analysis of hydrogen gas leakage using Bow-tie technique and Bayesian network. International Journal of Environmental Science and Technology. 2021;18(11):3613-24. [DOI:10.1007/s13762-020-03090-4]
17. Reason J. Human error: Cambridge university press; 1990. [DOI:10.1017/CBO9781139062367]
18. Reason J. Managing the risks of organizational accidents: Routledge; 2016. [DOI:10.4324/9781315543543]
19. Loredana EM. The analysis of causes and effects of a phenomenon by means of the "fishbone" diagram. Analele Universităţii Constantin Brâncuşi Din Târgu Jiu: Seria Economie. 2017;1(5):97-103.
20. Beheshti M, Hajizadeh R, Rahat R, HOSSEIN AZF, Davoodi A. Investigation of the most important direct cause of occupational accidents based on the Pareto Chart. 2015.
21. Hosseini Kebria SS, Mohammadi Golafshani E. Predicting the occupational accidents of Tehran's oil Refinery based on HSE using fuzzy logic model. Iran Occupational Health. 2014;11(6):43-54.
22. Wang J, Yan M. Application of an improved model for accident analysis: a case study. International journal of environmental research and public health. 2019;16(15):2756. [DOI:10.3390/ijerph16152756]
23. Zhang Y, Shao W, Zhang M, Li H, Yin S, Xu Y. Analysis 320 coal mine accidents using structural equation modeling with unsafe conditions of the rules and regulations as exogenous variables. Accident Analysis & Prevention. 2016;92:189-201. [DOI:10.1016/j.aap.2016.02.021]
24. Bryant A, Charmaz K. The SAGE handbook of current developments in grounded theory: Sage; 2019. [DOI:10.4135/9781526485656]
25. Strauss AL. Qualitative analysis for social scientists: Cambridge university press; 1987. [DOI:10.1017/CBO9780511557842]
26. Yuan X, Sun M, Wang C, Zhu X. Full temperature range study of rice husk bio-oil distillation: Distillation characteristics and product distribution. Separation and Purification Technology. 2021;263:118382. [DOI:10.1016/j.seppur.2021.118382]
27. Rafi MM, Wasiuddin S, Siddiqui SH. Assessment of fire hazard in Pakistan. Disaster Prevention and Management: An International Journal. 2012.
28. Luo Y, Huang S, Cao S. Application of improved fishbone diagram in the Operation Management. INDUSTRIAL ENGINEERING JOURNAL-GUANGZOU-. 2007;10(2):138.
29. Sunindijo RY, Lestari F, Wijaya O. Hospital safety index: assessing the readiness and resiliency of hospitals in Indonesia. Facilities. 2019. [DOI:10.1108/F-12-2018-0149]
30. Ong WC, Suleiman Z. Problems in implementation of fire safety management in Malaysia government hospital. Advances in Environmental Biology. 2015:47-51.
31. Pal I, Ghosh T. Fire incident at AMRI hospital, Kolkata (India): a real time assessment for urban fire. journal of Business Management & social sciences research. 2014;3(1):9-13.
32. Ghani MSM, Yi WZ, editors. Implementation of Swiss Cheese for UniKL MIAT hangar. IOP Conference Series: Materials Science and Engineering; 2018: IOP Publishing.
33. Labrague LJ, Yboa BC, McEnroe-Petitte DM, Lobrino LR, Brennan MGB. Disaster preparedness in Philippine nurses. Journal of nursing scholarship. 2016;48(1):98-105. [DOI:10.1111/jnu.12186]
34. Ding L, Khan F, Ji J. Risk-based safety measure allocation to prevent and mitigate storage fire hazards. Process safety and environmental protection. 2020;135:282-93. [DOI:10.1016/j.psep.2020.01.008]
35. McLeod RW, Bowie P. Bowtie Analysis as a prospective risk assessment technique in primary healthcare. Policy and Practice in Health and Safety. 2018 Jul 3;16(2):177-93. [DOI:10.1080/14773996.2018.1466460]

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