Abstract:Introduction: The management performance of hospitals in emergency departments in coping with clinical hazards is necessary for their success in providing quality services. The purpose of this study is to provide an optimization procedure and applying management performance in health and medical emergency on the rate of emergency preparedness of the suburb city hospitals. Research method: A semi-experimental and interventional descriptive study in the emergency department of Shahid Motahari Hospital in 2015-2016. Data was collected through the standard checklist of hospital emergency responsiveness test to WHO disasters with 90 questions in 9 domains which is codified by the World Health Organization, in the form of interviews and observing evidences , and if necessary a numerical analysis. Initially, the situation was measured according to this checklist. In the next stage, a set of solutions was developed and then the solutions were implemented according to the obtained information. Data analysis before and after proposing the procedure and its application in order to improve the quality of health management performance and emergency preparedness was performed using central indices, and for describing and presenting the survey results, tables and graphs were used. Results: The highest and lowest emergency preparedness rates for disasters and emergencies before the proposed procedure were the Communication Factor (%77/8) and Human resource factor (%2/8) respectively. The degree of preparedness of the medical center was measured in the management performance according to the model (WHO) before proposing the procedure (%77.98). The researcher's procedure provided and applied based on the information obtained from survey environment, location and type of hospital structure. After providing the procedure, the maximum and minimum rates were the continuity of service factor (%58.3) and post-accident rebuilding factor (%100), respectively. Generally, the rate

Background: Hospitals, especially their emergency departments, are among the first health systems affected by accidents and disasters. Because of its nature and obligation to provide the highest quality services, this department should have protocols for coordination and interaction with other departments and be fully prepared in critical situations. This study aims to evaluate the disaster preparedness of the Emergency Department of Shahid Motahari Hospital in Isfahan Province, Iran. Materials and Methods: This research is an applied descriptive study conducted in Shahid Motahari Hospital in Fooladshahr City, Isfahan Province, Iran. The study data were collected using the Persian version of the World Health Organization’s Hospital Emergency Response Checklist completed through interview and document analysis. The checklist consists of 90 items and 9 domains, including command and control (7 items), communications (9 items), safety and security (11 items), triage (10 items), surge capacity (13 items), continuity of essential services (8 items), human resources (15 items), logistics and supply management (10 items) and post-disaster recovery (7 items). The obtained data were analyzed in SPSS using descriptive statistics over 4 months. Results: The disaster preparedness of the Emergency Department of the Hospital was poor in the human resources domain and good in the communication domain. Conclusion: The disaster preparedness of the study hospital is at a moderate level. Planning and implementation of practical measures such as holding crisis management courses, establishing a crisis management team, estimating necessary resources, changing the structure, providing human resources for more accurate control and ease of service delivery, maintaining and rapid repairing of equipment, timely triage, and retrofitting hospitals can play an effective role in improving the disaster preparedness of the study emergency department.