بررسی چالش‌های مدیران بیمارستان‌های خصوصی شهر تهران در رویارویی با مسائل امنیتی
محورهای موضوعی : -مدیریت اطلاعات بهداشتی و درمانی
مهدی گودرزی
1
(- کارشناسی ارشد رشته مهندسی بهداشت، ایمنی و محیط زیست، دانشکده جغرافیا و محیط زیست، دانشگاه آزاد اسلامی واحد الکترونیکی، تهران، ایران
- مرکز تحقیقات باروری و ناباروری صارم، بیمارستان فوق تخصصی صارم، دانشگاه علوم پزشکی ایران، تهران، ایران)
پوران رئیسی
2
(استاد، دانشگاه علوم پزشکی ایران، دانشکده مدیریت و اطلاع رسانی پزشکی، گروه مدیریت خدمات بهداشتی درمانی، تهران، ایران)
کلید واژه: امنیت اجتماعی, امنیت اطلاعات, امنیت فیزیکی, امنیت در بیمارستان,
چکیده مقاله :
مقدمه: مبحث امنیت از منظر تأمین امنیت کارکنان و بیماران بیمارستان، اهمیت بالایی دارد. در این پژوهش سعی شده است که امنیت در بیمارستان‌ها از سه جنبه (امنیت فیزیکی، امنیت اجتماعی و امنیت اطلاعاتی) مورد بررسی قرار گیرد و چالش‌های پیش‌رو شناسایی گردد. روش پژوهش: این مطالعه طی دو مرحله‌ی کیفی-موردی و کمی و با روش میدانی-پیمایشی بود. در بخش کیفی، با استفاده از روش نمونه گیری هدفمند و روش گلوله برفی 14 نفر از خبرگان این حوزه (مدیران و مسئولان امنیتی بیمارستان ها) در بین جامعه آماری شناسایی شدند و به صورت مصاحبه نیمه ساختارمند با آنها مصاحبه شد. با استفاده از یافته‌های مرحله قبل در مرحله کمی، پرسشنامه‌ای بسته با مقیاس 5 گزینه‌ای لیکرت طراحی گردید و برای تعیین نمونه آماری از روش نمونه گیری تصادفی استفاده شد. تعداد جامعه آماری این مرحله 35 نفر بود. داده‌های به دست آمده با استفاده از شاخص‌های آمار توصیفی و با نرم افزار SPSS تحلیل شد. یافته‌ها: با طراحی پرسشنامه مشخص شد که وجود وسایل مقابله با شرایط اضطراری و ایمن بودن اسناد کاغذی حساس در بعد امنیت فیزیکی، آموزش حفاظت فیزیکی کارکنان حراست و خشونت جسمی برای پرستاران در بعد امنیت اجتماعی، به روز رسانی آنتی ویروس‌ها، کنترل ورودی و خروجی‌های بیمارستان، محدود سازی دسترسی به شبکه و ذخیره سازی دوربین‌ها در بعد امنیت اطلاعات در بیمارستان بیشترین تاثیر داشتند. نتیجه‌گیری: ایجاد زیرساخت های لازم جهت فراهم کردن سیستم امنیتی-فیزیکی و تجهیز شبکه نظارتی می‌تواند در حفظ امنیت فیزیکی، اجتماعی و اطلاعاتی موثر باشد.
Introduction: The issue of security is very important from the perspective of ensuring the safety of hospital staff and patients. In this study, we have tried to study security in hospitals from three aspects (physical security, social security and information security) and identify the leading challenges. Methods: This study was conducted in two stages: qualitative-case and quantitative and with field-survey method. In the qualitative section, using targeted sampling method and snowball method, 14 experts in this field (managers and security officials of hospitals) were identified among the statistical population and interviewed in a semi-structured interview. Using the findings of the previous stage in the quantitative stage, a closed questionnaire with a 5-point Likert scale was designed and random sampling method was used to determine the statistical sample. The statistical population of this stage was 35 people. The obtained data were analyzed using descriptive statistics and SPSS software. Results: By designing the questionnaire, it was found that the existence of emergency response equipment and the safety of sensitive paper documents in the field of physical security, physical protection training for security guards and physical violence for nurses in the field of social security, antivirus updates, hospital entry and exit control, Restricting network access and storing cameras had the greatest impact on information security in the hospital. Conclusion: Creating the necessary infrastructure to provide a physical security system and equipping the surveillance network can be effective in maintaining physical, social and information security.
1- Mirarab M. A look at the concept of security. Political Science. 2000;3(9):133-42.
2- Hendiani AA. Conceptual changes of security in security environments danesh-e-entezami, 2007; 9(3 (35)): 9-30.
3- McCrie RD. A history of security. The handbook of security; 2006: 21-44.
4- darroudi M, Tajbakhsh S. The concept of human security and its Policy Implications. Strategic Studies of public policy, 2018; 8(28): 367-74.
5- Yari H, Hezar Jaribi J. The Relationship between Sense of Security and Social Trust among kermanshah Citizens. Strategic Research on Social Problems in Iran, 2012; 1(4): 39-58.
6- Dorneshan N, Rostam pour K. Safety characteristics in medical environments. International confrence on research in science and technology: undefined; 2017.
7- Towards health security. A discussion paper on recent health crises in the WHO European Region; 2007.
8- Stoeva P. Dimensions of health security—A conceptual analysis. Global challenges, 2020; 4(10): 1700003.
9- Nadighara AA, Abedi G, Abedi E, Rostami F. Designing and Validating a Scale to Measure the Sense of Security in Hospitalized Patients. Journal of Mazandaran University of Medical Sciences, 2016; 26(139): 178-89.
10- Nibbelink S. Hospitals Meet SecurityChallenges with Integrated Security and Facility Solutions, white paper; 2012.
11- Nkwana M. Safety and security risks, threats and responsibilities for security providers and officers at hospitals. Servamus Community-based Safety and Security Magazine, 2017; 110(1): 32-3.
12- Boparai JK, Singh S, Kathuria P. How to design and validate a questionnaire: a guide. Current clinical pharmacology, 2018; 13(4): 210-5.
13- Lawshe CH. A quantitative approach to content validity. Personnel psychology, 1975; 28(4): 563-75.
14- Waltz CF, Bausell BR. Nursing research: design statistics and computer analysis: Davis Fa; 1981.
15- Healthcare Crime Survey [Internet]. IAHSS Foundation; 2019.
16- Norouzzadeh A, Alimohammadzadeh K. Relationship Bbetween Social Skills and Social health; the Aadjusting Role of Social Support for Employee’s and Nurses of Guilan Health Network. Journal of healthcare management, 2021; 12(2): 31-43.
17- Borzabadi farahani A. Management of poperties physical protection (Set of protection skills(third, editor: Yellow Publication; 2012: 136.
18- Yazdanpanah M, Jafarzadeh S, Nakhaee N, Kamyabi A, Amiresmaili M. Evaluation of the Ratio of Human Resources to the Amount of Services Provided in Hospitals of Kerman Province. Health_Based Research, 2018; 4(1): 95-108.
19- Desai S. The new stars of CCTV: what is the purpose of monitoring patients in communal areas of psychiatric hospital wards, bedrooms and seclusion rooms? Diversity in Health and Care, 2009; 6(1): 45-53.
20- Maleki MR, Shojaie p. Hospitals preparation in disasters: security. journal of health administration, 2007; 10(28): 65-70.
21- Sabzghabaie A, Kondori A, Shojaee M, Hatamabadi HR, Amini A, komrani A. Hospital safety in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2011-2013. pajoohande, 2013; 18(2): 83-7.
22- Jalali MS, Kaiser JP. Cybersecurity in hospitals: a systematic, organizational perspective. Journal of medical Internet research, 2018; 20(5): e10059.
23- Meidani Z, Assari MA, Mosavi GA, Ataei Andezag A. Evaluation Of Hospital Information Systems Security. Health information management, 1396; 14(5 (57)): 187-93.
24- Al-umaran S. Culture Dimensions of Information Systems Security in Saudi Arabia National Health Services; 2015.
_||_1- Mirarab M. A look at the concept of security. Political Science. 2000;3(9):133-42.
2- Hendiani AA. Conceptual changes of security in security environments danesh-e-entezami, 2007; 9(3 (35)): 9-30.
3- McCrie RD. A history of security. The handbook of security; 2006: 21-44.
4- darroudi M, Tajbakhsh S. The concept of human security and its Policy Implications. Strategic Studies of public policy, 2018; 8(28): 367-74.
5- Yari H, Hezar Jaribi J. The Relationship between Sense of Security and Social Trust among kermanshah Citizens. Strategic Research on Social Problems in Iran, 2012; 1(4): 39-58.
6- Dorneshan N, Rostam pour K. Safety characteristics in medical environments. International confrence on research in science and technology: undefined; 2017.
7- Towards health security. A discussion paper on recent health crises in the WHO European Region; 2007.
8- Stoeva P. Dimensions of health security—A conceptual analysis. Global challenges, 2020; 4(10): 1700003.
9- Nadighara AA, Abedi G, Abedi E, Rostami F. Designing and Validating a Scale to Measure the Sense of Security in Hospitalized Patients. Journal of Mazandaran University of Medical Sciences, 2016; 26(139): 178-89.
10- Nibbelink S. Hospitals Meet SecurityChallenges with Integrated Security and Facility Solutions, white paper; 2012.
11- Nkwana M. Safety and security risks, threats and responsibilities for security providers and officers at hospitals. Servamus Community-based Safety and Security Magazine, 2017; 110(1): 32-3.
12- Boparai JK, Singh S, Kathuria P. How to design and validate a questionnaire: a guide. Current clinical pharmacology, 2018; 13(4): 210-5.
13- Lawshe CH. A quantitative approach to content validity. Personnel psychology, 1975; 28(4): 563-75.
14- Waltz CF, Bausell BR. Nursing research: design statistics and computer analysis: Davis Fa; 1981.
15- Healthcare Crime Survey [Internet]. IAHSS Foundation; 2019.
16- Norouzzadeh A, Alimohammadzadeh K. Relationship Bbetween Social Skills and Social health; the Aadjusting Role of Social Support for Employee’s and Nurses of Guilan Health Network. Journal of healthcare management, 2021; 12(2): 31-43.
17- Borzabadi farahani A. Management of poperties physical protection (Set of protection skills(third, editor: Yellow Publication; 2012: 136.
18- Yazdanpanah M, Jafarzadeh S, Nakhaee N, Kamyabi A, Amiresmaili M. Evaluation of the Ratio of Human Resources to the Amount of Services Provided in Hospitals of Kerman Province. Health_Based Research, 2018; 4(1): 95-108.
19- Desai S. The new stars of CCTV: what is the purpose of monitoring patients in communal areas of psychiatric hospital wards, bedrooms and seclusion rooms? Diversity in Health and Care, 2009; 6(1): 45-53.
20- Maleki MR, Shojaie p. Hospitals preparation in disasters: security. journal of health administration, 2007; 10(28): 65-70.
21- Sabzghabaie A, Kondori A, Shojaee M, Hatamabadi HR, Amini A, komrani A. Hospital safety in hospitals affiliated with Shahid Beheshti University of Medical Sciences in 2011-2013. pajoohande, 2013; 18(2): 83-7.
22- Jalali MS, Kaiser JP. Cybersecurity in hospitals: a systematic, organizational perspective. Journal of medical Internet research, 2018; 20(5): e10059.
23- Meidani Z, Assari MA, Mosavi GA, Ataei Andezag A. Evaluation Of Hospital Information Systems Security. Health information management, 1396; 14(5 (57)): 187-93.
24- Al-umaran S. Culture Dimensions of Information Systems Security in Saudi Arabia National Health Services; 2015.