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2015 Estimation of Hospitals Safety from Disasters in I.R.Iran: The Results from the Assessment of 421 Hospitals.

PLoS One · 2016 · PMC5014380 · PMID 27602564

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an increasing trendno p-value reported
An increasing trend of all safety components can be seen.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.