Hospital-Based Preparedness Measures for CBRNE Disasters: A Systematic Review.

IF 2.3 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Environmental Health Insights Pub Date : 2024-10-07 eCollection Date: 2024-01-01 DOI:10.1177/11786302241288859
Eman S Qzih, Muayyad M Ahmad
{"title":"Hospital-Based Preparedness Measures for CBRNE Disasters: A Systematic Review.","authors":"Eman S Qzih, Muayyad M Ahmad","doi":"10.1177/11786302241288859","DOIUrl":null,"url":null,"abstract":"<p><p>Chemical, Biological, Radiological or Nuclear and Explosive (CBRNe) disasters have historically caused significant fatalities and posed global threats. The inadequate preparedness of hospital equipment for CBRNe incidents underscores the urgent need for hospitals to modernize and standardize their equipment to effectively manage these high-risk situations. The purpose of this systematic review was to examine hospital-based preparedness measures for CBRNe incidents. The PRISMA guidelines were followed for this review. A comprehensive search of English-language peer-reviewed literature from January 2010 to 2023 was conducted, identifying 2191 items from PubMed, ScienceDirect, EBSCO, and Google Scholar. The modified ROBINS-I instrument was used to assess bias, ensuring the reliability and validity of the studies. Data synthesis was conducted jointly by both authors. After eliminating duplicates and reviewing abstracts, 124 studies remained. Upon full-text examination, only 20 studies met the criteria for inclusion in this review. The review identified three key interrelated domains of preparedness: personal, technological, and structural measures. Most studies emphasized decontamination, Personal Protective Equipment (PPE), and detection, while the management of deceased bodies, transportation, and Points of Dispensing (PODs) were largely overlooked. These findings may assist hospital administrators and policymakers in enhancing their facilities' readiness for CBRNe emergencies.</p>","PeriodicalId":11827,"journal":{"name":"Environmental Health Insights","volume":null,"pages":null},"PeriodicalIF":2.3000,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11459511/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Environmental Health Insights","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/11786302241288859","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0

Abstract

Chemical, Biological, Radiological or Nuclear and Explosive (CBRNe) disasters have historically caused significant fatalities and posed global threats. The inadequate preparedness of hospital equipment for CBRNe incidents underscores the urgent need for hospitals to modernize and standardize their equipment to effectively manage these high-risk situations. The purpose of this systematic review was to examine hospital-based preparedness measures for CBRNe incidents. The PRISMA guidelines were followed for this review. A comprehensive search of English-language peer-reviewed literature from January 2010 to 2023 was conducted, identifying 2191 items from PubMed, ScienceDirect, EBSCO, and Google Scholar. The modified ROBINS-I instrument was used to assess bias, ensuring the reliability and validity of the studies. Data synthesis was conducted jointly by both authors. After eliminating duplicates and reviewing abstracts, 124 studies remained. Upon full-text examination, only 20 studies met the criteria for inclusion in this review. The review identified three key interrelated domains of preparedness: personal, technological, and structural measures. Most studies emphasized decontamination, Personal Protective Equipment (PPE), and detection, while the management of deceased bodies, transportation, and Points of Dispensing (PODs) were largely overlooked. These findings may assist hospital administrators and policymakers in enhancing their facilities' readiness for CBRNe emergencies.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
基于医院的 CBRNE 灾难准备措施:系统回顾。
化学、生物、辐射或核与爆炸(CBRNe)灾难历来造成重大人员伤亡,并对全球构成威胁。医院设备对 CBRNe 事件的准备不足突出表明,医院迫切需要对设备进行现代化和标准化,以有效管理这些高风险情况。本系统性综述旨在研究医院对化学、生物、辐射、核和爆炸事件的准备措施。本综述遵循 PRISMA 指南。我们对 2010 年 1 月至 2023 年的英文同行评审文献进行了全面检索,从 PubMed、ScienceDirect、EBSCO 和 Google Scholar 中识别出 2191 个条目。采用修改后的 ROBINS-I 工具评估偏差,确保研究的可靠性和有效性。数据综合由两位作者共同完成。在剔除重复的研究和审查摘要后,剩下 124 项研究。经全文检查,只有 20 项研究符合纳入本综述的标准。综述确定了三个相互关联的关键准备领域:个人、技术和结构措施。大多数研究都强调了消除污染、个人防护装备 (PPE) 和检测,而遗体管理、运输和配药点 (POD) 在很大程度上被忽视了。这些研究结果可能有助于医院管理者和政策制定者加强其设施对 CBRNe 紧急事件的准备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 去求助
来源期刊
Environmental Health Insights
Environmental Health Insights PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.20
自引率
22.20%
发文量
97
审稿时长
8 weeks
期刊最新文献
Particulates Matter: The Influence of Cumulative Local Air Pollution Exposure on Sixth-Grade Academic Achievement in California. Prevalence and Risk Factors of β-Lactamase Genes of Extended-Spectrum β-Lactamases-Producing Escherichia coli From Dairy Farm Environments of Haryana, India. Environmental Exposure Inequities Among Sexual and Gender Minority Populations in the United States: A Scoping Review. Microbial Contamination of Herbal Medicines in Africa, 2000-2024: A Systematic Review. Microbial Contamination and Meat Handling Practices in Hawassa City Butcher Shops, Ethiopia.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1