Milad Ahmadi Marzaleh1, Rita Rezaee2, Abbas Rezaianzadeh3, Mahnaz Rakhshan4, Gholamhassan Haddadi5,6, Mahmoudreza Peyravi7. 1. Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran. 2. Health Human Resource Development Research Center, Department of Health Information Management, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran. 3. School of Health, Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran. 4. Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran. 5. School of Paramedical, Department of Radiology , Shiraz University of Medical Sciences, Shiraz, Iran. 6. Ionizing and Nonionizing Radiation Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. 7. Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran.
Abstract
OBJECTIVE: To develop a national model for hospitals' Emergency Department (ED) preparedness when facing radiation and nuclear incidents as well as nuclear terrorism in Iran. METHODS: This analytical study was carried out in 2019 via Delphi technique in two rounds and prioritization using a pairwise questionnaire. Using classic Delphi technique and pairwise comparison, the components were given to 32 specialists in emergency medicine, nuclear medicine, medical physics, nuclear physics, radiobiology and radiation protection, health in disaster and emergency, and passive defense. Finally, the national model was developed by holding two focus group sessions. RESULTS: The results from the two rounds of Delphi technique showed that 31 factors of preparedness were classified into three main classes, namely staff, stuff, and structure (system). Only three factors were excluded and the rest were agreed upon by the specialists. Given the weight of each class, it was found that staff preparedness and stuff preparedness had the highest and lowest priorities, respectively. CONCLUSION: Comprehensive preparedness requires enhancing and promoting cultural, social, economic, and political levels. Indeed, all preparedness levels should be promoted in alignment with each other. Hence, governments should align their policies to manage such incidents.
OBJECTIVE: To develop a national model for hospitals' Emergency Department (ED) preparedness when facing radiation and nuclear incidents as well as nuclear terrorism in Iran. METHODS: This analytical study was carried out in 2019 via Delphi technique in two rounds and prioritization using a pairwise questionnaire. Using classic Delphi technique and pairwise comparison, the components were given to 32 specialists in emergency medicine, nuclear medicine, medical physics, nuclear physics, radiobiology and radiation protection, health in disaster and emergency, and passive defense. Finally, the national model was developed by holding two focus group sessions. RESULTS: The results from the two rounds of Delphi technique showed that 31 factors of preparedness were classified into three main classes, namely staff, stuff, and structure (system). Only three factors were excluded and the rest were agreed upon by the specialists. Given the weight of each class, it was found that staff preparedness and stuff preparedness had the highest and lowest priorities, respectively. CONCLUSION: Comprehensive preparedness requires enhancing and promoting cultural, social, economic, and political levels. Indeed, all preparedness levels should be promoted in alignment with each other. Hence, governments should align their policies to manage such incidents.
Authors: John L Hick; David M Weinstock; C Norman Coleman; Dan Hanfling; Stephen Cantrill; Irwin Redlener; Judith L Bader; Paula Murrain-Hill; Ann R Knebel Journal: Disaster Med Public Health Prep Date: 2011-03 Impact factor: 1.385
Authors: Jerrold T Bushberg; Linda A Kroger; Marcia B Hartman; Edwin M Leidholdt; Kenneth L Miller; Robert Derlet; Cheryl Wraa Journal: J Emerg Med Date: 2007-01 Impact factor: 1.484