Hospital management preparedness tools in biological events: A scoping review
نویسندگان
1 Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
2 National Emergency Medical Organization, Ministry of Health and Medical Education, Tehran, Iran
3 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Department of Clinical Science and Education, Karolinska Instituted, Stockholm, Sweden, Europe
4 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran, Health in Emergency and Disaster Research Center, Kerman University of Medical Sciences, Kerman, Iran
5 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
6 Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran
doi
چکیده
INTRODUCTION: The objective of the present study was to systematically review the current researchknowledge on hospital preparedness tools used in biological events and factors affecting hospitalpreparedness in such incidents in using a scoping review methodology.MATERIALS AND METHODS: The review process was conducted in accordance with the PreferredReporting Items for Systematic reviews and Meta‑Analyses extension for Scoping Reviewsguideline. Online databases (PubMed, Scopus, Web of Science, and Google Scholar) were used toidentify papers published that evaluated instruments or tools for hospital preparedness in biologicaldisasters (such as influenza, Ebola, and bioterrorism events). The search, article selection, and dataextraction were carried out by two researchers independently.RESULTS: A total of 3440 articles were screened, with 20 articles identified for final analysis. Themajority of research studies identified were conducted in the United States (45%) and were focusedon CBRN incident (20%), Ebola, infectious disease and bioterrorism events (15%), mass casualtyincidents and influenza pandemic (10%), public health emergency, SARS, and biological events (5%).Factors that were identified in the study to hospitals preparedness in biological events classified inseven areas including planning, surge capacity, communication, training and education, medicalmanagement, surveillance and standard operation process.CONCLUSIONS: Published evidences of hospital preparedness on biological events as well as theoverall quality of the psychometric properties of most studies were limited. The results of the currentscoping review could be used as a basis for designing and developing a standard assessmenttool for hospital preparedness in biological events, and it can also be used as a clear vision for thehealthcare managers and policymakers in their future plans to confront the challenges identified byhealthcare institutes in biologic events.
