Hospital preparedness and response in CBRN emergencies: TIER assessment tool

Carlo Olivieri, Pier L. Ingrassia, Francesco Della Corte, Luca Carenzo, Jean Marc Sapori, Laurent Gabilly, Fredrique Segond, Fiene Grieger, Philippe Arnod-Prin, Xabier Larrucea, Chrisitan Violi, Cédric Lopez, Ahmadreza Djalali*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    36 Citations (Scopus)

    Abstract

    Introduction Chemical, biological, radiological, and nuclear (CBRN) emergencies need particular hospital preparedness and resources availability. Also, specific skills and capabilities are required for efficient response to these types of events. The aim of this study was to develop an assessment tool to evaluate hospital preparedness and response performance with respect to CBRN emergencies. Methods An evaluation tool was developed using the Delphi technique. A panel of experts from 10 countries, both European and non-European, with more than 5 years of experience in research or practice in CBRN emergency management was involved in this study. The study was run online, and the experts were asked to evaluate a list of items on hospital preparedness and response in CBRN emergencies. A threshold of 85% agreement level was defined as the consensus of experts in this study. Results The first-round questionnaire was answered by 13 experts. Consensus on the preparedness section was reached for all 29 items during the first round and one item was also added by the experts. Consensus on the response performance indicators were reached in 51 out of the 59 items, during the first round, and eight items were modified and then approved in the second round by the experts. Conclusion Hospitals need a specific level of preparedness to enable an effective response to CBRN emergencies. The assessment tool, developed through experts' consensus in this study, provides a standardized method for the evaluation of hospital preparedness and response performance with respect to CBRN emergencies. The feasibility and reliability of this assessment tool could be evaluated before and during simulated exercises in a standardized manner.

    Original languageEnglish
    Pages (from-to)366-370
    Number of pages5
    JournalEuropean Journal of Emergency Medicine
    Volume24
    Issue number5
    DOIs
    Publication statusPublished - 2017

    Keywords

    • and nuclear emergency
    • biological
    • chemical
    • emergency
    • hospital
    • indicator
    • performance
    • preparedness
    • radiological
    • response

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