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Hospital Preparedness Plans for Chemical Incidents and Threats: A Systematic Review

Published online by Cambridge University Press:  15 October 2019

Parisa Moradi Majd ,
Hesam Seyedin ,
Hasan Bagheri  and
Nader Tavakoli
Parisa Moradi Majd
Affiliation:
PhD candidate in Health in Emergency and Disasters, Department of Health in Emergency and Disasters, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran
Hesam Seyedin*
Affiliation:
Associate professor, Health Management and Economics Research Center, Department of Health in Emergency and Disasters, School of Health Management and Information Science, Iran University of Medical Sciences, Tehran, Iran
Hasan Bagheri
Affiliation:
Chemical Injuries Research Center, Systems Biology and Poisoning Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran
Nader Tavakoli
Affiliation:
Associate Professor of Emergency Medicine, Trauma and Injury Research Centre, Iran University of Medical Sciences, Tehran, Iran
*
Correspondence and reprint requests to Hesam Seyedin, School of health management and information science, Iran University of Medical Sciences, Tehran, IR Iran (e-mail: h.seyedin@iums.ac.ir)
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Abstract

In a wide range of events, people may be acutely exposured to chemical substances. Particular hospital preparedness plans and vital resources are essential for appropriate health-care measures. The present study aimed to conduct a systematic review to summarize and evaluate the existing evidence on hospital preparedness plans or protocols against chemical incidents and threats. In this aim, through May 15, 2018, 5 electronic databases were searched in MEDLINE (PubMed, Scopus, Web of Science, Cochrane Library, and Google Scholar) for the following key words: hospital preparedness, plan, protocol, chemical incident, and chemical threat. The final review included 11 peer-reviewed papers that met inclusion criteria. The systematic review was performed using the Preferred Reporting Items for the Systematic reviews and Meta-Analysis protocol (PRISMA) (www.prisma-statement.org). Finally, of 16,540 selected papers, 11 papers were included in the final analysis. The thematic analyses revealed 11 major categories of chemical incidents and threats planning, such as planning requirements, planning prerequisites, preparation team member (multidisciplinary team), decontamination, personal protective equipment, education and training, job descriptions and roles, communication, database, staff /volunteer organization, as well as planning barriers and challenges for chemical incidents. Most countries have launched hospital preparedness planning against chemical incidents and threat activities, but the preparedness of hospitals is often less than desirable. Many items, such as databases, hospital preparation team members, communications, etc., are still challenging.

Keywords

chemical incidentchemical threathospital preparednessplanprotocol
Type
Systematic Review
Information
Disaster Medicine and Public Health Preparedness , Volume 14 , Issue 4 , August 2020 , pp. 477 - 485
Copyright
© 2019 Society for Disaster Medicine and Public Health, Inc.

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