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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

Information

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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References

REFERENCES

Khanke, H. Hospital Preparedness in Incidents and Disasters: Country Program. Tehran, Iran: University of Social Welfare and Rehabilitation Sciences; 2014. [in Persian].Google Scholar
Yarmohammadian, MH, Nasr-Isfahani, M, Anbari, E. Assessment of preparedness and response of teaching hospitals of Isfahan, Iran, to chemical, biological, radiological, and nuclear incidents. Healthc Inf Manage. 2016;12(6):777-784 [in Persian].Google Scholar
Seyedin, H, Dolatabadi, ZA, Rajabifard, F. Emergency nurses’ requirements for disaster preparedness. Trauma Mon. 2015;20(4):e29033.CrossRefGoogle ScholarPubMed
Emergency Disasters Data Base. The EM-DAT classification. Centre for Research on the Epidemiology of Disasters (CRED); 2017. http://www.Emdat.%20Be/classification. Accessed September 14, 2019.Google Scholar
Bennett, RL. Chemical or biological terrorist attacks: an analysis of the preparedness of hospitals for managing victims affected by chemical or biological weapons of mass destruction. Int J Environ Res Public Health. 2006;3(1):67-75.CrossRefGoogle ScholarPubMed
Tan, GA, Fitzgerald, MC. Chemical-biological-radiological (CBR) response: a template for hospital emergency departments. Med J Aust. 2002;177(4):196-199.CrossRefGoogle ScholarPubMed
Moore, BL, Geller, RJ, Clark, C. Hospital preparedness for chemical and radiological disasters. Emerg Med Clin North Am. 2015;33(1):37-49.CrossRefGoogle ScholarPubMed
DeBacker, M. Hospital preparedness for incidents with chemical agents. Int J Disaster Med. 2003;1(1):42-50.CrossRefGoogle Scholar
Schulatz, CH, Koenig, KL. Koenig and Schultz’s Disaster Medicine: Comprehensive Principles and Practices. 2nd ed. Cambridge, UK: Cambridge University Press; 2016.Google Scholar
Barelli, A, Biondi, I, Soave, M, et al. The comprehensive medical preparedness in chemical emergencies: the chain of chemical survival. Eur J Emerg Med. 2008;15(2):110-118.CrossRefGoogle ScholarPubMed
De Marchi, B, Funtowicz, S, Ravetz, J. Seveso: a paradoxical classic disaster. In: Mitchell, JK, ed. The long road to recovery: Community responses to industrial disaster. Tokyo: United Nations University Press; 1996;926:86.Google Scholar
Blacconiere, WG, Patten, DM. Environmental disclosures, regulatory costs, and changes in firm value. Hosp Financ Manage. 1994;18(3):357-377.Google Scholar
Summary of Historical Attacks Using Chemical or Biological Weapons. 2017. http://www.johnstonsarchive.net/terrorism/chembioattacks.html.Google Scholar
Taebi, G, Sourosh, M, Modirian, E, et al. Human costs of Iraqs chemical war against Iran; an epidemiological study. Danesh Afarand Zistagen. 2015;7(2):115-121.Google Scholar
Okumura, T, Ninomiya, N, Ohta, M. The chemical disaster response system in Japan. Prehosp Disaster Med. 2003;18(3):189-192.CrossRefGoogle ScholarPubMed
Okumura, T, Takasu, N, Ishimatsu, S, et al. Report on 640 victims of the tokyo subway sarin attack. Ann Emerg Med. 1996;28(2):129-135.CrossRefGoogle ScholarPubMed
Wetter, DC, Daniell, WE, Treser, CD. Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health. 2001;91(5):710.Google ScholarPubMed
Barelli, A, Gargano, F, Proietti, R. In-hospital management of victims of chemical weapons of mass destruction. Ann Ist Super Sanita. 2005;41(1):93-101.Google ScholarPubMed
Wetter, DC, Daniell, WE, Treser, CD. Hospital preparedness for victims of chemical or biological terrorism. Am J Public Health. 2001;91(5):710-716.Google ScholarPubMed
Khan, F, Hashemi, SJ, Paltrinieri, N, et al. Dynamic risk management: a contemporary approach to process safety management. Curr Opin Chem Eng. 2016;14:9-17.CrossRefGoogle Scholar
Nilsson, L. Hospital Preparedness for Chemical Threats. Institution of Clinical Sciences PKMC, Prehospital Disaster Medicine Centre; 2014.Google Scholar
Olivieri, C, Ingrassia, PL, Della Corte, F, et al. Hospital preparedness and response in CBRN emergencies: TIER assessment tool. Eur J Emerg Med. 2017;24(5):366-370.CrossRefGoogle ScholarPubMed
Watson, A, Dolislager, F, Hall, L, et al. Developing health-based pre-planning clearance goals for airport remediation following a chemical terrorist attack: decision criteria for multipathway exposure routes. Hum Ecol Risk Assess. 2011;17(1):57-121.CrossRefGoogle ScholarPubMed
Mortelmans, L, Van Boxstael, S, De Cauwer, HG, et al. Preparedness of Belgian civil hospitals for chemical, biological, radiation and nuclear (CBRN) disasters: are we there yet? Eur J Emerg Med. 2014;21:296-300.CrossRefGoogle ScholarPubMed
White, SR. Hospital and emergency department preparedness for biologic, chemical and nuclear terrorism. Clin Occup Environ Med. 2002;2(2):405-425.CrossRefGoogle Scholar
Burgess, JL, Kirk, M, Borron, SW, et al. Emergency department hazardous materials protocol for contaminated patients. Ann Emerg Med. 1999;34(2):205-212.CrossRefGoogle ScholarPubMed
Moher, D, Shamseer, L, Clarke, M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst rev. 2015;4(1):1.CrossRefGoogle ScholarPubMed
Nitrite, S. Medical Countermeasures Database–CHEMM. US Department of Health & Human Services, Office of the Assistant Secretary for Preparedness and Response, National Library of Medicine; 2017 [updated April 29, 2017; cited May 20, 2017].Google Scholar
Okumura, T, Ninomiya, N, Ohta, M. The chemical disaster response system in Japan. Prehosp Disaster Med. 2003;18(3):189-192.CrossRefGoogle ScholarPubMed
Candiotti, KA, Kamat, A, Barach, P, et al. Emergency preparedness for biological and chemical incidents: a survey of anesthesiology residency programs in the United States. Anesth Analg. 2005;101(4):1135-1140.CrossRefGoogle ScholarPubMed
Williams, J, Nocera, M, Casteel, C. The effectiveness of disaster training for health care workers: a systematic review. Ann Emerg Med. 2008;52(3):211-222.CrossRefGoogle ScholarPubMed
Landesman, LY, Markowitz, SB, Rosenberg, SN. Hospital preparedness for chemical accidents: the effect of environmental legislation on health care services. Prehosp Disaster Med. 1994;9(3):154-159.CrossRefGoogle ScholarPubMed
Chan, JT, Yeung, RS, Tang, SY. Hospital preparedness for chemical and biological incidents in Hong Kong. Hong Kong Med J. 2002;8(6):440-446.Google ScholarPubMed
Crawford, IWF, Mackway-Jones, K, Russell, DR, et al. Delphi based consensus study into planning for chemical incidents. Emerg Med J. 2004;21(1):24-28.CrossRefGoogle ScholarPubMed
Veenema, TG. Chemical and biological terrorism preparedness for staff development specialists. J Nurses Staff Dev. 2003;19(5):218-225.CrossRefGoogle ScholarPubMed
Joint Commission International. Emergency Management in Health Care: An All-hazards Approach. Oak Brook, IL: Joint Commission Resources; 2012.Google Scholar
Williams, J, Walter, D, Challen, K. Preparedness of emergency departments in northwest England for managing chemical incidents: a structured interview survey. BMC Emerg Med. 2007;7:20.CrossRefGoogle ScholarPubMed
RingLead. The Benefits of Using Database Management Systems. RingLead Inc. June 14, 2018. https://www.ringlead.com. Accessed September 14, 2019.Google Scholar
Molander, L, Rudén, C. Narrow-and-sharp or broad-and-blunt--regulations of hazardous chemicals in consumer products in the European Union. Regul Toxicol Pharmacol. 2012;62(3):523-531.CrossRefGoogle ScholarPubMed