基于德尔菲法的化学事故应急规划共识研究
Delphi based consensus study into planning for chemical incidents.
作者信息
Crawford I W F, Mackway-Jones K, Russell D R, Carley S D
机构信息
Department of Emergency Medicine, Manchester Royal Infirmary, Manchester, UK.
出版信息
Emerg Med J. 2004 Jan;21(1):24-8. doi: 10.1136/emj.2003.003087.
OBJECTIVE
To achieve consensus in all phases of chemical incident planning and response.
DESIGN
A three round Delphi study was conducted using a panel of 39 experts from specialties involved in the management of chemical incidents. Areas that did not reach consensus in the Delphi study were presented as synopsis statements for discussion in four syndicate groups at a conference hosted by the Department of Health Emergency Planning Co-ordination Unit.
RESULTS
A total of 183 of 322 statements had reached consensus upon completion of the Delphi study. This represented 56.8% of the total number of statements. Of these, 148 reached consensus at >94% and 35 reached consensus at >89%. The results of the process are presented as a series of synopsis consensus statements that cover all phases of chemical incident planning and response.
CONCLUSIONS
The use of a Delphi study and subsequent syndicate group discussions achieved consensus in aspects of all phases of chemical incident planning and response that can be translated into practical guidance for use at regional prehospital and hospital level. Additionally, areas of non-consensus have been identified where further work is required.
目的
在化学事故应急规划与响应的各个阶段达成共识。
设计
采用德尔菲研究法进行三轮研究，研究小组由39名来自化学事故管理相关专业的专家组成。在卫生应急规划协调部主办的一次会议上，德尔菲研究中未达成共识的领域被整理成概述性陈述，供四个小组讨论。
结果
在德尔菲研究结束时，322条陈述中有183条达成了共识，占陈述总数的56.8%。其中，148条在超过94%的专家中达成共识，35条在超过89%的专家中达成共识。研究结果以一系列概述性共识陈述的形式呈现，涵盖了化学事故应急规划与响应的各个阶段。
结论
通过德尔菲研究法及后续的小组讨论，在化学事故应急规划与响应的各个阶段达成了共识，这些共识可转化为区域院前和医院层面的实用指南。此外，已确定了需要进一步开展工作的未达成共识的领域。
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