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面向遭遇辐射事故的医院及医疗中心的管理计划。

A management plan for hospitals and medical centers facing radiation incidents.

作者信息

Davari Fereshteh, Zahed Arash

机构信息

Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.

Vice-chancellery for Research and Technology, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

J Res Med Sci. 2015 Sep;20(9):871-8. doi: 10.4103/1735-1995.170615.

Abstract

BACKGROUND

Nowadays, application of nuclear technology in different industries has largely expanded worldwide. Proportionately, the risk of nuclear incidents and the resulting injuries have, therefore, increased in recent years. Preparedness is an important part of the crisis management cycle; therefore efficient preplanning seems crucial to any crisis management plan. Equipped with facilities and experienced personnel, hospitals naturally engage with the response to disasters. The main purpose of our study was to present a practical management pattern for hospitals and medical centers in case they encounter a nuclear emergency.

MATERIALS AND METHODS

In this descriptive qualitative study, data were collected through experimental observations, sources like Safety manuals released by the International Atomic Energy Agency and interviews with experts to gather their ideas along with Delphi method for polling, and brainstorming. In addition, the 45 experts were interviewed on three targeted using brainstorming and Delphi method.

RESULTS

We finally proposed a management plan along with a set of practicality standards for hospitals and medical centers to optimally respond to nuclear medical emergencies when a radiation incident happens nearby.

CONCLUSION

With respect to the great importance of preparedness against nuclear incidents adoption and regular practice of nuclear crisis management codes for hospitals and medical centers seems quite necessary.

摘要

背景

如今,核技术在不同行业的应用在全球范围内大幅扩展。相应地,近年来核事故风险及由此导致的伤害也有所增加。准备工作是危机管理周期的重要组成部分;因此,有效的预先规划对任何危机管理计划而言似乎都至关重要。医院凭借其设施和经验丰富的人员,自然会参与到灾害应对工作中。我们研究的主要目的是为医院和医疗中心在遭遇核紧急情况时提供一种实用的管理模式。

材料与方法

在这项描述性定性研究中,数据通过实验观察、国际原子能机构发布的安全手册等资料以及与专家访谈以收集他们的想法,并采用德尔菲法进行投票和头脑风暴来收集。此外,运用头脑风暴和德尔菲法对45位专家进行了三次有针对性的访谈。

结果

我们最终提出了一项管理计划以及一套实用性标准,以便医院和医疗中心在附近发生辐射事故时能以最佳方式应对核医疗紧急情况。

结论

鉴于防范核事故准备工作的重要性,医院和医疗中心采用并定期实践核危机管理规范显得十分必要。

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