Emergency Medicine, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China.
Epidemiology and Health Statistics, Institute of Disaster and Emergency Medicine, Tianjin University, Tianjin 300072, China.
Int J Environ Res Public Health. 2022 Dec 5;19(23):16257. doi: 10.3390/ijerph192316257.
Hospitals are an important part of a nation's response to bioterrorism events. At present, research in this field is still in the initial stage. The number of related studies is small, the research direction is relatively concentrated, and a comprehensive analysis and standard evaluation system are lacking. This literature survey was conducted using PRISMA methodology. Collective information was gathered from PubMed, Web of Science, Scopus, and available grey literature sourced through Google and relevant websites. The studies were screened according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) flowchart. Analysis and summary of the extracted data was performed according to the World Health Organization (WHO) Rapid Hospital Readiness Checklist (2020). Twenty-three articles were selected for review, data extraction, and data analysis. Referring to the WHO rapid hospital readiness checklist, six main indicator categories were determined, including emergency management, medical service capacity, surge capacity, laboratories, regional coordination, and logistical support, and fifty-two subcategories were finally identified. The study summarizes and analyzes the relevant literature on hospital disaster preparedness and extracts relevant capability elements, providing a reference for the preparation of hospitals against bioterrorism events and a basis for the design and development of hospital preparedness assessment indicators.
医院是国家应对生物恐怖事件的重要组成部分。目前，该领域的研究仍处于起步阶段。相关研究数量较少，研究方向相对集中，缺乏全面分析和标准评估体系。本文献综述采用 PRISMA 方法学进行。通过 PubMed、Web of Science、Scopus 以及通过 Google 和相关网站获取的可用灰色文献，收集集体信息。根据系统评价和荟萃分析的首选报告项目 (PRISMA) 流程图对研究进行筛选。根据世界卫生组织 (WHO) 快速医院准备情况检查表 (2020 年) 对提取的数据进行分析和总结。选择了 23 篇文章进行综述、数据提取和数据分析。参考世界卫生组织快速医院准备情况检查表，确定了应急管理、医疗服务能力、扩充能力、实验室、区域协调和后勤支持六个主要指标类别，并最终确定了 52 个子类别。该研究总结和分析了医院灾害准备的相关文献，并提取了相关能力要素，为医院应对生物恐怖事件的准备工作提供了参考，并为医院准备情况评估指标的设计和制定提供了依据。
