大规模伤亡事件应急模拟演练设计与创作的挑战：一项修正后的德尔菲研究。
The Challenge of Mass Casualty Incident Response Simulation Exercise Design and Creation: A Modified Delphi Study.
机构信息
CRIMEDIM, Center for Research and Training in Disaster Medicine, Humanitarian Aid and Global Health, Università del Piemonte Orientale, Novara, Italy.
Department for Sustainable Development and Ecological Transition, Università del Piemonte Orientale, Vercelli, Italy.
出版信息
Disaster Med Public Health Prep. 2023 May 23;17:e396. doi: 10.1017/dmp.2023.71.
BACKGROUND
A Mass Casualty Incident response (MCI) full scale exercise (FSEx) assures MCI first responder (FR) competencies. Simulation and serious gaming platforms (Simulation) have been considered to achieve and maintain FR competencies. The translational science (TS) T0 question was asked: how can FRs achieve similar MCI competencies as a FSEx through the use of MCI simulation exercises?
METHODS
T1 stage (Scoping Review): PRISMA-ScR was conducted to develop statements for the T2 stage modified Delphi (mD) study. 1320 reference titles and abstracts were reviewed with 215 full articles progressing for full review leading to 97 undergoing data extraction.T2 stage (mD study): Selected experts were presented with 27 statements derived from T1 data with instruction to rank each statement on a 7-point linear numeric scale, where 1 = disagree and 7 = agree. Consensus amongst experts was defined as a standard deviation ≤ 1.0.
RESULTS
After 3 mD rounds, 19 statements attained consensus and 8 did not attain consensus.
CONCLUSIONS
MCI simulation exercises can be developed to achieve similar competencies as FSEx by incorporating the 19 statements that attained consensus through the TS stages of a scoping review (T1) and mD study (T2), and continuing to T3 implementation, and then T4 evaluation stages.
背景
大规模伤亡事件应对（MCI）全面演习（FSEx）可确保 MCI 第一响应者（FR）的能力。模拟和严肃游戏平台（Simulation）已被认为是实现和维持 FR 能力的方法。转化科学（TS）的 T0 问题是：通过使用 MCI 模拟演习，FR 如何获得与 FSEx 类似的 MCI 能力？
方法
T1 阶段（范围综述）：进行了 PRISMA-ScR，以制定用于 T2 阶段修改后的 Delphi（mD）研究的陈述。审查了 1320 个参考标题和摘要，其中 215 篇全文进行了全面审查，最终有 97 篇进行了数据提取。T2 阶段（mD 研究）：向选定的专家介绍了 27 个源自 T1 数据的陈述，并指示他们对每个陈述进行 7 点线性数字量表的评分，其中 1 =不同意，7 =同意。专家之间的共识定义为标准偏差≤1.0。
结果
经过 3 轮 mD，有 19 项达成共识，8 项未达成共识。
结论
通过范围综述（T1）和 mD 研究（T2）的 TS 阶段纳入达成共识的 19 项陈述，并继续进行 T3 实施，然后进行 T4 评估阶段，可以开发 MCI 模拟演习以获得与 FSEx 类似的能力。
Zotero 插件