Qzih Eman S, Ahmad Muayyad M
Trauma Program Manager Department, King Hussain Medical Center, Mutah University/Princess Muna College of Nursing, Jordan.
Clinical Nursing Department, School of Nursing, University of Jordan, Jordan.
Environ Health Insights. 2024 Oct 7;18:11786302241288859. doi: 10.1177/11786302241288859. eCollection 2024.
Chemical, Biological, Radiological or Nuclear and Explosive (CBRNe) disasters have historically caused significant fatalities and posed global threats. The inadequate preparedness of hospital equipment for CBRNe incidents underscores the urgent need for hospitals to modernize and standardize their equipment to effectively manage these high-risk situations. The purpose of this systematic review was to examine hospital-based preparedness measures for CBRNe incidents. The PRISMA guidelines were followed for this review. A comprehensive search of English-language peer-reviewed literature from January 2010 to 2023 was conducted, identifying 2191 items from PubMed, ScienceDirect, EBSCO, and Google Scholar. The modified ROBINS-I instrument was used to assess bias, ensuring the reliability and validity of the studies. Data synthesis was conducted jointly by both authors. After eliminating duplicates and reviewing abstracts, 124 studies remained. Upon full-text examination, only 20 studies met the criteria for inclusion in this review. The review identified three key interrelated domains of preparedness: personal, technological, and structural measures. Most studies emphasized decontamination, Personal Protective Equipment (PPE), and detection, while the management of deceased bodies, transportation, and Points of Dispensing (PODs) were largely overlooked. These findings may assist hospital administrators and policymakers in enhancing their facilities' readiness for CBRNe emergencies.
化学、生物、放射或核及爆炸物（CBRNe）灾害历来造成重大人员伤亡并构成全球威胁。医院设备对CBRNe事件的准备不足凸显了医院迫切需要使其设备现代化并标准化，以有效应对这些高风险情况。本系统评价的目的是研究医院针对CBRNe事件的准备措施。本评价遵循PRISMA指南。对2010年1月至2023年的英文同行评审文献进行了全面检索，从PubMed、ScienceDirect、EBSCO和谷歌学术搜索中识别出2191篇文献。使用改良的ROBINS-I工具评估偏倚，确保研究的可靠性和有效性。数据综合由两位作者共同进行。在消除重复文献并审查摘要后，剩下124项研究。经过全文审查，只有20项研究符合纳入本评价的标准。该评价确定了准备工作的三个关键相互关联领域：个人、技术和结构措施。大多数研究强调去污、个人防护装备（PPE）和检测，而尸体管理、运输和分发点（PODs）在很大程度上被忽视。这些发现可能有助于医院管理人员和政策制定者提高其设施对CBRNe紧急情况的准备程度。
