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Essential Preparedness Measures for Healthcare Centers in Chemical, Biological, Radiological, and Nuclear Crises: A Systematic Review
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Ali Rahmani   , Ehsan Abadinia * , Abdollah Sagahfi , Mehdi Jafari-Oori , Hosein Mahmoudi , Javad Shojafard , Nasim Abbaszadeh |
| Student Research Committee, Faculty of Nursing, Baqiyatallah University of Medical Science, Tehran, Iran , ehsanabadi70@gmail.com |
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Abstract: (83 Views) |
Background & aim: Wars have always posed a significant threat to human societies. With the advancement of technology, more complex conflicts, including Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNe) incidents have emerged, causing irreparable harm to public health and the environment. This study investigates the preparedness of hospitals and healthcare centers to respond to such incidents, aiming to identify measures for improvement.
Methods: This study was conducted as a systematic review following PRISMA guidelines. A comprehensive literature search was performed in databases including PubMed/MEDLINE, EMBASE, Web of Science, Scopus, Cochrane Library, Science Direct, and ProQuest to identify articles related to hospital preparedness for CBRNe incidents. Articles published between January 2010 and December 2023 were reviewed. The inclusion criteria focused on studies addressing hospital preparedness for responding to CBRNe incidents, while articles centered on prehospital preparedness or unrelated events were excluded. Study selection followed the systematic review steps proposed by Tawfik et al. for disaster research. Additionally, the PICO framework was employed to formulate research questions regarding the target population, interventions, and outcomes.
Results: The findings of this study revealed that hospital preparedness for CBRNe incidents depends on three main domains: equipment and infrastructure, personnel training, and management and protocols. Key factors for improving critical response include ensuring the availability of appropriate equipment, providing specialized training and regular drills, and developing updated protocols. These results align with previous studies, underscoring the importance of continuous advancements in these areas.
Conclusion: The results of this research highlight the need to enhance hospital preparedness for CBRNe incidents, particularly in terms of improving protective equipment, staff training, and managerial protocol development. Continuous education and operational drills can play a crucial role in improving skills and reducing casualties in crisis situations. Considering the importance of health system preparedness in addressing these incidents, future studies are recommended to comprehensively assess prehospital preparedness as well. |
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| Keywords: Hospital Preparedness, Emergency Preparedness, Disasters, CBRNe Incidents, Systematic Review. |
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Full-Text [PDF 1133 kb]
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Type of Study: Research |
Subject:
Special
Received: 2024/10/17 | Accepted: 2025/02/22 | Published: 2025/08/13
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Ethics code: 000000000 Clinical trials code: 0000000000
Rahmani A, abadinia E, sagahfi A, Jafari-Oori M, Mahmoudi H, Shojafard J et al . Essential Preparedness Measures for Healthcare Centers in Chemical, Biological, Radiological, and Nuclear Crises: A Systematic Review. jccnursing 2025; 17 (3) :15-26 URL: http://jccnursing.com/article-1-785-en.html
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