Document Type : Original Article

Authors

1 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran, Health in Emergency and Disaster Research Center, Kerman University of Medical Sciences, Kerman, Iran

2 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3 Behavioral Sciences Research Center, Life Style Institute, Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

4 Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran

5 National Emergency Medical Organization, Ministry of Health and Medical Education, Tehran, Iran

6 Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Department of Clinical Science and Education, Karolinska Instituted, Stockholm, Sweden, Europe

Abstract

INTRODUCTION: The objective of the present study was to systematically review the current research
knowledge on hospital preparedness tools used in biological events and factors affecting hospital
preparedness in such incidents in using a scoping review methodology.
MATERIALS AND METHODS: The review process was conducted in accordance with the Preferred
Reporting Items for Systematic reviews and Meta‑Analyses extension for Scoping Reviews
guideline. Online databases (PubMed, Scopus, Web of Science, and Google Scholar) were used to
identify papers published that evaluated instruments or tools for hospital preparedness in biological
disasters (such as influenza, Ebola, and bioterrorism events). The search, article selection, and data
extraction were carried out by two researchers independently.
RESULTS: A total of 3440 articles were screened, with 20 articles identified for final analysis. The
majority of research studies identified were conducted in the United States (45%) and were focused
on CBRN incident (20%), Ebola, infectious disease and bioterrorism events (15%), mass casualty
incidents and influenza pandemic (10%), public health emergency, SARS, and biological events (5%).
Factors that were identified in the study to hospitals preparedness in biological events classified in
seven areas including planning, surge capacity, communication, training and education, medical
management, surveillance and standard operation process.
CONCLUSIONS: Published evidences of hospital preparedness on biological events as well as the
overall quality of the psychometric properties of most studies were limited. The results of the current
scoping review could be used as a basis for designing and developing a standard assessment
tool for hospital preparedness in biological events, and it can also be used as a clear vision for the
healthcare managers and policymakers in their future plans to confront the challenges identified by
healthcare institutes in biologic events.

Keywords

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