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Pillars of Hospital Preparedness in Radiation Emergency Management.
Health Physics ( IF 1.0 ) Pub Date : 2020-3-14 , DOI: 10.1097/hp.0000000000001234
Hossein Ghaedi 1 , Amir Ashkan Nasiripour 1 , Seyed Jamaledin Tabibi 1 , Majid Assadi 2
Affiliation  

Human beings have always suffered and have incurred irreparable damages from different disasters. The most logical way to deal with disaster is to be comprehensively prepared. In line with this, the readiness of hospitals in the vicinity of nuclear centers is of great importance, as this could lead to reduced injuries and damage. In this study, we aimed to develop a model by which hospitals could effectively react to nuclear incidents. This is a comparative study using library studies, including examining existing patterns, recommended policies and instructions of WHO and IEAE, and articles and documents of selected countries that have models for radiation disaster management. The primary developed model was discussed in expert panels and, ultimately, with some modifications, was finalized. The findings of the research indicated that the most important factors in the success of crisis management are skill in predicting a crisis and having a preparation plan for necessary measures at the time of an incident. Different countries have developed various approaches toward radiation incident management that are mostly focused on human resources, medical equipment, and physical space. The model plan developed here includes a two-part foundation with seven pillars. Intra- and intersectorial arrangements are considered as the foundation, and the pillars are physical structure, medical equipment, human resources, process and instructions, intra- and intrasectorial coordination, information systems, and organizational structure. Having an appropriate model for coping with radiation incidents is pivotal for hospitals active in areas with nuclear centers. Undoubtedly, existence of an effective and comprehensive model could reduce the consequences of radiation crises.

中文翻译:

放射应急管理中医院防备的支柱。

人类历来遭受各种灾难,遭受了无法弥补的损失。应对灾难的最合乎逻辑的方法是全面准备。与此相应,核中心附近医院的就绪状态非常重要,因为这可以减少伤害和损害。在这项研究中,我们旨在建立一个模型,通过该模型医院可以有效地应对核事故。这是一项使用图书馆研究的比较研究,其中包括研究现有模式,世卫组织和IEAE的建议政策和说明以及具有辐射灾难管理模型的选定国家的文章和文件。在专家小组中讨论了最初开发的模型,最终进行了一些修改,最终确定了模型。研究结果表明,危机管理成功的最重要因素是预测危机的能力以及在事件发生时制定必要措施的准备计划。不同国家已经开发出各种辐射事件管理方法,这些方法主要集中在人力资源,医疗设备和物理空间上。这里开发的模型计划包括一个由七个部分组成的两部分基础。部门内部和部门之间的安排被视为基础,支柱是物理结构,医疗设备,人力资源,过程和指令,部门内部和部门内部的协调,信息系统以及组织结构。对于在核中心地区活跃的医院而言,拥有适当的辐射事件应对模型至关重要。无疑,有效而全面的模型的存在可以减少辐射危机的后果。
更新日期:2020-12-17
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