Essential key indicators for disaster medical response suggested to be included in a national uniform protocol for documentation of major incidents: a Delphi study

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Anders Rüter¹  Dan Gryth⁵  Leif Svensson³  Maaret Castrén²  Maria Jirwe⁴  Monica Rådestad² 

[1] Sophiahemmet University, Stockholm, Sweden;Department of Clinical Science and Education and Section of Emergency Medicine, Södersjukhuset, Karolinska Institutet, Stockholm, Sweden;Department of Clinical Science and Education, Karolinska Institutet, Stockholm, Sweden;Department of Neurobiology, Care Sciences and Society and Division of Nursing, Karolinska Institutet, Stockholm, Sweden;Department of Physiology and Pharmacology, Section of Anaesthesiology and Intensive care, Karolinska Institutet, Stockholm, Sweden

关键词: Utstein-style;    Major incident medical management;    Disaster response;    Disaster data reporting;    Consensus;    Delphi technique;   

Others  :  810753
DOI  :  10.1186/1757-7241-21-68

 received in 2013-05-16, accepted in 2013-09-08,  发布年份 2013

【 摘 要 】

Background

Registration of data from a major incident or disaster serves several purposes such as to record data for evaluation of response as well as for research. Data needed can often be retrieved after an incident while other must be recorded during the incident. There is a need for a consensus on what is essential to record from a disaster response. The aim of this study was to identify key indicators essential for initial disaster medical response registration. By this is meant nationally accepted processes involved, from the time of the emergency call to the emergency medical communication centre until medical care is provided at the emergency department.

Methods

A three round Delphi study was conducted. Thirty experts with a broad knowledge in disaster and emergency response and medical management were invited. In this study we estimated 30 experts to be approximately one third of the number in Sweden eligible for recruitment. Process, structure and outcome indicators for the initial disaster medical response were identified. These were based on previous research and expressed as statements and were grouped into eight categories, and presented to the panel of experts. The experts were instructed to score each statement, using a five point Likert scale, and were also invited to include additional statements. Statements reaching a predefined consensus level of 80% were considered as essential to register.

Results

In total 97 statements were generated, 77 statements reached consensus. The 77 statements covered parts of all relevant aspects involved in the initial disaster medical response. The 20 indicators that did not reach consensus mostly concerned patient related times in hospital, types of support systems and security for health care staff.

Conclusions

The Delphi technique can be used for reaching consensus of data, comprising process, structure and outcome indicators, identified as essential for recording from major incidents and disasters.

【 授权许可】

   
2013 Rådestad et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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