Risk Management Dimensions in CBRNE Incidents: A Scoping Review for Hospital Preparedness

Background: Hospital management must focus on maintaining preparedness and ensuring a safe environment for both staff and patients during crises. This study aimed to determine the dimensions of risk management in Chemical, Biological, Radiological, Nuclear, and Explosives (CBRNE) incidents for hospital preparedness and public health. Materials and Methods: This scoping review examined studies from various online databases, including Web of Science, PubMed, Scopus, Cochrane, Springer, and ProQuest journals, as well as Iranian databases such as SID, Magiran, and the Google Scholar search engine. Three independent reviewers conducted study selection, quality assessments, data extraction, and data analysis. Inclusion criteria encompassed studies investigating risk management programs related to CBRNE incidents in hospitals, while studies conducted outside the health system and articles in non-English and non-Persian languages were excluded. Results: A total of ۳۹ studies, which were consistent in purpose and data collection methods, were included in the analysis. The findings indicated that the dimensions and characteristics of risk management in the context of CBRNE incidents in hospitals could be classified into three main areas: "employees, systems, materials, and equipment". Conclusion: Effective management of CBRNE incidents necessitates a comprehensive and multifaceted approach, with particular emphasis on staff preparedness, organizational structure, and materials and equipment. Policymakers should prioritize these dimensions to ensure that hospitals and health institutions can allocate resources effectively, implement necessary requirements, and establish suitable infrastructure, thereby enhancing their performance during crises and ultimately contributing to the health and safety of the community.

کلیدواژه ها:

Risk management ، Emergency Preparedness ، Hazardous Substances ، Biohazard Release ، Chemical Hazard Release