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

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Rådestad, MonicaKarolinska Institutet (författare)

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

Artikel/kapitelEngelska2013

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2013-09-11
Springer Science and Business Media LLC,2013
electronicrdacarrier

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LIBRIS-ID:oai:DiVA.org:shh-1565
https://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1565URI
https://doi.org/10.1186/1757-7241-21-68DOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:127415200URI

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Språk:engelska
Sammanfattning på:engelska

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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.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Health Care Service and Management, Health Policy and Services and Health Economy hsv//eng
Delphi technique
Consensus
Disaster data reporting
Disaster response
Major incident medical management
Utstein-style

Biuppslag (personer, institutioner, konferenser, titlar ...)

Jirwe, MariaKarolinska Institutet (författare)
Castrén, MaaretKarolinska Institutet (författare)
Svensson, LeifKarolinska Institutet (författare)
Gryth, DanKarolinska Institutet (författare)
Rüter, AndersKarolinska Institutet,Sophiahemmet Högskola(Swepub:shh)anders.ruter (författare)
Sophiahemmet HögskolaKarolinska Institutet (creator_code:org_t)

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Ingår i:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine: Springer Science and Business Media LLC21, s. 68-1757-7241

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Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Rådestad, Monica; Jirwe, Maria; Castrén, Maaret; Svensson, Leif; Gryth, Dan; Rüter, Anders

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MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Hälsovetenskap; och Hälso och sjukvå ...

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Av lärosätet: Sophiahemmet Högskola; Karolinska Institutet

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