The Challenge of Mass Casualty Incident Response Simulation Exercise Design and Creation: A Modified Delphi Study

The Challenge of Mass Casualty Incident Response Simulation Exercise Design and Creation: A Modified Delphi Study
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DOI:
10.1017/dmp.2023.71
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发表时间:
2023-05-23
影响因子:
2.7
通讯作者:
Della Corte, Francesco
Della Corte, Francesco
中科院分区:
医学4区
文献类型:
--
作者:
Weinstein, Eric S.;Bortolin, Michelangelo;Della Corte, Francesco

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背景:大规模伤亡事件响应 (MCI) 全面演习 (FSEx) 确保了 MCI 急救人员 (FR) 的能力。模拟和严肃的游戏平台(模拟)已被认为可以实现和维持 FR 能力。提出了转化科学 (TS) T0 问题:FR 如何通过使用 MCI 模拟练习获得与 FSEx 类似的 MCI 能力?方法:T1 阶段(范围审查):进行 PRISMA-ScR 来制定 T2 阶段修改德尔菲 (mD) 研究的陈述。审查了 1320 篇参考文献标题和摘要,其中 215 篇完整文章正在进行全面审查,其中 97 篇正在进行数据提取。T2 阶段(mD 研究):向选定的专家提供从 T1 数据得出的 27 条陈述,并指示按 7 点线性数字量表对每个陈述进行排名,其中 1 = 不同意,7 = 同意。专家之间的共识被定义为标准差
Background:A Mass Casualty Incident response (MCI) full scale exercise (FSEx) assures MCI first responder (FR) competencies. Simulation and serious gaming platforms (Simulation) have been considered to achieve and maintain FR competencies. The translational science (TS) T0 question was asked: how can FRs achieve similar MCI competencies as a FSEx through the use of MCI simulation exercises? Methods:T1 stage (Scoping Review): PRISMA-ScR was conducted to develop statements for the T2 stage modified Delphi (mD) study. 1320 reference titles and abstracts were reviewed with 215 full articles progressing for full review leading to 97 undergoing data extraction.T2 stage (mD study): Selected experts were presented with 27 statements derived from T1 data with instruction to rank each statement on a 7-point linear numeric scale, where 1 = disagree and 7 = agree. Consensus amongst experts was defined as a standard deviation