目标:鉴于全球灾难的频率,对高效和有效的应急响应的需求日益增长。一个挑战是设计合适的回顾性图表,以便从灾害中获得知识。本研究为设计和更新回顾性研究提供了对已发表的回顾性图表综述模板的全面理解。
方法:我们对同行评审的文章和灰色文献进行了系统综述和文本分析,用于报告的回顾性图表综述模板,分析,评估应急反应。搜索是在PubMed上进行的,科克伦,和WebofScience以及预先确定的政府和非政府组织和专业协会网站,以查找2022年7月1日之前发表的论文。使用视觉文本分析对项目和类别进行分组和组织。该研究在PROSPERO(374,928)中注册。
结果:四个指标组,12条准则,来自21篇同行评审文章和9篇灰色文献的14种报告格式(或数据收集模板)符合资格.回顾性工具通常是基于小组共识设计的。为整个卫生系统设计了一个指南和一个报告格式,23项研究集中在应急系统上,而其他人则专注于医院。五篇论文聚焦特定事件类型,包括化学,生物,放射学,核,大规模燃烧,和大量儿科伤亡。十篇论文说明了使用工具的位置。文本分析包括123个类别和1210个特定项目;观察到较大的异质性。
结论:现有的应急响应回顾性图表审查模板是异构的,类型不同,层次结构,和理论基础。全面的设计,标准,可行的回顾性图表需要应急响应范例,结果基线,健壮的信息获取,和区域间合作。
OBJECTIVE: Given the frequency of disasters worldwide, there is growing demand for efficient and effective emergency responses. One challenge is to design suitable retrospective charts to enable knowledge to be gained from disasters. This study provides comprehensive understanding of published retrospective chart
review templates for designing and updating retrospective research.
METHODS: We conducted a systematic
review and text analysis of peer-reviewed articles and grey literature on retrospective chart
review templates for reporting, analysing, and evaluating emergency responses. The search was performed on PubMed, Cochrane, and Web of Science and pre-identified government and non-government organizational and professional association websites to find papers published before July 1, 2022. Items and categories were grouped and organised using visual text analysis. The study is registered in PROSPERO (374,928).
RESULTS: Four index groups, 12 guidelines, and 14 report formats (or data collection templates) from 21 peer-reviewed articles and 9 grey literature papers were eligible. Retrospective tools were generally designed based on group consensus. One guideline and one report format were designed for the entire health system, 23 studies focused on emergency systems, while the others focused on hospitals. Five papers focused specific incident types, including chemical, biological, radiological, nuclear, mass burning, and mass paediatric casualties. Ten papers stated the location where the tools were used. The text analysis included 123 categories and 1210 specific items; large heterogeneity was observed.
CONCLUSIONS: Existing retrospective chart
review templates for emergency response are heterogeneous, varying in type, hierarchy, and theoretical basis. The design of comprehensive, standard, and practicable retrospective charts requires an emergency response paradigm, baseline for outcomes, robust information acquisition, and among-region cooperation.