Volume 11, Issue 4 (Summer 2026)
Health in Emergencies and Disasters Quarterly 2026, 11(4): 277-290 |
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Ethics code: IR.BMSU.BAQ.REC.1403.202
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Nasiri T, Javan Biparva A. Risk Management Dimensions in CBRNE Incidents: A Scoping Review for Hospital Preparedness. Health in Emergencies and Disasters Quarterly 2026; 11 (4) :277-290
URL: http://hdq.uswr.ac.ir/article-1-726-en.html
URL: http://hdq.uswr.ac.ir/article-1-726-en.html
1- Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran & Department of Health Services Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran.
2- Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran. ,akbarjavan4@gmail.com
2- Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran. ,
Abstract: (1927 Views)
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 explosive (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 Google Scholar. Three independent reviewers conducted study selection, quality assessments, data extraction, and data analysis. The inclusion criteria encompassed studies investigating risk management programs related to CBRNE incidents in hospitals. In contrast, studies conducted outside the health system and articles in non-English and non-Persian languages were excluded.
Results: A total of 39 studies with consistent purposes 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 requires a comprehensive, 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 requirements, and establish suitable infrastructure, thereby enhancing their performance during crises and ultimately contributing to the health and safety of the community
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 Google Scholar. Three independent reviewers conducted study selection, quality assessments, data extraction, and data analysis. The inclusion criteria encompassed studies investigating risk management programs related to CBRNE incidents in hospitals. In contrast, studies conducted outside the health system and articles in non-English and non-Persian languages were excluded.
Results: A total of 39 studies with consistent purposes 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 requires a comprehensive, 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 requirements, and establish suitable infrastructure, thereby enhancing their performance during crises and ultimately contributing to the health and safety of the community
Keywords: Risk management, Emergency preparedness, Hazardous substances, Biohazard release, Chemical hazard release
Type of article: Review |
Subject:
Risk assessment
Received: 2025/04/7 | Accepted: 2025/10/25 | Published: 2026/07/1
Received: 2025/04/7 | Accepted: 2025/10/25 | Published: 2026/07/1
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This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 (CC-By-NC 4.0), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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