RT Journal Article T1 Hospital preparedness and response in CBRN emergencies: TIER assessment tool A1 Olivieri, Carlo A1 Ingrassia, Pier L. A1 Della Corte, Francesco A1 Carenzo, Luca A1 Sapori, Jean Marc A1 Gabilly, Laurent A1 Segond, Fredrique A1 Grieger, Fiene A1 Arnod-Prin, Philippe A1 Larrucea, Xabier A1 Violi, Chrisitan A1 Lopez, Cédric A1 Djalali, Ahmadreza AB Introduction Chemical, biological, radiological, and nuclear (CBRN) emergencies need particular hospital preparedness and resources availability. Also, specific skills and capabilities are required for efficient response to these types of events. The aim of this study was to develop an assessment tool to evaluate hospital preparedness and response performance with respect to CBRN emergencies. Methods An evaluation tool was developed using the Delphi technique. A panel of experts from 10 countries, both European and non-European, with more than 5 years of experience in research or practice in CBRN emergency management was involved in this study. The study was run online, and the experts were asked to evaluate a list of items on hospital preparedness and response in CBRN emergencies. A threshold of 85% agreement level was defined as the consensus of experts in this study. Results The first-round questionnaire was answered by 13 experts. Consensus on the preparedness section was reached for all 29 items during the first round and one item was also added by the experts. Consensus on the response performance indicators were reached in 51 out of the 59 items, during the first round, and eight items were modified and then approved in the second round by the experts. Conclusion Hospitals need a specific level of preparedness to enable an effective response to CBRN emergencies. The assessment tool, developed through experts' consensus in this study, provides a standardized method for the evaluation of hospital preparedness and response performance with respect to CBRN emergencies. The feasibility and reliability of this assessment tool could be evaluated before and during simulated exercises in a standardized manner. SN 0969-9546 YR 2017 FD 2017 LK https://hdl.handle.net/11556/4600 UL https://hdl.handle.net/11556/4600 LA eng NO Olivieri , C , Ingrassia , P L , Della Corte , F , Carenzo , L , Sapori , J M , Gabilly , L , Segond , F , Grieger , F , Arnod-Prin , P , Larrucea , X , Violi , C , Lopez , C & Djalali , A 2017 , ' Hospital preparedness and response in CBRN emergencies : TIER assessment tool ' , European Journal of Emergency Medicine , vol. 24 , no. 5 , pp. 366-370 . https://doi.org/10.1097/MEJ.0000000000000399 NO Publisher Copyright: © Copyright 2017 Wolters Kluwer Health, Inc. All rights reserved. DS TECNALIA Publications RD 6 sept 2024