Is the Run, Hide, Fight Concept Effective in Improving Hospital Response to Shooting Incidents? A Systematic Review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-09 DOI:10.1017/dmp.2024.78

Natcha Rummaneethorn, Cara Taubman, Frosso Adamakos

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引用次数: 0

Abstract

The recent rise of active shootings calls for adequate preparation. Currently, the "Run, Hide, Fight" concept is widely accepted and adopted by many hospitals nationwide. Unfortunately, the appropriateness of this concept in hospitals is uncertain due to lack of data. To understand the "Run, Hide, Fight" concept application in hospitals, a review of currently available data is needed. A systematic review was done focusing on the "Run, Hide, Fight" concept using multiple databases from the past 12 years. The PRISMA flow diagram was used to systematically select the articles based on specific inclusion and exclusion criteria. The measurements were subjective evaluations and survival probabilities post-concept. One agent-based modeling study suggested a high survival probability in non-medical settings. However, there is a paucity of data supporting its effectiveness and applicability in hospitals. Literature suggests a better suitable concept, the "Secure, Preserve, Fight" concept, as a response protocol to active shootings in hospitals. The effectiveness of the "Run, Hide, Fight" concept in hospitals is questionable. The "Secure, Preserve, Fight" concept was found to be designed more specifically for hospitals and closes the gaps on the flaws in the "Run, Hide, Fight" concept.

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奔跑、躲藏、战斗 "理念对改善医院应对枪击事件有效吗？系统回顾。

最近，主动枪击事件增多，这要求我们做好充分准备。目前，"逃跑、躲藏、战斗 "的理念被全国许多医院广泛接受和采用。遗憾的是，由于缺乏数据，这一理念在医院的适用性尚不确定。为了了解 "跑、躲、打 "理念在医院中的应用，需要对现有数据进行回顾。我们利用过去 12 年中的多个数据库对 "跑、藏、打 "概念进行了系统回顾。根据特定的纳入和排除标准，采用 PRISMA 流程图对文章进行了系统筛选。衡量标准是主观评价和概念提出后的生存概率。一项基于代理的建模研究表明，在非医疗环境中的存活概率很高。然而，支持其在医院中的有效性和适用性的数据却很少。文献建议采用更合适的概念，即 "安全、保护、战斗 "概念，作为应对医院主动枪击事件的方案。逃跑、躲藏、战斗 "概念在医院中的有效性值得怀疑。研究发现，"安全、保护、战斗 "概念是专为医院设计的，弥补了 "逃跑、躲藏、战斗 "概念的缺陷。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.