Development Strategies in Medical Education
مجله راهبردهای توسعه در آموزش پزشکی
DSME
Medical Sciences
http://dsme.hums.ac.ir
1
admin
2383-2185
2588-2686
8
10.22034/dsme
14
8888
13
fa
jalali
1403
12
1
gregorian
2025
3
1
12
1
online
1
fulltext
fa
بومیسازی پروتکل مدیریت مصدومان با حجم انبوه (MCM) و ارزیابی اثربخشی آن در تیم درمان بیمارستان خاتمالانبیا زاهدان
Localization of the Mass Casualty Management (MCM) Protocol and Evaluation of Its Effectiveness on the Clinical Response Team at Khatam-Al-Anbia Hospital, Zahedan
تخصصي
Special
پژوهشي
Orginal
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">زمینه</span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">هدف</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">حوادث</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تروریستی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مصدومان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انبوه،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یکی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">چالشهای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اصلی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نظام</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">سلامت</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مناطق</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پرخطر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کشور</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">است</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آمادگی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیمارستانها</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیم</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پاسخ</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">سریع</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">منسجم،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نقش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مهمی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کاهش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مرگومیر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عوارض</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">دارد</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">هدف</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بومیسازی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پروتکل</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مدیریت</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مصدومان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">حجم</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انبوه</span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span adobe="" devanagari="" style="font-family:"> (MCM) </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ارزیابی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اثربخشی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آن</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آمادگی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیم</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیمارستان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">خاتمالانبیا</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">زاهدان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انجام</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شد</span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span adobe="" devanagari="" style="font-family:">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">روش</span></span></span></b><b> </b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کار</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">این</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مطالعه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یک</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">طرح</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">توسعه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ارزیابی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزشی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ماهیت</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شبهتجربی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بود</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پروتکل</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">MCM</span></span></span> <span style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بهرهگیری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">منابع</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">معتبر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بینالمللی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انطباق</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ظرفیتها،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">محدودیتها</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نیازهای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیمارستان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">خاتمالانبیا</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">زاهدان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بومیسازی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شد</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزشی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">استفاده</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">رویکرد</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مبتنی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شبیهسازی</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">(Simulation-Based Education)</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یادگیری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیم محور</span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">(Team-Based Learning) </span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">طراحی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کارکنان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اورژانس</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بخشهای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مرتبط</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اجرا</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">گردید</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">دادهها</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بهصورت</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کیفی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">طریق</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مشاهده</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ساختارمند</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عملکرد</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیمی،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">جلسات</span></span></span><span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Debriefing</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تحلیل</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">محتوای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تجارب</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شرکتکنندگان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">جمعآوری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تحلیل</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شدند</span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span adobe="" devanagari="" style="font-family:">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافتهها</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">یافتههای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کیفی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نشان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">داد</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اجرای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزشی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بومیسازیشده</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">موجب</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ارتقای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">هماهنگی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیمی،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بهبود</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تصمیمگیری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شرایط</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بحرانی،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">افزایش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انسجام</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عملکردی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ساختار</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">فرماندهی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">حادثه،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">افزایش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اعتماد</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آمادگی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کارکنان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مواجهه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">حوادث</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تروریستی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مصدومان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">انبوه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شد</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">شرکتکنندگان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کاربردیبودن،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واقعگرایی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">و</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">امکان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">اجرای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">عملی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پروتکل</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">محیط</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واقعی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیمارستان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">را</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">از</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مهمترین</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نقاط</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">قوت</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برنامه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">ذکر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">کردند</span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span adobe="" devanagari="" style="font-family:">.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">نتیجهگیری</span></span></span></b><b><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">:</span></span></span></b> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بومیسازی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پروتکل </span></span></span> <span dir="LTR" style="font-size:12.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">MCM</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">همراه</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">با</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برگزاری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آموزشهای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">سناریومحور</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">در</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">محیط</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واقعی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بالینی،</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بهطور</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مؤثری</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">آمادگی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تیم</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">درمان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">بیمارستان</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">را</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">برای</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">پاسخ</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">مؤثر</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">به</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">حوادث</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">تروریستی</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">افزایش</span></span></span> <span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">میدهد</span></span></span><span lang="AR-SA" style="font-size:13.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">. </span></span></span><span dir="LTR" style="font-size:13.0pt"><span style="line-height:107%"><span style="font-family:"Adobe Devanagari","serif""></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Background & Objective:</span></span></span></b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Terrorist incidents involving mass casualties are critical challenges for healthcare systems, particularly in high-risk regions. Hospital preparedness and coordinated clinical response are key determinants in reducing morbidity and mortality. This study aimed to localize the Mass Casualty Management (MCM) protocol and evaluate its effectiveness on the clinical response team at Khatam-Al-Anbia Hospital, Zahedan.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Methods:</span></span></span></b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> This was a program development and evaluation study with a quasi-experimental approach. The MCM protocol was adapted based on international guidelines and contextualized to the hospital’s resources, needs, and operational limitations. The educational program was designed and implemented using Simulation-Based Education (SBE) and Team-Based Learning (TBL) for emergency department staff and related units. Data were collected qualitatively through structured observation of team performance, debriefing sessions, and content analysis of participants’ experiences.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Results:</span></span></span></b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Qualitative findings revealed that the localized educational program led to improved team coordination, enhanced clinical decision-making in crisis conditions, strengthened functional integration within the Incident Command System, and increased confidence and preparedness among staff in responding to mass-casualty terrorist events. Participants reported realism, applicability, and contextual suitability of the localized protocol as major strengths of the program.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:107%"><span calibri="" style="font-family:"><b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:13.0pt"><span style="line-height:107%"><span new="" roman="" style="font-family:" times=""> Localization of the MCM protocol combined with scenario-based clinical training effectively enhances hospital response preparedness for mass-casualty terrorist incidents. Integrating such training into annual hospital education programs and expanding it to other disaster scenarios is recommended.</span></span></span></span></span></span>
مدیریت مصدومان انبوه, بومیسازی, آموزش مبتنی بر شبیهسازی, یادگیری تیممحور, آمادگی بیمارستان, حوادث تروریستی
Mass Casualty Management, Localization, Simulation-Based Education, Team-Based Learning, Hospital Preparedness, Terrorist Incidents
0
0
http://dsme.hums.ac.ir/browse.php?a_code=A-12-574-6&slc_lang=fa&sid=1
Ali
Abdolrazaghnejad
علی
عبدالرزاق نژاد
ali.abdolrazaghnejad@zaums.ac.ir
10031947532846009812
10031947532846009812
No
دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.
Maryam
Ziaei
مریم
ضیایی
mziaei3@gmail.com
10031947532846009813
10031947532846009813
Yes
دانشگاه علوم پزشکی زاهدان، زاهدان، ایران.