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D-Medicine & Nursing

Evaluation of Triage System for Vulnerable People in Disaster(要援護・介護者トリアージ評価)

(「災害時における要援護者トリアージの開発」,研究代表:日本赤十字看護大学,小原真理子 教授)

It is widely acknowledged that a triage system for vulnerable people in disasters is necessary for the efficient response to them and the avoidance of unpreventable death. Currently, a triage system for vulnerable people in evacuation shelters is under development by an interactive manner through scenario-based simulations. Through this process, feedback from the participants of the simulation are utilized for the modification and evaluation of the decision criteria for triage. This paper is to provide several quantitative analyses of the triage results obtained in the series of simulations and to discuss the possibility to apply these analyses to the design and evaluation of a new triage system. 
XML and XML-Schema of Vulnerable People

Cognitive Competency for Disaster Nursing(災害看護のための認知的コンピテンシー分析)

(「災害拠点病院における医療職のコンピテンシーモデルの開発」,研究代表:首都大学東京・河原加代子 教授)

One of the challenges in applying CTA to disaster nursing is that because we do not have many real examples of big disasters such as the Great Hanshin-Awaji earthquake, it is virtually impossible to rely only on the lessons learned from experience in eliciting basic cognitive competencies. Our aim was therefore to use ontology as a framework to create virtual disaster contexts and develop questions about critical decision making under such contexts, and to design exercise scenarios.Because the service model consists of the modules of environments,providers, receivers, and tasks, it is easy to create various contexts using various combinations of these modules. In addition, the results of CTA can be used for further development and modification of the ontology. This method of iterative and co-creative ontology development is a kind of proactive risk discovery approach that is not based on hindsight (like conventional risk management approaches). In other words, it can revise risk models even if we do not have much actual disaster experience.