Establishment of a core competence indicator system of medical staff for pre-hospital treatment of chemical emergencies

  Objective  To construct a core competence indicator system of medical staff for pre-hospital treatment of chemical emergencies.

  Methods  The core competence indicator system was proposed based on literature review and brainstorming method, followed by Delphi technique with experts evaluation to determine the necessity of each item, and the weights of each index were determined by quantitative statistics.

  Results  The response rates of 2 rounds were both 100%. The authority coefficients of experts in 2 rounds were 0.843 and 0.890 respectively, with coordination coefficients of 0.185 and 0.162, respectively(P < 0.05). The indicator system consisted of 2 primary indicators(emergency preparedness and emergency rescue, which weights were all 0.500), 8 secondary indicators, and 20 tertiary indicators. The 8 secondary indicators included the knowledge preparation, material preparation, training and exercise, development, injury inspection and classification, first aid, decontamination, and evacuation, which weights were 0.167, 0.163, 0.170, 0.098, 0.102, 0.099, 0.102 and 0.099, respectively.

  Conclusions  The core competence indicator system is scientific and reliable, which highlights the importance of training, triage, and decontamination in daily training. It can provide a reference for training of chemical emergencies and construction of standardized treatment processes.