广东省突发中毒事件卫生应急演练能力评估

Assessment of health emergency drill ability for sudden poisoning incidents in Guangdong Province

目的对广东省突发中毒事件卫生应急演练的能力进行评估。方法采用双盲法,在广东省组织22支队伍开展卫生应急演练。演练分为初赛和复赛。初赛包括盲样考核、理论考核和技能考核,复赛由初赛排名前10名的队伍进行桌面推演。结果初赛中,22支队伍初赛总分中位数(M)为72.5分,其中,盲样考核、理论考核、技能考核总分M分别为71.0、61.4、76.5分,技能考核总分高于理论考核总分(P<0.05);22支队伍及格率为68.2%(15/22),不及格率为31.8%(7/22),不及格的队伍均来自非珠江三角洲地区。珠江三角洲地区队伍初赛总分、初赛及格率、盲样考核总分和技能考核总分均高于非珠江三角洲地区队伍(P<0.01)。理论考核环节中,中毒检测和中毒调查项目的成绩分别高于中毒医疗(P<0.05)。技能考核环节中,指挥决策、中毒防护和中毒检测项目得分居于前3位,中毒医疗和中毒调查项目得分相对较低(P<0.05)。复赛环节中,桌面推演得分M为55.0分,及格率为20.0%,不及格率为80.0%。结论广东省突发中毒事件卫生应急能力仍有待提高;应加强对非珠江三角洲地区的突发中毒卫生应急处置能力的建设,尤其是加强中毒医疗、中毒调查理论知识和实践能力的培训。

Objective To evaluate the ability of health emergency drill for sudden poisoning incidents in Guangdong Province. Methods A double-blinded method was used to organize 22 teams in Guangdong Province to conduct a health emergency drill which contained preliminary and repeated drill. The preliminaries contained blind sample analysis, theoretical examination and skills assessment. The repeated drills was desktop network exercise carried out for the teams ranked top 10 in the preliminaries. Results In the preliminary round, the median （M） of total score among the 22 teams was 72. 5. Among them, blind sample analysis, theoretical examination and skills assessment were 71.0, 61.4 and 76.5, respectively. The total score of skill assessment was higher than that of theoretical assessment （P 〈 0. 05 ）. The passing rate of 22 teams was 68.2% （15/22） , and the failure rate was 31.8% （7/22）. The failing teams all came from the non- Pearl River Delta region. The total preliminary scores, passing rate, the total scores of blind sample analysis and skills assessment of the teams in Pearl River Delta Region were higher than that in the non-Pearl River Delta region （P 〈 0. 01 ）. In the theoretical examination, the scores of detection and investigation were both higher than that of medical rescue （ P 〈 0. 05）. For the skills assessment, the scores of decision-making, personal protection and poisoning detection were in the top three, the scores of the medical rescue and investigation were relatively low （P 〈 0. 05 ）. In the repeated round, the M of desktop exercise was 55.0, passing rate was 20. 0%, and the failure rate was 80. 0%. Conclusion The health emergency response capacity for sudden poisoning incidents in Guangdong Province needs to be improved. The construction of emergency response capacity for emergency poisoning in the non-Pearl River Delta region should be strengthened, especially the training on strengthening theoretical and practical knowledge of poisoning medical treatment and poisoninginvestigation.