Evaluating preparedness of emergency trainees to triage victims of mass casualty incidents

Background: Triage of victims in mass casualty incidents (MCI) is crucial in prioritizing care and allocating resources1. Triage skills are important to be evaluated for training and better preparedness. Using clinical vignettes is a well-known approach to evaluate clinicians' knowledge and decision-making2. This study aims to evaluate preparedness of emergency residents and fellows to triage victims of MCI. Methods: Emergency Medicine (EM) residents and fellows at Hamad General Hospital, Emergency Department (HGH-ED) were invited to the study. Each participant filled a questionnaire followed by triaging of 15 vignette-based victims of MCI. Descriptive statistics elaborated on participants' training and relevant exposures (Table 1). It also showed the degree of agreement in their triage results and rates of under-triage and over-triage. Cohen's kappa coefficient showed inter-rater agreement and internal consistency in triage results. Results: Participants included 63 emergency trainees, 27 residents, and 36 fellows. Only 28.3% (n = 17) of them participated in an MCI drill over the past two years. 51.7% (n = 31) attended training on triage in MCI. 73.3% (n = 44) indicated that they have rarely or never triaged victims in a real MCI or a drill. Only 3.3% (n = 2) perceived themselves as highly confident in triaging victims of MCI. A total of 904 triage outcomes resulted from this exercise (Table 2). The overall rate of agreement among the triage outcomes is 73% (660 times in 904 triage outcomes). The rate of over-triage was 36.8% and 23% under-triage. Conclusion: Better triage results was associated with previous triage training. The rate of over-triage was as the literature recommends. However, the rate of under triage was alarmingly higher than the literature recommendation as < 5%3. The higher rate of under-triage imposes a risk of missing seriously injured victims, which may lead to higher mortality or poor patients' outcomes. Further training and exercises may be the key to saving more lives and resources.qscienc

المسح السنوي الشامل : مسح عن الحياة في دولة قطر 2014

This Executive Summary presents the highlights of the 2014 Omnibus survey, the fourth in a series of Omnibus surveys since 2010. The surveys were carried out by the Social and Economic Survey Research Institute (SESRI) of Qatar University. Each Omnibus survey interviews a large and representative sample of Qatari citizens, resident expatriates and laborers. In these surveys, we asked a number of questions covering several topics of importance to Qatari society, including their attitudes and behaviors related to media; political values and attitudes; gender; charities and charitable donations; traffic; and laborers. The survey was designed and carried out in accordance with the highest scientific and ethical standards. Respondents were assured that their answers would be confidential and presented in an aggregate format. This project was fully funded by the Social and Economic Survey Research Institute (SESRI) at Qatar University. The findings made herein are solely the responsibility of the authors.يقدم هذا التقرير الموجز أبرز ما في المسح الشامل لعام 2014 ،الرابع في سلسلة المسوح الشاملة منذ عام 2010 .تم تنفيذ البحوث من قبل معهد البحوث الاجتماعية والاقتصادية المسحية((SESRI بجامعة قطر. في كل مسح شامل تم استطلاع آراء عينة كبيرة تمثل المواطنين القطريين، والمقيمين والعمال. في هذه المسوح تم طرح عدد من الأسئلة تغطي العديد من المواضيع التي تهم المجتمع القطري، بما في ذلك المواقف والسلوكيات المتعلقة بوسائل الإعلام؛ والقيم والمواقف السياسية؛ دور الرجل والمرأة؛ المؤسسات والتبرعات الخيرية؛ وحركة المرور؛ والعمال الوافدين. صمم ونفذ هذا المسح وفقا لأعلى المعايير العلمية والأخلاقية. وتم التأكيد على المشاركين بأن إجابتهم سرية ومقدمة في شكل إجمالي. وقد تم تمويل هذا المشروع بالكامل من قِبل معهد البحوث الاجتماعية والاقتصادية المسحية بجامعة قطر. وإن الاستنتاجات الموجودة في هذا التقرير هي مسؤولية المؤلفين وحدهم

Antecedents and consequences of perceived student employability in Qatar: parental perspective

The aim of this research is to examine the factors that influence parental perceptions of the image of Qatar’s national university, Qatar University. The study builds on relevant scholarship on perceptions of organizational image and explores institutional image perceptions in the State of Qatar. Based on data collected from a sample of 256 Qatari parents, this study uses factor analysis in order to identify the variables that influence parental perceptions of Qatar University. The findings of this study indicate that the way parents perceive Qatar University is determined by three main factors: the institution’s educational standards, the facilities and extracurricular activities provided, and graduates’ employability. The paper concludes with recommendations for institutional policy and future research