Strategic Dimensions of Risk Management in Dealing with CBRNE Events in Military Hospitals: A Qualitative Analysis with a Policy Approach from the Perspective of Experts

Akbar Javan Biparva,1 Ali Nasiri,2,3 Mazyar Karamali,4 Taha Nasiri4,5 1Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran; 2Health Management Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran; 3Department of Health in Disasters and Emergencies, Baqiyatallah University of Medical Sciences, Tehran, Iran; 4Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran; 5Department of Health Services Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, IranCorrespondence: Taha Nasiri, Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran. Department of Health Services Management, Faculty of Health, Baqiyatallah University of Medical Sciences, Tehran, Iran, Tel +098 9122684867, Email [email protected]: Risk management means identifying, assessing, and controlling risks to reduce and minimize potential negative consequences. Identifying the dimensions and components of risk management in CBRNE incidents creates a systematic and organized format that allows hospitals to act efficiently in the face of various threats, especially CBRNE incidents, and prevent irreparable damage.Methods: This qualitative study with descriptive exploratory approach was conducted in 2025. Data were collected using semi-structured interviews, purposive sampling, and the participation of 14 experts and officials, and analyzed using the framework analysis method.Results: In the qualitative study, the dimensions and components of risk management were identified and determined in each stage of the risk management cycle (prevention, preparedness, response, and recovery). So that prevention, preparedness, response, and recovery have 7, 6, 7, and 8 main components, respectively.Conclusion: Risk management components in CBRNE incidents in military hospitals help reduce response time, secure staff and patients, optimize resources, effectively coordinate teams, and learn from the incident. Through risk assessment, response planning and exercises, logistics management, biosafety and security, information management, ongoing training, and post-event review, this framework leads to adaptation to specific military threats and improves operational efficiency in critical situations.Keywords: risk management, hazardous substances, biohazard release, chemical hazard release, military hospitals