20.500.12556/RUP-21690 Enhancing crisis response efficiency through ICT a Delphi study on operational and decision-making improvements in mass casualty incidents The potential of information and communication technology (ICT) to improve coordination and decision-making during the training and operational phases of mass casualty incidents (MCIs) has not yet been sufficiently explored. This three-round Delphi study investigates whether ICT use in MCIs can enhance decision-making and increase victim survival rates. The study was conducted from 10 February to 20 September 2024, with 25 international experts from academia, clinical practice, and health informatics. The results were summarised using a SWOT analysis, confirming ICT's perceived potential in MCI management. The analysis revealed a critical asymmetry: while the strengths and opportunities were mainly associated with technical factors (e.g. the effectiveness of drones, global positioning systems, artificial intelligence, dashboards, and virtual and augmented reality to improve the cost-effectiveness of training), weaknesses and threats were mainly social and organisational. These included a lack of standardisation and interoperability, limited ICT-supported training, infrastructure and cybersecurity gaps, resistance to change, legal constraints, underfunding, low technological readiness, and scepticism about the cost-effectiveness of ICT in real-world MCI contexts. Our findings highlight the gap between technological readiness and implementation challenges, suggesting that ICT innovation alone is insufficient without supportive governance, infrastructure, and stakeholder engagement. As the first Delphi study of its kind, it provides a strategic foundation for evidence-based ICT integration in training and operational MCI responses. The findings provide clear priorities for future policy development and empirical validation, emphasising the need to address persistent non-technical barriers to realise ICT’s full potential in crisis management. mass casualty incidents (MCI) information and communication technology (ICT) artificial intelligence (AI) drones electronic triage systems delphi study SWOT analysis množične nesreče informacijska in komunikacijska tehnologija (IK) umetna inteligenca droni elektronski sistemi za triažo Delfi študija SWOT analiza true false true Angleški jezik Slovenski jezik Neznano 2025-09-08 23:42:45 2025-09-08 23:42:47 2025-09-25 03:03:05 0000-00-00 00:00:00 2025 0 0 str. 1-14 [article no.] 101259 Vol. 10 dec. 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 2025-08-30 614.8.028.4 2666-1888 10.1016/j.sftr.2025.101259 248139011 https://www.sciencedirect.com/science/article/pii/S2666188825008202?via%3Dihub 1 d8d74ed4-8cfc-11f0-8f0b-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=31508 https://doi.org/10.1016/j.sftr.2025.101259 1 d9eaa441-8cfc-11f0-8f0b-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=31509 RAZ_Rezek_Primoz_2025.pdf RAZ_Rezek_Primoz_2025.pdf 1 36931553647E5E366EE93A308ADB22BF fb1915c135bf321eb3f2d41543b2fc1705fd10040534b8792a65473a3df1d37f 433dfcfb-8cfd-11f0-8f0b-005056ac49c0 https://repozitorij.upr.si/Dokument.php?lang=slv&id=31510 Fakulteta za vede o zdravju 0 0 0