Crew and Patient Safety in Ambulances: Results of a Personnel Survey and Experimental Side Impact Crash Test

Fournier, Marc; Chenaitia, Hichem; Masson, Catherine; Michelet, Pierre; Behr, Michel; Auffray, Jean-Pierre

doi:10.1017/s1049023x13003543

Cited by 18 publications

(12 citation statements)

References 7 publications

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“…Care equipment must be of high quality and it should be tested at the beginning of each shift. The importance of maintaining high quality in emergency care equipment has been observed before [10,11].…”

Section: Discussionmentioning

confidence: 99%

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Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

P¹

2014

Emergency Medicine

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Objectives: The purpose of this qualitative study is to describe patient and staff safety incidents and near misses in out-of-hospital emergency care with the aim of providing new knowledge that can be useful in preventing and decreasing risks in emergency care. Research Methodology and setting: The data consisted of voluntary, anonymous reports collected online from emergency care staff in 2013 in one hospital district that serves a population of 200,000 in Finland. A total of 45 incident descriptions of adverse incidents, risks and near misses were accrued, all of which were analyzed using inductive content analysis.Results: The results reveal that threats to patient safety are associated with the patient's psychological and physical status, medication, care equipment and context. In occupational safety of emergency care providers, the patient's mental ill-being and aggression, the context, care equipment and emergency driving constitute potential sources of risks.Conclusion: As only a limited number of incidents were reported, staff should be encouraged to use the reporting system as an essential part of quality management in emergency services. More attention needs to be paid to assessing the overall emergency situation from the viewpoint of safety and the level and reliability of information before starting diagnostic procedures and treatment. Education and study of earlier safety incidents can help prevent risks.

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Section: Discussionmentioning

confidence: 99%

“…Studies on medication errors have shown that risks were caused by overdosing or administering a wrong drug [8,9]. Further studies reveal that patient safety is associated with staff competence [10][11][12]. Besides clinical competence, emergency care providers need situational sensitivity and problem-solving skills.…”

Section: Introductionmentioning

confidence: 99%

Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

P¹

2014

Emergency Medicine

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“…Emergency care workers are expected to be able to identify, analyse and act on deteriorating patients, near-misses and potential adverse events. Keeping up-to-date by means of continuing education is part of competence [11][12][13][14]. Competence in process and risk management is also necessary [1] and situation-sensitivity required to prevent near misses and adverse events [1, 15,16].…”

Section: Clinical Competence and Skill Definedmentioning

confidence: 99%

Workers' Clinical Skills at Out-of-Hospital Emergency Care

Salminen‐Tuomaala¹,

Leikkola²,

Mikkola³

et al. 2015

Emerg Med (Los Angel)

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“…Some threats are technical, related to e.g. stretcher issues [ 9 ], crash related issues [ 10 ] or the introduction of new technology [ 11 ]. Frequent handovers between the different EMS organizations may also cause miscommunications and adverse events [ 12 ].…”

Section: Introductionmentioning

confidence: 99%

Psychometric properties of the Norwegian version of the hospital survey on patient safety culture in a prehospital environment

Sørskår

Abrahamsen

Olsen

et al. 2018

BMC Health Serv Res

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BackgroundTo develop a culture of patient safety in a regime that strongly focuses on saving patients from emergencies may seem counter-intuitive and challenging. Little research exists on patient safety culture in the context of Emergency Medical Services (EMS), and the use of survey tools represents an appropriate approach to improve patient safety. Research indicates that safety climate studies may predict safety behavior and safety-related outcomes. In this study we apply the Norwegian versions of Hospital Survey on Patient Safety Culture (HSOPSC) and assess the psychometric properties when tested on a national sample from the EMS.MethodsThis study adopted a web based survey design. The Norwegian HSOPSC has 13 dimensions, consisting of 46 items, in addition to two single-item outcome variables. SPSS (version 21) was used for descriptive data analysis, estimating internal consistency, and performing exploratory factor analysis. Confirmatory factor analysis (CFA) was applied to test the dimensional structure of the instruments using Amos (version 21).ResultsN = 1387 (27%) EMS employees participated in the survey. Overall, acceptable psychometric properties were observed, i.e. acceptable internal consistencies and construct validity. The patient safety climate dimensions with highest scores (number of positive answers) were “teamwork within units” and “manager expectations & actions promoting patient safety”. The dimension “hospital management support for patient safety” had the lowest score.ConclusionsThe results provided a validated instrument, the Prehospital Survey on Patient Safety Culture (PreHSOPSC), for measuring patient safety climate in an EMS setting. In addition, the explanatory power was strong for several of the outcome dimensions; i.e., several of the safety climate dimensions have a strong predictive effect on outcome variables related to employees’ perceptions on patient safety and safety-related attitude.Electronic supplementary materialThe online version of this article (10.1186/s12913-018-3576-x) contains supplementary material, which is available to authorized users.

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Crew and Patient Safety in Ambulances: Results of a Personnel Survey and Experimental Side Impact Crash Test

Cited by 18 publications

References 7 publications

Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

Patient and Staff Safety Incidents and Near Misses in Out-Of-Hospital Emergency Care

Workers' Clinical Skills at Out-of-Hospital Emergency Care

Psychometric properties of the Norwegian version of the hospital survey on patient safety culture in a prehospital environment

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