On the job illness and injury resulting in lost work time among a national cohort of emergency medical services professionals

Studnek, Jonathan R.; Ferketich, Amy K.; Crawford, James M.

doi:10.1002/ajim.20516

Cited by 45 publications

(23 citation statements)

References 29 publications

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“…Taking the severity of injury (measured by lost work time) into account, the prevalence of an injury with lost work time in our study (2.9%) was lower than that of surveyed EMTs (9.5%). 30 However, we do not know if this is because ATs experienced fewer severe injuries compared with EMTs, successfully modified their work tasks, or had less ability to take time off work.…”

Section: Discussionmentioning

confidence: 99%

Work-Related Injury and Management Strategies Among Certified Athletic Trainers

Kucera

Lipscomb

Roos

et al. 2018

Journal of Athletic Training

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Context: Health care workers have high rates of musculoskeletal injuries, but many of these injuries go unreported to workers' compensation and national surveillance systems. Little is known regarding the work-related injuries of certified athletic trainers (ATs).Objective: To determine the 12-month incidence and prevalence of work-related injuries and describe injury-reporting and -management strategies.Design: Cross-sectional study. Setting: Population-based online survey. Patients or Other Participants: Of the 29 051 ATs currently certified by the Board of Certification, Inc, who ''opted in'' to research studies, we randomly selected 10 000. Of these, 1826 (18.3%) ATs currently working in the clinical setting were eligible and participated in the baseline survey.Main Outcome Measure(s): An online survey was e-mailed in May of 2012. We assessed self-reported work-related injuries in the previous 12 months and management strategies including medical care, work limitations or modifications, and time off work. Statistics (frequencies and percentages) were calculated to describe injury rates per 200 000 work hours, injury prevalence, injury characteristics, and injury-reporting and -management strategies.Results: A total of 247 ATs reported 419 work-related injuries during the previous 12 months, for an incidence rate of 21.6 per 200 000 hours (95% confidence interval ¼ 19.6, 23.7) and injury prevalence of 13.5% (95% confidence interval ¼ 12.0%, 15.1%). The low back (26%), hand/fingers (9%), and knee (9%) were frequently affected body sites. Injuries were most often caused by bodily motion/overexertion/repetition (52%), contact with objects/equipment/persons (24%), or slips/ trips/falls (15%). More than half of injured ATs (55.5%) sought medical care, 25% missed work, and most (77%) did not file a workers' compensation claim for their injury. Half of injured ATs were limited at work (n ¼ 125), and 89% modified or changed their athletic training work as a result of the injury.Conclusions: More than half of AT work-related injuries required medical care or work limitations and were not reported for workers' compensation. Understanding how ATs care for and manage their work-related injuries is important given that few take time off work. Key Words: work task, occupational injury, mechanism, survey, athletic training, workers' compensation Key PointsWork-related injuries were frequent among athletic trainers, yet few took time off work or reported their injuries for workers' compensation. Understanding how athletic trainers manage and care for their injuries is important for prevention efforts. Athletic trainers' injury frequency varies by practice setting and work task and activity, so prevention strategies must address these factors. Since its beginning more than 60 years ago, the athletic training profession has evolved considerably in both setting and scope of practice. In the 1960s and 1970s, athletic trainers (ATs) were primarily employed in secondary school, collegiate/university, and professional sport setting...

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Section: Discussionmentioning

confidence: 99%

Work-Related Injury and Management Strategies Among Certified Athletic Trainers

Kucera

Lipscomb

Roos

et al. 2018

Journal of Athletic Training

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“…3,16,[40][41][42][43][44][45][46] This lack of standardization hinders the measurement of injuries to EMS providers, and makes it difficult to systematically evaluate and re-duce such injuries. In addition, existing data are rarely shared outside of a single EMS agency or jurisdiction.…”

Section: Host Factor Solutionsmentioning

confidence: 99%

EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference

Brice

Studnek

Bigham

et al. 2012

Prehospital Emergency Care

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The out-of-hospital setting is unique to health care and presents many challenges to providing safe, high-quality medical care in emergency situations. The challenges of the prehospital environment require thoughtful design of systems and processes of care. The unique challenges of ambulance safety may be met by analyzing systems and incorporating process improvements. The purposes of this paper are to 1) outline the nature of this problem, 2) introduce a framework for this discussion, 3) provide expert opinion from a two-day ambulance safety conference, and 4) propose a plan of action to address the safety issues identified in the literature and expert opinion at the conference. Utilizing the Haddon Matrix as a framework, we present the safety issues and proposed solutions for factors contributing to an injury event in the emergency medical services (EMS) transport environment: host, agent, physical environment, and social environment. Host refers to the person or persons at risk, in this case, the EMS personnel or the patient. The agent of injury refers to the energy exerted during the course of an injury, and may be modified to include unrestrained equipment that contributes to the injury. The physical environment refers to the characteristics of the setting in which the injury takes place, such as the roadway or the physical design of the ambulance. Finally, the social environment refers to the social, legal, and cultural norms and practices in the society, such as peer pressure and a culture that discourages the use of safety equipment.

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“…5,6 In the execution of these duties, paramedics may be required to perform physically demanding tasks or be exposed to occupational hazards, which can potentially lead to morbidity or mortality. [7][8][9][10] Research has indicated that there are relatively high levels of occupational injury and illness associated with the paramedic profession. 1,4,7,8,[11][12][13][14] Ideally, paramedics would have a high standard of fitness to enable a prompt response for emergency health interventions.…”

Section: Introductionmentioning

confidence: 99%

“…[17][18][19] Occupational injury can produce physical, social, and economic impacts on the individual, workforce, and the community. 3,7,9,19,20 Accordingly, improving the fitness of all paramedics has the potential to modify and reduce the risk of occupational injury or illness in the future.…”

Section: Introductionmentioning

confidence: 99%

Unfit for Duty? Evaluation of 4 Years of Paramedic Preemployment Fitness Screening Test Results

Thornton

Sayers

2013

Prehospital Emergency Care

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On the job illness and injury resulting in lost work time among a national cohort of emergency medical services professionals

Abstract: Results from this analysis provide estimates of the prevalence and incidence of on the job illness and injury resulting in lost work time among a national cohort of EMS professionals.

Cited by 45 publications

References 29 publications

Work-Related Injury and Management Strategies Among Certified Athletic Trainers

Work-Related Injury and Management Strategies Among Certified Athletic Trainers

EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference

Unfit for Duty? Evaluation of 4 Years of Paramedic Preemployment Fitness Screening Test Results

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