Department of Emergency Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA.
Prehosp Emerg Care. 2012 Jan-Mar;16(1):53-8. doi: 10.3109/10903127.2011.621043.
Occupational injuries are an important source of morbidity for emergency medical services (EMS) providers. Previous work has shown that employee perceptions of an organization's commitment to safety (i.e., safety climate) correlate with adherence to safe practices.
To assess the association between perceived safety climate and compliance with safety procedures in an urban EMS system with >100,000 calls/year.
EMS providers were issued a self-administered survey that included questions on demographics, years of experience, perceived safety climate, and adherence to safety procedures. Safety climate was assessed with a 20-item validated instrument. Adherence to safety procedures was assessed with a nine-item list of safety behaviors. Strict adherence to safety procedures was defined as endorsing "agree" or "strongly agree" on 80% of items. The effect of safety climate on compliance with safe practices was estimated using multiple logistic regression.
One hundred ninety-six of 221 providers (89%) completed surveys; 74% were male; the median age was 36-40 years; and the median amount of experience was 8 years. One hundred twenty-seven of 196 respondents (65%) reported strict adherence to safe work practice. Factor analysis confirmed the original six-factor grouping of questions; frequent safety-related feedback/training was significantly associated with safe practices (odds ratio [OR] = 2.14, 95% confidence interval [CI] = 1.01-4.51).
EMS workers perceiving a high degree of perceived safety climate was associated with twofold greater odds of self-reported level of strict adherence to safe work practices. Frequent safety-related feedback/training was the one dimension of safety climate that had the strongest association with adherence to safe workplace behaviors.
职业伤害是急救医疗服务（EMS）提供者发病的一个重要来源。先前的工作表明，员工对组织安全承诺的看法（即安全氛围）与遵守安全实践相关。
评估在一个每年有超过 10 万次呼叫的城市 EMS 系统中，感知到的安全氛围与遵守安全程序之间的关联。
向 EMS 提供者发放了一份自我管理的调查问卷，其中包括人口统计学、工作经验年限、感知到的安全氛围以及遵守安全程序等问题。使用 20 项经验证的工具评估安全氛围。使用包含九项安全行为的清单评估对安全程序的遵守情况。严格遵守安全程序定义为在 80%的项目上表示“同意”或“强烈同意”。使用多项逻辑回归估计安全氛围对遵守安全实践的影响。
在 221 名提供者中有 196 名（89%）完成了调查；74%为男性；中位数年龄为 36-40 岁；中位数工作经验年限为 8 年。在 196 名受访者中有 127 名（65%）报告严格遵守安全工作实践。因子分析证实了最初的六因素问题分组；频繁的安全相关反馈/培训与安全实践显著相关（比值比[OR] = 2.14，95%置信区间[CI] = 1.01-4.51）。
EMS 工作者感知到高度的安全氛围与自我报告的严格遵守安全工作实践的几率增加两倍相关。频繁的安全相关反馈/培训是与遵守安全工作场所行为具有最强关联的安全氛围维度之一。
