Patterson P Daniel, Anderson Michelle S, Zionts Nancy D, Paris Paul M
Department of Emergency Medicine, University of Pittsburgh School of Medicine, 3600 Forbes Avenue, Iroquois Bldg, Pittsburgh, PA 15261, USA.
Am J Med Qual. 2013 Jul-Aug;28(4):286-91. doi: 10.1177/1062860612463727. Epub 2012 Nov 12.
The overarching mission of prehospital emergency medical services (EMS) is to deliver lifesaving care for people when their needs are greatest. Fulfilling this mission is challenged by threats to patient and provider safety. The EMS setting is a high-risk one because care is delivered rapidly in the out-of-hospital setting where resources of benefit to patients are limited. There is growing evidence that safety culture varies widely across EMS agencies. A poor safety culture may manifest as error in medication, back injuries, and other poor outcomes for patient and provider. Recently, federal and national leaders of EMS (ie, the National Highway Traffic Safety Administration) have made improving EMS safety culture a national priority. Unfortunately, few initiatives can help local EMS leaders achieve that priority. The authors describe the successful EMS Champs Fellowship program, supported by the Jewish Healthcare Foundation, designed to train EMS leaders to improve safety for patients and providers.
院前急救医疗服务（EMS）的首要任务是在人们最需要的时候提供挽救生命的护理。实现这一任务面临着对患者和医护人员安全的威胁。EMS环境是一个高风险环境，因为护理是在院外环境中迅速提供的，而对患者有益的资源有限。越来越多的证据表明，不同的EMS机构安全文化差异很大。不良的安全文化可能表现为用药错误、背部受伤以及对患者和医护人员的其他不良后果。最近，EMS的联邦和国家领导人（即国家公路交通安全管理局）已将改善EMS安全文化作为国家优先事项。不幸的是，很少有举措能帮助地方EMS领导人实现这一优先事项。作者描述了由犹太医疗基金会支持的成功的EMS冠军奖学金计划，该计划旨在培训EMS领导人，以提高患者和医护人员的安全。
