School of Health, Medical and Applied Sciences, CQUniversity, North Rockhampton, Queensland, Australia.
La Trobe Rural Health School, College of Science, Health & Engineering, La Trobe University, Bendigo, Australia.
Am J Ind Med. 2018 Feb;61(2):167-180. doi: 10.1002/ajim.22797. Epub 2017 Nov 27.
Violence against emergency medical services (EMS) personnel is a growing concern. The aim of this systematic review is to synthesize the current literature on violence against EMS personnel.
We examined literature from 2000 to 2016. Eligibility criteria included English-language, peer-reviewed studies of EMS personnel that described violence or assaults. Sixteen searches identified 2655 studies; 25 studies from nine countries met the inclusion criteria.
The evidence from this review demonstrates that violence is a common risk for EMS personnel. We identified three critical topic areas: changes in risk over time, economic impact of violence and, outcomes of risk-reduction interventions. There is a lack of peer reviewed research of interventions, with the result that current intervention programs have no reliable evidence base.
EMS leaders and personnel should work together with researchers to design, implement, evaluate and publish intervention studies designed to mitigate risks of violence to EMS personnel.
针对紧急医疗服务（EMS）人员的暴力行为是一个日益严重的问题。本系统综述的目的是综合目前关于 EMS 人员遭受暴力侵害的文献。
我们查阅了 2000 年至 2016 年的文献。纳入标准包括描述暴力或袭击事件的 EMS 人员的英文同行评议研究。16 次检索共确定了 2655 项研究；9 个国家的 25 项研究符合纳入标准。
本综述的证据表明，暴力是 EMS 人员面临的常见风险。我们确定了三个关键的主题领域：随时间变化的风险变化、暴力的经济影响，以及降低风险干预措施的结果。针对干预措施的同行评审研究非常匮乏，因此当前的干预计划缺乏可靠的证据基础。
EMS 领导人和人员应与研究人员合作，设计、实施、评估和发表旨在减轻 EMS 人员遭受暴力风险的干预研究。
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