Institute of Health Sciences, College of Medical Sciences of the University of Rzeszow, Rzeszów, Poland.
Division for Clinical Geriatrics, Department of Neurobiology, Care Sciences and Society (NVS), Karolinska Institute, Stockholm, Sweden.
Front Public Health. 2023 Jul 17;11:1192315. doi: 10.3389/fpubh.2023.1192315. eCollection 2023.
Improving patient safety is one of the most critical components of modern healthcare. Emergency medical services (EMS) are, by nature, a challenging environment for ensuring patient safety. It is fast-paced, physically dangerous, and highly stressful, requiring rapid decision-making and action. This can create risks not only for patients but also for employees. We assessed variations in perceptions of safety culture in prehospital emergency care among an international sample of paramedics and nurses.
The Emergency Medical Services Safety Attitudes Questionnaire (EMS-SAQ) was used for the study. The instrument measures six domains of safety culture in the workplace: teamwork climate, job satisfaction, safety climate, working conditions, stress recognition, and perceptions of management. A total of 1,128 EMS from 9 countries participated in this study.
Safety Climate was 81.32/100 (SD 6.90), Teamwork Climate 84.14/100 (SD 8.74), Perceptions of Management 76.30/100 (SD 10.54), Stress Recognition 89.86/100 (SD 5.70), Working Conditions 81.07/100 (SD 9.75), and Job Satisfaction 70.71/100 (SD 7.21). There was significant variation in safety culture scores across countries for teamwork climate (TWC), working conditions (WC), and job satisfaction (JS). Among the individual variables (age, gender, level of education, and work experience), variations in safety culture scores were unaffected by age, gender, or work experience. Organizational characteristics: employment status and position type were linked to significant variations in safety culture domain scores.
Participants' perceptions of the patient safety climate were not particularly satisfactory, confirming that there is still a need to develop a culture of patient safety in prehospital emergency care.
提高患者安全是现代医疗保健的最关键组成部分之一。紧急医疗服务（EMS）本质上是一个确保患者安全的具有挑战性的环境。它节奏快、身体危险且压力大，需要快速决策和行动。这不仅会给患者带来风险，也会给员工带来风险。我们评估了国际样本中护理人员和护士对院前急救中安全文化的看法。
使用紧急医疗服务安全态度问卷（EMS-SAQ）进行研究。该工具衡量工作场所安全文化的六个领域：团队合作氛围、工作满意度、安全氛围、工作条件、压力识别和管理感知。共有来自 9 个国家的 1128 名 EMS 参与了这项研究。
安全氛围得分为 81.32/100（SD 6.90），团队合作氛围 84.14/100（SD 8.74），管理感知 76.30/100（SD 10.54），压力识别 89.86/100（SD 5.70），工作条件 81.07/100（SD 9.75），工作满意度 70.71/100（SD 7.21）。在团队合作氛围（TWC）、工作条件（WC）和工作满意度（JS）方面，不同国家之间的安全文化得分存在显著差异。在个体变量（年龄、性别、教育水平和工作经验）中，安全文化得分的变化不受年龄、性别或工作经验的影响。组织特征：雇佣状况和职位类型与安全文化领域得分的显著差异有关。
参与者对患者安全氛围的看法并不特别满意，这证实了在院前急救中仍需要培养患者安全文化。
