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Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study

INTRODUCTION: 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 an...

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Autores principales: Kosydar-Bochenek, Justyna, Religa, Dorota, Knap, Małgorzata, Czop, Marcin, Knap, Bartosz, Mędrzycka-Dąbrowska, Wioletta, Krupa, Sabina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390026/
https://www.ncbi.nlm.nih.gov/pubmed/37529436
http://dx.doi.org/10.3389/fpubh.2023.1192315
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author Kosydar-Bochenek, Justyna
Religa, Dorota
Knap, Małgorzata
Czop, Marcin
Knap, Bartosz
Mędrzycka-Dąbrowska, Wioletta
Krupa, Sabina
author_facet Kosydar-Bochenek, Justyna
Religa, Dorota
Knap, Małgorzata
Czop, Marcin
Knap, Bartosz
Mędrzycka-Dąbrowska, Wioletta
Krupa, Sabina
author_sort Kosydar-Bochenek, Justyna
collection PubMed
description INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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.
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spelling pubmed-103900262023-08-01 Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study Kosydar-Bochenek, Justyna Religa, Dorota Knap, Małgorzata Czop, Marcin Knap, Bartosz Mędrzycka-Dąbrowska, Wioletta Krupa, Sabina Front Public Health Public Health INTRODUCTION: 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. METHODS: 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. RESULTS: 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. CONCLUSION: 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. Frontiers Media S.A. 2023-07-17 /pmc/articles/PMC10390026/ /pubmed/37529436 http://dx.doi.org/10.3389/fpubh.2023.1192315 Text en Copyright © 2023 Kosydar-Bochenek, Religa, Knap, Czop, Knap, Mędrzycka-Dąbrowska and Krupa. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Kosydar-Bochenek, Justyna
Religa, Dorota
Knap, Małgorzata
Czop, Marcin
Knap, Bartosz
Mędrzycka-Dąbrowska, Wioletta
Krupa, Sabina
Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title_full Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title_fullStr Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title_full_unstemmed Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title_short Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
title_sort safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390026/
https://www.ncbi.nlm.nih.gov/pubmed/37529436
http://dx.doi.org/10.3389/fpubh.2023.1192315
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