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Relationship between the depressive state of emergency life‐saving technicians and near‐misses

AIM: A depressive state is a key risk factor for medical errors made by emergency life‐saving technicians (ELSTs). However, no study has examined the occurrence of near‐misses in ELSTs. We investigated the association between a depressive state and near‐misses among ELSTs. METHODS: A cross‐sectional...

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Autores principales: Honno, Katsumi, Kubo, Tatsuhiko, Toyokuni, Yoshiki, Ishimaru, Tomohiro, Matsuda, Shinya, Fujino, Yoshihisa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971434/
https://www.ncbi.nlm.nih.gov/pubmed/31988775
http://dx.doi.org/10.1002/ams2.463
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author Honno, Katsumi
Kubo, Tatsuhiko
Toyokuni, Yoshiki
Ishimaru, Tomohiro
Matsuda, Shinya
Fujino, Yoshihisa
author_facet Honno, Katsumi
Kubo, Tatsuhiko
Toyokuni, Yoshiki
Ishimaru, Tomohiro
Matsuda, Shinya
Fujino, Yoshihisa
author_sort Honno, Katsumi
collection PubMed
description AIM: A depressive state is a key risk factor for medical errors made by emergency life‐saving technicians (ELSTs). However, no study has examined the occurrence of near‐misses in ELSTs. We investigated the association between a depressive state and near‐misses among ELSTs. METHODS: A cross‐sectional study was undertaken in 345 ELSTs using an anonymous self‐administered questionnaire. The main exposure was a depressive state that was measured using the Quick Inventory of Depressive Symptomatology. For the main outcome, near‐miss events, we calculated odds ratios (OR) of depressive states, adjusted for age and work‐related factors by multivariable logistic regression. For exploratory purposes, we also undertook secondary analyses to determine whether work‐related factors were associated with a depressive state. RESULTS: We obtained 254 responses. Compared to ELSTs without a depressive state, the adjusted OR for near‐misses among ELSTs with a mild depressive state was 3.14 (95% confidence interval [CI], 1.37–7.16; P = 0.007), and that among ELSTs with a moderate or greater depressive state was 5.29 (95% CI, 1.46–19.09; P = 0.011). For a depressive state, in the exploratory analyses, the OR of nap duration while on duty for less than 2 h was 3.34 (95% CI, 1.15–9.67; P = 0.027), that for irregular mealtime while on duty was 3.71 (95% CI, 2.00–6.86; P < 0.001), and that for a duration of desk work of 4 h or longer was 2.21 (95% CI, 1.15–4.25; P = 0.017). CONCLUSION: A depressive state was significantly associated with the occurrence of near‐misses among ELSTs. That a depressive state among ELSTs was related to nap duration and excessive office work indicates that improved management of the work environment and operations of ELSTs is necessary for the provision of safe emergency medical services.
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spelling pubmed-69714342020-01-27 Relationship between the depressive state of emergency life‐saving technicians and near‐misses Honno, Katsumi Kubo, Tatsuhiko Toyokuni, Yoshiki Ishimaru, Tomohiro Matsuda, Shinya Fujino, Yoshihisa Acute Med Surg Original Articles AIM: A depressive state is a key risk factor for medical errors made by emergency life‐saving technicians (ELSTs). However, no study has examined the occurrence of near‐misses in ELSTs. We investigated the association between a depressive state and near‐misses among ELSTs. METHODS: A cross‐sectional study was undertaken in 345 ELSTs using an anonymous self‐administered questionnaire. The main exposure was a depressive state that was measured using the Quick Inventory of Depressive Symptomatology. For the main outcome, near‐miss events, we calculated odds ratios (OR) of depressive states, adjusted for age and work‐related factors by multivariable logistic regression. For exploratory purposes, we also undertook secondary analyses to determine whether work‐related factors were associated with a depressive state. RESULTS: We obtained 254 responses. Compared to ELSTs without a depressive state, the adjusted OR for near‐misses among ELSTs with a mild depressive state was 3.14 (95% confidence interval [CI], 1.37–7.16; P = 0.007), and that among ELSTs with a moderate or greater depressive state was 5.29 (95% CI, 1.46–19.09; P = 0.011). For a depressive state, in the exploratory analyses, the OR of nap duration while on duty for less than 2 h was 3.34 (95% CI, 1.15–9.67; P = 0.027), that for irregular mealtime while on duty was 3.71 (95% CI, 2.00–6.86; P < 0.001), and that for a duration of desk work of 4 h or longer was 2.21 (95% CI, 1.15–4.25; P = 0.017). CONCLUSION: A depressive state was significantly associated with the occurrence of near‐misses among ELSTs. That a depressive state among ELSTs was related to nap duration and excessive office work indicates that improved management of the work environment and operations of ELSTs is necessary for the provision of safe emergency medical services. John Wiley and Sons Inc. 2019-10-27 /pmc/articles/PMC6971434/ /pubmed/31988775 http://dx.doi.org/10.1002/ams2.463 Text en © 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Honno, Katsumi
Kubo, Tatsuhiko
Toyokuni, Yoshiki
Ishimaru, Tomohiro
Matsuda, Shinya
Fujino, Yoshihisa
Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title_full Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title_fullStr Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title_full_unstemmed Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title_short Relationship between the depressive state of emergency life‐saving technicians and near‐misses
title_sort relationship between the depressive state of emergency life‐saving technicians and near‐misses
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971434/
https://www.ncbi.nlm.nih.gov/pubmed/31988775
http://dx.doi.org/10.1002/ams2.463
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