scholarly journals Workplace Violence: A Survey of Nationally Registered Emergency Medical Services Professionals

2015 ◽  
Vol 2015 ◽  
pp. 1-12 ◽  
Author(s):  
Anthony Oliver ◽  
Roger Levine
Keyword(s):  
Emergency Medical Services ◽  
Workplace Violence ◽  
Odds Ratio ◽  
Physical Violence ◽  
Medical Services ◽  
Regression Analyses ◽  
Community Size ◽  
Work Related ◽  
Body Of Knowledge ◽  
Emergency Medical

Previous studies on violence against prehospital personnel have mainly reported on “verbal” and “physical” violence. This study explored how provider demographic and work-related characteristics were associated with five different forms of workplace violence (being cursed or threatened; being punched, slapped, or scratched; being spat upon; being stabbed/stabbing attempt; and being shot/shooting attempt). A cohort of nationally registered United States Emergency Medical Services professionals was surveyed to determine the experience of each of these types of patient initiated violence by these providers and their partners. Multivariable logistic regression analyses indicated gender was significantly associated with both being cursed/threatened and being stabbed or experiencing a stabbing attempt (odds ratio (OR) = 0.65, CI = 0.44–0.96; OR = 0.27, CI = 0.09–0.75, resp.). Level of EMT practice was significantly associated with being cursed/threatened, being spat upon, and being punched, slapped, or scratched (OR = 0.17, CI = 0.11–0.27; OR = 0.30, CI = 0.21–0.43; OR = 0.31, CI = 0.22–0.44, resp.). Both community size and experience were significantly associated with all the types of violence investigated. EMS workplace violence research is at its infancy; thus this study adds to a limited but growing body of knowledge.

scholarly journals Reliability and Validity of Survey Instruments to Measure Work-Related Fatigue in the Emergency Medical Services Setting: A Systematic Review

2018 ◽  
Vol 22 (sup1) ◽  
pp. 17-27 ◽  
Author(s):  
P. Daniel Patterson ◽  
Matthew D. Weaver ◽  
Anthony Fabio ◽  
Ellen M. Teasley ◽  
Megan L. Renn ◽  
...  
Keyword(s):  
Systematic Review ◽  
Emergency Medical Services ◽  
Reliability And Validity ◽  
Medical Services ◽  
Work Related ◽  
Emergency Medical ◽  
Survey Instruments

scholarly journals Poster 019. Work-Related Injuries Among Rural West Virginia Emergency Medical Services Providers

1995 ◽  
Vol 10 (S3) ◽  
pp. S62-S62
Author(s):  
Julia E. Martin ◽  
Janet M. Williams ◽  
Jennifer L. Bucklew ◽  
John E. Prescott
Keyword(s):  
West Virginia ◽  
Emergency Medical Services ◽  
Medical Services ◽  
Work Related ◽  
Emergency Medical ◽  
Rural West Virginia

scholarly journals Derivation and validation of a machine learning record linkage algorithm between emergency medical services and the emergency department

2019 ◽  
Vol 27 (1) ◽  
pp. 147-153 ◽  
Author(s):  
Colby Redfield ◽  
Abdulhakim Tlimat ◽  
Yoni Halpern ◽  
David W Schoenfeld ◽  
Edward Ullman ◽  
...  
Keyword(s):  
Machine Learning ◽  
Emergency Department ◽  
Social Security ◽  
Emergency Medical Services ◽  
Record Linkage ◽  
Odds Ratio ◽  
Medical Services ◽  
Social Security Number ◽  
Linkage Algorithm ◽  
Emergency Medical

Abstract Objective Linking emergency medical services (EMS) electronic patient care reports (ePCRs) to emergency department (ED) records can provide clinicians access to vital information that can alter management. It can also create rich databases for research and quality improvement. Unfortunately, previous attempts at ePCR and ED record linkage have had limited success. In this study, we use supervised machine learning to derive and validate an automated record linkage algorithm between EMS ePCRs and ED records. Materials and Methods All consecutive ePCRs from a single EMS provider between June 2013 and June 2015 were included. A primary reviewer matched ePCRs to a list of ED patients to create a gold standard. Age, gender, last name, first name, social security number, and date of birth were extracted. Data were randomly split into 80% training and 20% test datasets. We derived missing indicators, identical indicators, edit distances, and percent differences. A multivariate logistic regression model was trained using 5-fold cross-validation, using label k-fold, L2 regularization, and class reweighting. Results A total of 14 032 ePCRs were included in the study. Interrater reliability between the primary and secondary reviewer had a kappa of 0.9. The algorithm had a sensitivity of 99.4%, a positive predictive value of 99.9%, and an area under the receiver-operating characteristic curve of 0.99 in both the training and test datasets. Date-of-birth match had the highest odds ratio of 16.9, followed by last name match (10.6). Social security number match had an odds ratio of 3.8. Conclusions We were able to successfully derive and validate a record linkage algorithm from a single EMS ePCR provider to our hospital EMR.

scholarly journals Workplace Violence in Asian Emergency Medical Services: A Pilot Study

2019 ◽  
Vol 16 (20) ◽  
pp. 3936
Author(s):  
Pei-Yu Wang ◽  
Pin-Hui Fang ◽  
Chen-Long Wu ◽  
Hsiang-Chin Hsu ◽  
Chih-Hao Lin
Keyword(s):  
Emergency Medical Services ◽  
Workplace Violence ◽  
Questionnaire Survey ◽  
Bachelor's Degree ◽  
Emergency Medical Technicians ◽  
Medical Services ◽  
Cross Sectional ◽  
Emergency Medical ◽  
Forms Of Violence ◽  
College Educated

Workplace violence among Asian emergency medical services (EMS) has rarely been examined. A cross-sectional, mainly descriptive study using a standardized, paper-based, self-reported questionnaire survey was conducted between August and October 2018 among emergency medical technicians (EMTs) in the Tainan City Fire Bureau, Taiwan. A total of 152 EMT-paramedics responded to the questionnaire survey, constituting an overall response rate of 96.2%. The participants were predominantly male (96.1%), college-educated (4-year bachelor’s degree) (49.3%), and middle-aged (35–44 years old) (63.8%). Among them, 113 (74.3%) and 75 (49.3%) participants had experienced verbal and physical assaults at work, respectively. Only 12 (7.9%) participants were familiar with relevant regulations or codes. The assaults predominantly occurred during evening shifts (16:00–24:00) and at the scene of the emergency. The most predominant violence perpetrators included patients, patients’ families, or patients’ friends. Nearly 10% of participants had experienced verbal assaults from hospital personnel. EMTs who encountered workplace violence rarely completed a paper report, filed for a lawsuit, or sought a psychiatric consultation. Fifty-eight (38.2%) and 16 (10.5%) participants were victims of frequent (at least once every 3 months) verbal and physical forms of violence, respectively; however, no statistically significant association was observed in terms of EMT gender, age, working years, education level, or the number of EMS deployments per month. The prevalence of workplace violence among Asian EMS is considerable and is comparable to that in Western countries. Strategies to prevent workplace violence should be tailored to local practice and effectively implemented.

Self-reported incidence of verbal and physical violence against emergency medical services (EMS) personnel in Singapore

2020 ◽  
Author(s):  
Guek Khim Tay ◽  
Abd Rahman Abdul Razak ◽  
Kenneth Foong ◽  
Qin Xiang Ng ◽  
Shalini Arulanandam
Keyword(s):  
Emergency Medical Services ◽  
Physical Violence ◽  
Medical Services ◽  
Emergency Medical

scholarly journals A Systematic Literature Review: Workplace Violence Against Emergency Medical Services Personnel

2016 ◽  
Vol Inpress (Inpress) ◽  
Author(s):  
Majid Pourshaikhian ◽  
Hassan Abolghasem Gorji ◽  
Aidin Aryankhesal ◽  
Davood Khorasani-Zavareh ◽  
Ahmad Barati
Keyword(s):  
Literature Review ◽  
Emergency Medical Services ◽  
Systematic Literature Review ◽  
Workplace Violence ◽  
Medical Services ◽  
Emergency Medical ◽  
Emergency Medical Services Personnel

scholarly journals Temporal Trends of Out-of-Hospital Cardiac Arrests Without Resuscitation Attempt by Emergency Medical Services

2021 ◽  
Vol 14 (3) ◽  
Author(s):  
Victor Waldmann ◽  
Nicole Karam ◽  
Bamba Gaye ◽  
Wulfran Bougouin ◽  
Florence Dumas ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Odds Ratio ◽  
Statistical Significance ◽  
Temporal Trends ◽  
Survival Rates ◽  
Medical Services ◽  
Annual Number ◽  
Emergency Medical ◽  
Paris Area ◽  
Resuscitation Attempt

Background: Significant improvements in survival from out-of-hospital cardiac arrest (OHCA) have been reported; however, these are based only on data from OHCA in whom resuscitation is initiated by emergency medical services (EMS). We aimed to assess the characteristics and temporal trends of OHCA without resuscitation attempt by EMS. Methods: Prospective population-based study between 2011 and 2016 in the Greater Paris area (6.7 million inhabitants). All cases of OHCA were included in collaboration with EMS units, 48 different hospitals, and forensic units. Results: Among 15 207 OHCA (mean age 70.7±16.9 years, 61.6% male), 5486 (36.1%) had no resuscitation attempt by EMS. Factors that were independently associated with increase in likelihood of no resuscitation attempt included: age of patients (odds ratio, 1.06 per year [95% CI, 1.05–1.06], P <0.001), female sex (odds ratio, 1.21 [95% CI, 1.10–1.32], P =0.002), OHCA at home location (odds ratio, 3.38 [95%CI, 2.86–4.01], P <0.001), and absence of bystander (odds ratio, 1.94 [95% CI, 1.74–2.16], P <0.001). Overall, the annual number of OHCA increased by 9.1% (from 2923 to 3189, P =0.028). This increase was related to an increase of the annual number of OHCA without resuscitation attempt by EMS by 26.3% (from 993 to 1253, P =0.012), while the annual number of OHCA with resuscitation attempt by EMS did not significantly change (from 1930 to 1936, P =0.416). Considering only cases with resuscitation attempt, survival rate at hospital discharge increased (from 7.3% to 9.5%, P =0.02). However, when considering all OHCA, survival improvement did not reach statistical significance (from 4.8% to 5.7%, P =0.17). Conclusions: We demonstrated an increase of the total number of OHCA related to an increase of the number of OHCA without resuscitation attempt by EMS. This increasing proportion of OHCA without resuscitation attempt attenuates improvement in survival rates achieved in EMS-treated patients.

scholarly journals Estimation of work-related back pain syndrome in emergency medical services personnel

2020 ◽  
Vol 26 (1) ◽  
pp. 66-71
Author(s):  
Monika Kowalczyk ◽  
Małgorzata Zgorzalewicz-Stachowiak ◽  
Monika Duchniak ◽  
Tomasz Kłosiewicz
Keyword(s):  
Back Pain ◽  
Emergency Medical Services ◽  
Pain Syndrome ◽  
Medical Services ◽  
Work Related ◽  
Emergency Medical ◽  
Emergency Medical Services Personnel

International Survey of Violence Against EMS Personnel: Physical Violence Report

2018 ◽  
Vol 33 (5) ◽  
pp. 526-531 ◽  
Author(s):  
Brian J. Maguire ◽  
Matthew Browne ◽  
Barbara J. O’Neill ◽  
Michael T. Dealy ◽  
Darryl Clare ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Older Workers ◽  
Online Survey ◽  
Physical Violence ◽  
The United States ◽  
World Health ◽  
Medical Services ◽  
International Survey ◽  
Emergency Medical ◽  
The Us

AbstractIntroductionEach year, Emergency Medical Services (EMS) personnel respond to over 30 million calls for assistance in the United States alone. These EMS personnel have a rate of occupational fatality comparable to firefighters and police, and a rate of non-fatal injuries that is higher than the rates for police and firefighters and much higher than the national average for all workers. In Australia, no occupational group has a higher injury or fatality rate than EMS personnel. Emergency Medical Services personnel in the US have a rate of occupational violence injuries that is about 22-times higher than the average for all workers. On average, more than one EMS provider in the US is killed every year in an act of violence.Hypothesis/ObjectiveThe objective of this epidemiological study was to identify the risks and factors associated with work-related physical violence against EMS personnel internationally.MethodsAn online survey, based on a tool developed by the World Health Organization (WHO; Geneva, Switzerland), collected responses from April through November 2016.ResultsThere were 1,778 EMS personnel respondents from 13 countries; 69% were male and 54% were married. Around 55% described their primary EMS work location as “urban.” Approximately 68% described their employer as a “public provider.” The majority of respondents were from the US.When asked “Have you ever been physically attacked while on-duty?” 761 (65%) of the 1,172 who answered the question answered “Yes.” In almost 10% (67) of those incidents, the perpetrator used a weapon. Approximately 90% of the perpetrators were patients and around five percent were patient family members. The influence of alcohol and drugs was prevalent. Overall, men experienced more assaults than women, and younger workers experienced more assaults than older workers.Conclusions:In order to develop and implement measures to increase safety, EMS personnel must be involved with the research and implementation process. Furthermore, EMS agencies must work with university researchers to quantify agency-level risks and to develop, test, and implement interventions in such a way that they can be reliably evaluated and the results published in peer-reviewed journals.MaguireBJ, BrowneM, O’NeillBJ, DealyMT, ClareD, O’MearaP. International survey of violence against EMS personnel: physical violence report. Prehosp Disaster Med. 2018;33(5):526–531.

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