Understanding emergency workers' behavior and perspectives on design and safety in the workplace

Reuter, E; Camba, Jorge D.

doi:10.1016/j.apergo.2016.08.023

Cited by 12 publications

(18 citation statements)

References 9 publications

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“…Ultimately, design standards have not safeguarded ambulances from 'organically evolving' into a system that is neither effective nor efficient (23). These articles emphasized the need for design standards that are evidence-based and considers HFE.…”

Section: General Designmentioning

confidence: 99%

“…The main design challenge for restraints were developing a system that balanced the trade-offs between ensuring that EMS personnel were secured during sudden accelerations/decelerations while enabling them to provide patient care. If restraints limited access to the patient or necessary equipment, EMS personnel often choose not to use restraints (21,23). In the past, seatbelts were too restrictive and limited patient care.…”

Section: Restraintsmentioning

confidence: 99%

“…Therefore, task analyses were strongly recommended when designing the patient compartment. Researchers agreed that to improve the HFE of patient transport, there needs to be a combination of developing restraints that allowed EMS personnel to retrieve supplies and provide patient care, designing layouts that prioritize the Newer generations of the patient compartment have not been shown to be safer (4,23) and there is a knowledge gap in the behavior of its equipment and occupants during collisions.…”

Section: State Of Patient Transport Researchmentioning

confidence: 99%

“…Crash-testing scenarios have assumed that occupants were restrained, however, current ambulance designs did not facilitate seat belt use in practice (21,23).…”

Section: State Of Patient Transport Researchmentioning

confidence: 99%

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Existing Science on Human Factors and Ergonomics in the Design of Ambulances and EMS Equipment

Du¹,

Boileau²,

Wierts³

et al. 2019

Prehospital Emergency Care

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Background: Emergency medical services (EMS) personnel face a disproportionally high risk for fatality and injury due to the nature of their work; and current ambulance and EMS equipment design standards do not adequately safeguard EMS personnel from sacrificing personal safety for patient care, a known human factors and ergonomic (HFE) design challenge. Despite the desire to include HFE interventions or considerations into a standard, the effectiveness of existing HFE interventions for EMS is unclear. Objective: Therefore, this study aimed to synthesize the peer-reviewed literature on the design features of patient compartments and EMS equipment that affect EMS personnel's performance or well-being. Methods: A scoping review methodology was applied to systematically search and screen for relevant articles, and extract data. Three databases (EmBase, Scopus and PubMed) were searched, and search results were screened for articles that pertained to the performance or well-being of EMS personnel when interacting with the patient compartment or its associated equipment. Results and Discussion: Of the 4125 search results, 48 relevant articles were retained, and then sorted into one of three categories: general design, patient handling, and patient transport. It was concluded that, although research has progressed over the past 15 years, more research, development, and resources are needed. Newer generations of ambulances have not been shown to be safer during collisions and there is a knowledge gap in how occupants and contents of a patient compartment behave during a collision. Crash-tests have been performed with restrained occupants and supplies, however, that scenario is unrealistic in the field. While the existing literature provided initial ideas and innovations for improving the HFE of patient

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Section: General Designmentioning

confidence: 99%

Section: Restraintsmentioning

confidence: 99%

Section: State Of Patient Transport Researchmentioning

confidence: 99%

“…Crash-testing scenarios have assumed that occupants were restrained, however, current ambulance designs did not facilitate seat belt use in practice (21,23).…”

Section: State Of Patient Transport Researchmentioning

confidence: 99%

See 2 more Smart Citations

Existing Science on Human Factors and Ergonomics in the Design of Ambulances and EMS Equipment

Du¹,

Boileau²,

Wierts³

et al. 2019

Prehospital Emergency Care

View full text Add to dashboard Cite

show abstract

“…Improving patient safety and reducing occupational accidents are two of the main challenges in healthcare worldwide [6]. A growing body of literature focusing on the impact of an organizational or safety climate, safety performance, and occupational safety, as well as occupational safety climate in healthcare, has emerged [7][8][9][10][11][12][13][14][15][16]. Studies explicitly focusing on safety performance in acute care hospitals are rare, although healthcare professionals play a leading role in improving and maintaining patient safety.…”

Section: Introductionmentioning

confidence: 99%

Safety Performance of Healthcare Professionals: Validation and Use of the Adapted Workplace Health and Safety Instrument

Heier

Gambashidze

Hammerschmidt

et al. 2021

IJERPH

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Improving patient safety and reducing occupational accidents are two of the main challenges in healthcare. Instruments to measure safety performance and occupational safety are rare. This study aimed to prepare and validate a German version of the adapted workplace health and safety instrument to assess the safety performance of healthcare professionals. Overall, 168 healthcare professionals participated in this explorative cross-sectional study. The instrument consists of 16 items related to safety performance in four dimensions. We calculated mean values and standard deviations for each individual item and those of the four dimensions of the instrument. We evaluated internal consistency and construct validity, explored the dimensionality of the instrument through exploratory factor analysis, and tested how our data fit with the original model with confirmatory factor analysis. Among the participants, 73.8% were nurses and nurses in training, with the majority of the sample being female (71.9%) and younger than 30 (52.5%). Cronbach’s alpha for all four dimensions was >0.7. All items were loaded on factors according to the original theoretical model. Confirmatory factor analysis showed good model fit (normed χ²/df = 1.43 (≤2.5), root mean square error of approximation = 0.06 (≤0.07), goodness of fit index = 0.90 (>0.90), comparative fit index = 0.95 (≥0.90), and Tucker–Lewis index = 0.93 (>0.90). The German version of the instrument demonstrated acceptable properties and was a good fit to the original theoretical model, allowing measurement of healthcare professionals’ safety knowledge, motivation, compliance, and participation.

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State of Research in the Design and Development of Emergency Response Vehicles and Equipment: A Scoping Review

Boileau

Wierts

et al. 2018

Advances in Intelligent Systems and Computing

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Understanding emergency workers' behavior and perspectives on design and safety in the workplace

Cited by 12 publications

References 9 publications

Existing Science on Human Factors and Ergonomics in the Design of Ambulances and EMS Equipment

Existing Science on Human Factors and Ergonomics in the Design of Ambulances and EMS Equipment

Safety Performance of Healthcare Professionals: Validation and Use of the Adapted Workplace Health and Safety Instrument

State of Research in the Design and Development of Emergency Response Vehicles and Equipment: A Scoping Review

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