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Injury risks of EMS responders: evidence from the National Fire Fighter Near-Miss Reporting System.

Abstract：

OBJECTIVES:We analysed near-miss and injury events reported to the National Fire Fighter Near-Miss Reporting System (NFFNMRS) to investigate the workplace hazards and safety concerns of Emergency Medical Services (EMS) responders in the USA. METHODS:We reviewed 769 'non-fire emergency event' reports from the NFFNMRS using a mixed methods approach. We identified 185 emergency medical calls and analysed their narrative text fields. We assigned Mechanism of Near-Miss/Injury and Nature of Injury codes and then tabulated frequencies (quantitative). We coded major themes regarding work hazards and safety concerns reported by the EMS responders (qualitative). RESULTS:Of the 185 emergency medical calls, the most commonly identified Mechanisms of Near-Miss/Injury to EMS responders was Assaults, followed by Struck-by Motor Vehicle, and Motor Vehicle Collision. The most commonly identified weapon used in an assault was a firearm. We identified 5 major domains of workplace hazards and safety concerns: Assaults by Patients, Risks from Motor Vehicles, Personal Protective Equipment, Relationships between Emergency Responders, and Policies, Procedures and Practices. CONCLUSIONS:Narrative text from the NFFNMRS is a rich source of data that can be analysed quantitatively and qualitatively to provide insight into near-misses and injuries sustained by EMS responders. Near-miss reporting systems are critical components for occupational hazard surveillance.

journal_name

BMJ Open

journal_title

BMJ open

authors

Taylor JA,Davis AL,Barnes B,Lacovara AV,Patel R

doi

10.1136/bmjopen-2014-007562

subject

Has Abstract

pub_date

2015-06-11 00:00:00

pages

e007562

issue

6

issn

2044-6055

pii

bmjopen-2014-007562

journal_volume

5

pub_type

杂志文章

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