Advanced search
Publication Cover
Prehospital Emergency Care Volume 14, 2010 - Issue 4
Submit an article Journal homepage
1,019
Views
62
CrossRef citations to date
0
Altmetric
Research Article

Variation in Emergency Medical Services Workplace Safety Culture

P. Daniel Patterson From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.Correspondence[email protected]
, PhD, MPH, EMT-B,
David T. Huang From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.
, MD, MPH,
Rollin J. Fairbanks From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.
, MD, MS, EMT-P,
Scott Simeone From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.
, BS, MS, NREMT-P,
Matthew Weaver From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.
, BS, NREMT-P &
Henry E. Wang From the Department of Emergency Medicine and Center for Emergency Medicine of Western Pennsylvania, Inc. (PDP, DTH, SS, MW), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; the Department of Emergency Medicine (HEW), University of labama at Birmingham School of Medicine, Birmingham, Alabama; the Department of Critical Care Medicine and Clinical Research and Systems Modeling of Acute Illness Laboratory (DTH), University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; and the Department of Emergency Medicine (RJF), University of Rochester School of Medicine, Rochester, New York.
, MD, MS
Pages 448-460 | Received 13 Apr 2010, Accepted 08 Aug 2010, Published online: 01 Sep 2010

Citations (62)

Keep up to date with the latest research on this topic with citation updates for this article.

Subscribe to citation updates

Read on this site (17)

Sonia González-Recio, Maria Boada-Cuerva, María-José Serrano-Fernández, Jordi Assens-Serra, Luis Araya-Castillo & Joan Boada-Grau. (2022) Personality and impulsivity as antecedents of occupational health in the construction industry. International Journal of Occupational Safety and Ergonomics 28:4, pages 2403-2410.
Read now
Jonathan R. Studnek, Allison E. Infinger, Megan L. Renn, Patricia M. Weiss, Joseph P. Condle, Katharyn L. Flickinger, Andrew J. Kroemer, Brett R. Curtis, Xiaoshuang Xun, Ayushi A. Divecha, Patrick J. Coppler, Zhadyra Bizhanova, Denisse J. Sequeira, Eddy Lang, J. Stephen Higgins & P. Daniel Patterson. (2018) Effect of Task Load Interventions on Fatigue in Emergency Medical Services Personnel and Other Shift Workers: A Systematic Review. Prehospital Emergency Care 22:sup1, pages 81-88.
Read now
P. Daniel Patterson, J. Stephen Higgins, Hans P. A. Van Dongen, Daniel J. Buysse, Ronald W. Thackery, Douglas F. Kupas, David S. Becker, Bradley E. Dean, George H. Lindbeck, Francis X. Guyette, Josef H. Penner, John M. Violanti, Eddy S. Lang & Christian Martin-Gill. (2018) Evidence-Based Guidelines for Fatigue Risk Management in Emergency Medical Services. Prehospital Emergency Care 22:sup1, pages 89-101.
Read now
John D. Hoyle$suffix/text()$suffix/text(), Deborah Sleight, Rebecca Henry, Todd Chassee, Bill Fales & Brian Mavis. (2016) Pediatric Prehospital Medication Dosing Errors: A Mixed-Methods Study. Prehospital Emergency Care 20:1, pages 117-124.
Read now
P. Daniel Patterson, Sharon E. Klapec, Matthew D. Weaver, Francis X. Guyette, Thomas E. Platt & Daniel J. Buysse. (2016) Differences in Paramedic Fatigue before and after Changing from a 24-hour to an 8-hour Shift Schedule: A Case Report. Prehospital Emergency Care 20:1, pages 132-136.
Read now
P. Daniel Patterson, Daniel J. Buysse, Matthew D. Weaver, Clifton W. Callaway & Donald M. Yealy. (2015) Recovery between Work Shifts among Emergency Medical Services Clinicians. Prehospital Emergency Care 19:3, pages 365-375.
Read now
P. Daniel Patterson, Judith R. Lave, Christian Martin-Gill, Matthew D. Weaver, Richard J. Wadas, Robert M. Arnold, Ronald N. Roth, Vincent N. Mosesso, Francis X. Guyette, Jon C. Rittenberger & Donald M. Yealy. (2014) Measuring Adverse Events in Helicopter Emergency Medical Services: Establishing Content Validity. Prehospital Emergency Care 18:1, pages 35-45.
Read now
. (2012) Adverse Events in EMS: Symptom of a Larger Problem. Prehospital Emergency Care 16:3, pages 419-419.
Read now
Jane H. Brice, Jonathan R. Studnek, Blair L. Bigham, Christian Martin-Gill, Catherine B. Custalow, Eric Hawkins & Laurie J. Morrison. (2012) EMS Provider and Patient Safety during Response and Transport: Proceedings of an Ambulance Safety Conference. Prehospital Emergency Care 16:1, pages 3-19.
Read now
Blair L. Bigham, Jason E. Buick, Steven C. Brooks, Merideth Morrison, Kaveh G. Shojania & Laurie J. Morrison. (2012) Patient Safety in Emergency Medical Services: A Systematic Review of the Literature. Prehospital Emergency Care 16:1, pages 20-35.
Read now
Elizabeth Donnelly. (2012) Work-Related Stress and Posttraumatic Stress in Emergency Medical Services. Prehospital Emergency Care 16:1, pages 76-85.
Read now
Laura J. Eliseo, Kate A. Murray, Laura F. White, Sophia Dyer, Patricia A. Mitchell & William G. Fernandez. (2012) EMS Providers’ Perceptions of Safety Climate and Adherence to Safe Work Practices. Prehospital Emergency Care 16:1, pages 53-58.
Read now
P. Daniel Patterson, Matthew D. Weaver, Rachel C. Frank, Charles W. Warner, Christian Martin-Gill, Francis X. Guyette, Rollin J. Fairbanks, Michael W. Hubble, Thomas J. Songer, Clifton W. Callaway, Sheryl F. Kelsey & David Hostler. (2012) Association Between Poor Sleep, Fatigue, and Safety Outcomes in Emergency Medical Services Providers. Prehospital Emergency Care 16:1, pages 86-97.
Read now
P. Daniel Patterson, Matthew D. Weaver, Sallie J. Weaver, Michael A. Rosen, Gergana Todorova, Laurie R. Weingart, David Krackhardt, Judith R. Lave, Robert M. Arnold, Donald M. Yealy & Eduardo Salas. (2012) Measuring Teamwork and Conflict among Emergency Medical Technician Personnel. Prehospital Emergency Care 16:1, pages 98-108.
Read now
Matthew D. Weaver, Henry E. Wang, Rollin J. Fairbanks & Daniel Patterson. (2012) The Association between EMS Workplace Safety Culture and Safety Outcomes. Prehospital Emergency Care 16:1, pages 43-52.
Read now
Audrey A. Reichard, Suzanne M. Marsh & Paul H. Moore. (2011) Fatal and Nonfatal Injuries Among Emergency Medical Technicians and Paramedics. Prehospital Emergency Care 15:4, pages 511-517.
Read now
Christina L. Catlett, J. Lee Jenkins & Michael G. Millin. (2011) Role of Emergency Medical Services in Disaster Response: Resource Document for the National Association of EMS Physicians Position Statement. Prehospital Emergency Care 15:3, pages 420-425.
Read now

Articles from other publishers (45)

Justyna Kosydar-Bochenek, Dorota Religa, Małgorzata Knap, Marcin Czop, Bartosz Knap, Wioletta Mędrzycka-Dąbrowska & Sabina Krupa. (2023) Safety climate perceived by pre-hospital emergency care personnel—an international cross-sectional study. Frontiers in Public Health 11.
Crossref
Omer Faruk Alacahan, Arif Nihat Gulluoglu & Naim Karagoz. (2023) Occupational safety perceptions of prehospital emergency health services employees: A sample of sivas central district. Work, pages 1-13.
Crossref
Beatrice Thielmann, Robin Schwarze & Irina Böckelmann. (2023) A Systematic Review of Associations and Predictors for Job Satisfaction and Work Engagement in Prehospital Emergency Medical Services—Challenges for the Future. International Journal of Environmental Research and Public Health 20:5, pages 4578.
Crossref
P. Daniel Patterson, Sarah E. Martin, Bridget N. Brassil, Wei-Hsin Hsiao, Matthew D. Weaver, Tiffany S. Okerman, Staci N. Seitz, Charity G. Patterson & Kathy Robinson. (2023) The Emergency Medical Services Sleep Health Study: A cluster-randomized trial. Sleep Health 9:1, pages 64-76.
Crossref
Bethany Hannah Cooper. (2022) Exploring the factors that influence trauma team activation in emergency department staff. Emergency Nurse 30:6, pages 25-32.
Crossref
Sangsoo Han, Hye Ji Park, Won Jung Jeong, Gi Woon Kim, Han Joo Choi, Hyung Jun Moon, Kyoungmi Lee, Hyuk Joong Choi, Yong Jin Park, Jin Seong Cho & Choung Ah Lee. (2022) Application of the Team Emergency Assessment Measure for Prehospital Cardiopulmonary Resuscitation. Journal of Clinical Medicine 11:18, pages 5390.
Crossref
Sabahattin TEKİNGÜNDÜZ, Ahmet Öner KURT & Mustafa Kemal BAŞARALI. (2022) 112 Acil ambulans hizmetlerinde iş performansının belirleyicileriDeterminants of job performance in 112 emergency ambulance services. Mersin Üniversitesi Sağlık Bilimleri Dergisi 15:2, pages 352-360.
Crossref
Jennifer A. Taylor, Regan M. Murray, Andrea L. Davis, Sherry Brandt-Rauf, Joseph A. Allen, Robert Borse, Diane Pellechia & David Picone. (2022) Model Policies to Protect U.S. Fire-Based EMS Responders From Workplace Stress and Violence. NEW SOLUTIONS: A Journal of Environmental and Occupational Health Policy 32:2, pages 119-131.
Crossref
B. Nowrouzi-Kia, J. Nixon, S.D. Ritchie, E.F. Wenghofer, D. VanderBurgh & J.E. Sherman. (2022) Examining the quality of work-life of paramedics in northern Ontario, Canada: A cross-sectional study. Work 72:1, pages 135-147.
Crossref
Karsten Roth, Natalie Baier, Susanne Felgner, Reinhard Busse & Cornelia Henschke. (2020) Der Zusammenhang zwischen Sicherheitskultur und Burnout-Risiko: Eine Befragung nicht-ärztlicher Mitarbeiter im Rettungsdienst. Das Gesundheitswesen 84:03, pages 199-207.
Crossref
Anu Venesoja, Veronica Lindström, Pasi Aronen, Maaret Castrén & Susanna Tella. (2021) Exploring safety culture in the Finnish ambulance service with Emergency Medical Services Safety Attitudes Questionnaire. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 29:1.
Crossref
P. Daniel Patterson, Matthew D. Weaver, David Hostler & Deanna Colburn. 2021. Emergency Medical Services. Emergency Medical Services 109 114 .
Blair L. Bigham, Brodie Nolan & P. Daniel Patterson. 2021. Emergency Medical Services. Emergency Medical Services 413 423 .
Paul O’connor, Roisin O’malley, Anne-Marie Oglesby, Kathryn Lambe & Sinéad Lydon. (2021) Measurement and monitoring patient safety in prehospital care: a systematic review. International Journal for Quality in Health Care 33:1.
Crossref
Sandra M Conti, Laura R Kroening, Jeffrey J Molles, Matthew L Davenport, Rachel E Kinsler & Amy L Lloyd. (2021) Optimal Physical Space for En Route Care: Medic Posture and Injury Survey. Military Medicine 186:Supplement_1, pages 305-310.
Crossref
Ferda ALPER AY & Canan UÇAR YENİHAYAT. (2020) 112 ACİL SAĞLIK ÇALIŞANLARININ HASTA GÜVENLİĞİ KÜLTÜRÜ ALGILARININ İNCELENMESİINVESTIGATION OF PATIENT SAFETY CULTURE PERCEPTIONS OF 112 EMERGENCY HEALTH CARE WORKERS. İşletme Bilimi Dergisi 8:3, pages 399-425.
Crossref
Elizabeth A. Donnelly, Paul Bradford, Matthew Davis, Cathie Hedges, Doug Socha, Peter Morassutti & Sathish Chandra Pichika. (2020) What influences safety in paramedicine? Understanding the impact of stress and fatigue on safety outcomes. Journal of the American College of Emergency Physicians Open 1:4, pages 460-473.
Crossref
Javad Mozafari, Mohammad Afzalimoghaddam, Mohammad Taghi Talebian, Maryam Bahreini & Esmaeil Mohammadnejad. (2020) The Influence of Successfully Completed Triage Courses and Work Experience of Advanced Emergency Medical Technicians on Their Perception of Patient Disposition. Australasian Journal of Paramedicine 17, pages 1-5.
Crossref
Fox. (2019) Compassion Fatigue and Vicarious Trauma in Everyday Hospital Social Work: A Personal Narrative of Practitioner–Researcher Identity Transition. Social Sciences 8:11, pages 313.
Crossref
Micheal L Shier, Aaron Turpin, David B Nicholas & John R Graham. (2019) Dynamics of a culture of workplace safety in human service organizations: A qualitative analysis. International Social Work 62:6, pages 1561-1574.
Crossref
Jennifer A. Taylor, Regan M. Murray, Andrea L. Davis, Lauren J. Shepler, Cecelia K. Harrison, Neva A. Novinger & Joseph A. Allen. (2019) Creation of a Systems-Level Checklist to Address Stress and Violence in Fire-Based Emergency Medical Services Responders. Occupational Health Science 3:3, pages 265-295.
Crossref
Yuval Bitan, Philip Moran & James Harris. (2019) Evaluating Safety Culture Changes over Time with the Emergency Medical Services Safety Attitudes Questionnaire. Australasian Journal of Paramedicine 16, pages 1-6.
Crossref
Grayce Louyse Tinôco de Castro, Francis Solange Vieira Tourinho, Maria de Fátima da Silva Vieira Martins, Kleyton Santos de Medeiros, Patricia Ilha & Viviane Euzébia Pereira Santos. (2018) PROPOSTA DE PASSOS PARA A SEGURANÇA DO PACIENTE NO ATENDIMENTO PRÉ-HOSPITALAR MÓVEL. Texto & Contexto - Enfermagem 27:3.
Crossref
Zalika Klemenc-Ketiš, Ellen Tveter Deilkås, Dag Hofoss & Gunnar Tschudi Bondevik. (2017) Patient safety culture in Slovenian out-of-hours primary care clinics. Slovenian Journal of Public Health 56:4, pages 203-210.
Crossref
Ashley M. Hughes, P. Daniel Patterson, Matthew D. Weaver, Megan E. Gregory, Shirley C. Sonesh, Douglas P. Landsittel, David Krackhardt, David Hostler, Elizabeth H. Lazzara, Xiao Wang, John E. Vena, Eduardo Salas & Donald M. Yealy. (2017) Teammate Familiarity, Teamwork, and Risk of Workplace Injury in Emergency Medical Services Teams. Journal of Emergency Nursing 43:4, pages 339-346.
Crossref
Gijs Hesselink, Sivera Berben, Thimpe Beune & Lisette Schoonhoven. (2016) Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open 6:1, pages e009837.
Crossref
Paloma Aparecida Carvalho, Leila Bernarda Donato Göttems, Maria Raquel Gomes Maia Pires & Maria Liz Cunha de Oliveira. (2015) Safety culture in the operating room of a public hospital in the perception of healthcare professionals. Revista Latino-Americana de Enfermagem 23:6, pages 1041-1048.
Crossref
Matthew D. Weaver, P. Daniel Patterson, Anthony Fabio, Charity G. Moore, Matthew S. Freiberg & Thomas J. Songer. (2015) The association between weekly work hours, crew familiarity, and occupational injury and illness in emergency medical services workers. American Journal of Industrial Medicine 58:12, pages 1270-1277.
Crossref
P. Daniel Patterson, Daniel J. Buysse, Matthew D. Weaver, Jack M. Doman, Charity G. Moore, Brian P. Suffoletto, Kyle L. McManigle, Clifton W. Callaway & Donald M. Yealy. (2015) Real-time fatigue reduction in emergency care clinicians: The SleepTrackTXT randomized trial. American Journal of Industrial Medicine 58:10, pages 1098-1113.
Crossref
Alberto Mortaro, Diana Pascu, Tamara Zerman, Enrico Vallaperta, Alberto Schönsberg, Stefano Tardivo, Serena Pancheri, Gabriele Romano & Francesca Moretti. (2015) The role of the emergency medical dispatch centre (EMDC) and prehospital emergency care safety: results from an incident report (IR) system. CJEM 17:4, pages 411-419.
Crossref
Joanne D Fisher, Karoline Freeman, Aileen Clarke, Peter Spurgeon, Mike Smyth, Gavin D Perkins, Mark-Alexander Sujan & Matthew W Cooke. (2015) Patient safety in ambulance services: a scoping review. Health Services and Delivery Research 3:21, pages 1-250.
Crossref
P. Daniel Patterson, Matthew D. Weaver & David Hostler. 2015. Emergency Medical Services. Emergency Medical Services 217 221 .
Blair L. Bigham & P. Daniel Patterson. 2015. Emergency Medical Services. Emergency Medical Services 489 499 .
Paul Daniel Patterson, Charity G Moore, Matthew D Weaver, Daniel J Buysse, Brian P Suffoletto, Clifton W Callaway & Donald M Yealy. (2014) Mobile phone text messaging intervention to improve alertness and reduce sleepiness and fatigue during shiftwork among emergency medicine clinicians: study protocol for the SleepTrackTXT pilot randomized controlled trial. Trials 15:1.
Crossref
Magnus Andersson Hagiwara, Björn-Ove Suserud, Boel Andersson-Gäre, Bengt- Arne Sjöqvist, Maria Henricson & Anders Jonsson. (2014) The effect of a Computerised Decision Support System (CDSS) on compliance with the prehospital assessment process: results of an interrupted time-series study. BMC Medical Informatics and Decision Making 14:1.
Crossref
P. Daniel Patterson, Daniel J. Buysse, Matthew D. Weaver, Brian P. Suffoletto, Kyle L. McManigle, Clifton W. Callaway & Donald M. Yealy. (2014) Emergency healthcare worker sleep, fatigue, and alertness behavior survey (SFAB): Development and content validation of a survey tool. Accident Analysis & Prevention 73, pages 399-411.
Crossref
Carrie Tibbles & Jock Hoffman. 2014. Emergency Department Leadership and Management. Emergency Department Leadership and Management 91 98 .
. 2014. Emergency Department Leadership and Management. Emergency Department Leadership and Management 57 162 .
Paul Misasi, Elizabeth H. Lazzara & Joseph R. Keebler. 2014. Pushing the Boundaries: Multiteam Systems in Research and Practice. Pushing the Boundaries: Multiteam Systems in Research and Practice 157 183 .
P. Daniel Patterson, Michelle S. Anderson, Nancy D. Zionts & Paul M. Paris. (2012) The Emergency Medical Services Safety Champions. American Journal of Medical Quality 28:4, pages 286-291.
Crossref
Claus D Hansen, Kurt Rasmussen, Morten Kyed, Kent Jacob Nielsen & Johan Hviid Andersen. (2012) Physical and psychosocial work environment factors and their association with health outcomes in Danish ambulance personnel – a cross-sectional study. BMC Public Health 12:1.
Crossref
Vicki R LeBlanc, Cheryl Regehr, Walter Tavares, Aristathemos K. ScottRNRN, Russell MacDonald & Kevin King. (2012) The Impact of Stress on Paramedic Performance During Simulated Critical Events. Prehospital and Disaster Medicine 27:4, pages 369-374.
Crossref
P. Daniel Patterson, Matthew D. Weaver, Kaleab Abebe, Chris Martin-Gill, Ronald N. Roth, Joseph Suyama, Francis X. Guyette, Jon C. Rittenberger, David Krackhardt, Robert Arnold, Donald M. Yealy & Judith Lave. (2011) Identification of Adverse Events in Ground Transport Emergency Medical Services. American Journal of Medical Quality 27:2, pages 139-146.
Crossref
Scott T. Youngquist & Christopher A. Gee. (2011) Non-Experimental Studies in Air Medical Research. Air Medical Journal 30:4, pages 168-172.
Crossref
. (2010) EMS Insider. EMS Insider 37:10, pages 1-12.
Crossref

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Order Reprints Request Corporate Permissions

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

Request Academic Permissions

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.

Aurora. Learn more.

Related research

People also read lists articles that other readers of this article have read.

Recommended articles lists articles that we recommend and is powered by our AI driven recommendation engine.

Cited by lists all citing articles based on Crossref citations.
Articles with the Crossref icon will open in a new tab.