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Caring for patients at high speed.

Björn-Ove Suserud1, Anders Jonsson, Anders Johansson

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Swedish ambulance clinicians perceive their working environment as unsafe due to issues like high-speed driving and equipment placement. Greater involvement in design and regular driver training are recommended for improved safety.

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Area of Science:

  • Emergency medicine
  • Healthcare safety
  • Ambulance services

Background:

  • Ambulance clinicians operate in dynamic and often hazardous environments.
  • Patient safety is paramount in pre-hospital emergency care.
  • Understanding the perceived safety of the working environment is crucial for clinician well-being and care quality.

Purpose of the Study:

  • To investigate how ambulance clinicians in Sweden perceive the safety of their working environment.
  • To identify specific factors contributing to or detracting from perceived safety during ambulance operations.

Main Methods:

  • Qualitative study involving interviews with 24 ambulance nurses and 9 paramedics.
  • Participants were from five ambulance stations in both urban and rural Sweden.
  • Interview transcripts were analyzed to identify key themes related to safety perceptions.

Main Results:

  • Nine key issues emerged affecting perceived safety: planning, seatbelt use, high-speed driving, prioritizing patients over safety, equipment design/placement, noise, driving styles, presence of relatives, and documentation.
  • A recurring theme was the tension between rapid response and ensuring clinician safety.
  • Specific concerns were raised regarding vehicle design and operational procedures.

Conclusions:

  • Ambulance personnel should be more involved in the design of ambulance interiors and workspaces.
  • Regular, enhanced training for ambulance drivers focusing on safe driving practices is recommended.
  • Addressing the identified issues can lead to a safer working environment for pre-hospital care providers.