实施基于证据的指导在医院前环境中减轻疲劳风险的障碍
P Daniel Patterson1,2, Jennifer Brailsford3, Jennifer Fishe3,4
1Department of Emergency Medicine, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania.
Prehospital emergency care
|July 1, 2025
概括
紧急医疗服务 (EMS) 人员希望采用疲劳风险管理指南,但缺乏意识和其他障碍阻碍了实施. 需要新的战略来克服这些障碍,以提高安全性.
科学领域:
- 职业健康 职业健康 职业健康
- 紧急医疗服务 紧急医疗服务
- 睡眠科学 睡眠科学
背景情况:
- 疲劳严重影响紧急医疗服务 (EMS) 专业人员.
- 对于疲劳风险管理 (FRM) 和班次持续时间,存在基于证据的指导方针 (EBG).
研究的目的:
- 评估与采用EMS FRM EBG相关的意识,信念,行为和障碍.
- 了解影响疲劳管理策略实施的因素.
主要方法:
- 混合方法研究使用深度采访.
- 全国范围采样EMS机构管理人员和前线临床医生.
- 理论领域框架 (TDF) 适用于行为变化分析.
主要成果:
- 大多数EMS雇主和临床医生都不知道现有的疲劳EBG.
- 大多数人表示愿意在被告知后采用指导方针.
- 关键的障碍包括缺乏意识,成本和害怕破坏现状.
结论:
- 尽管已明确需要疲劳EBG,但存在重大障碍,无法在EMS中采用和实施.
- 仅仅提高意识是不够的;需要新的战略.
- 解决已识别的障碍对于EMS中有效的疲劳风险管理至关重要.
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