Teammate familiarity and risk of injury in emergency medical services

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dc.citation.firstpage280en_US
dc.citation.issueNumber4en_US
dc.citation.journalTitleEmergency Medicine Journalen_US
dc.citation.lastpage285en_US
dc.citation.volumeNumber33en_US
dc.contributor.authorPatterson, P. Danielen_US
dc.contributor.authorWeaver, Matthew D.en_US
dc.contributor.authorLandsittel, Douglas P.en_US
dc.contributor.authorKrackhardt, Daviden_US
dc.contributor.authorHostler, Daviden_US
dc.contributor.authorVena, John E.en_US
dc.contributor.authorHughes, Ashley M.en_US
dc.contributor.authorSalas, Eduardoen_US
dc.contributor.authorYealy, Donald M.en_US
dc.date.accessioned2017-06-15T15:30:09Zen_US
dc.date.available2017-06-15T15:30:09Zen_US
dc.date.issued2016en_US
dc.description.abstractObjective: We investigated the association between teammate familiarity and workplace injury in the emergency medical services (EMS) setting. Methods: From January 2011 to November 2013, we abstracted a mean of 29 months of shift records and Occupational Safety Health Administration injury logs from 14 EMS organisations with 37 total bases located in four US Census regions. Total teammate familiarity was calculated for each dyad as the total number of times a clinician dyad worked together over the study period. We used negative binomial regression to examine differences in injury incidence rate ratios (IRRs) by familiarity. Results: We analysed 715 826 shift records, representing 4197 EMS clinicians and 60 701 unique dyads. We determined the mean shifts per dyad was (5.9, SD 19.7), and quartiles of familiarity were 1 shift worked together over the study period, 2–3 shifts, 4–9 shifts and ≥10 shifts worked together. More than half of all dyads worked one shift together (53.9%, n=32 739), 24.8% of dyads 2–3 shifts, 11.8% worked 4–9 shifts and 9.6% worked ≥10 shifts. The overall incidence rate of injury across all organisations was 17.5 per 100 full-time equivalent (FTE), range 4.7–85.6 per 100 FTE. The raw injury rate was 33.5 per 100 FTEs for dyads with one shift of total familiarity, 14.2 for 2–3 shifts, 8.3 for 4–9 shifts and 0.3 for ≥10 shifts. Negative binomial regression confirmed that dyads with ≥10 shifts had the lowest incidence of injury (IRR 0.03; 95% CI 0.02 to 0.04). Conclusions: Familiarity between teammates varies in the EMS setting, and less familiarity is associated with greater incidence of workplace injury.en_US
dc.identifier.citationPatterson, P. Daniel, Weaver, Matthew D., Landsittel, Douglas P., et al.. "Teammate familiarity and risk of injury in emergency medical services." <i>Emergency Medicine Journal,</i> 33, no. 4 (2016) BMJ Publishing Group Limited: 280-285. http://dx.doi.org/10.1136/emermed-2015-204964.en_US
dc.identifier.doihttp://dx.doi.org/10.1136/emermed-2015-204964en_US
dc.identifier.urihttps://hdl.handle.net/1911/94870en_US
dc.language.isoengen_US
dc.publisherBMJ Publishing Group Limiteden_US
dc.rightsThis is an author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by BMJ Publishing Group Limited.en_US
dc.subject.keywordmanagementen_US
dc.subject.keywordrisk managementen_US
dc.subject.keywordparamedicsen_US
dc.subject.keywordprehospital careen_US
dc.subject.keywordsafetyen_US
dc.titleTeammate familiarity and risk of injury in emergency medical servicesen_US
dc.typeJournal articleen_US
dc.type.dcmiTexten_US
dc.type.publicationpost-printen_US
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