Near misses and presenteeism among paramedics

Near misses and presenteeism among paramedics
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DOI:
10.1093/occmed/kqz076
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发表时间:
2019-12-01
影响因子:
5.1
通讯作者:
Fujino, Y.
Fujino, Y.
中科院分区:
医学4区
文献类型:
--
作者:
Ishimaru, T.;Kubo, T.;Fujino, Y.

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背景护理人员需要身体健康,才能应对紧急情况。我们假设,护理人员和意外事件,造成没有伤害的近距离失误可能与出勤率在紧急rescives.Aims研究出勤率和近距离失误之间的关联among parametics.Methods一个横断面研究进行了254护理人员使用自填问卷。在场使用工作功能障碍量表(WFun)进行测量。结果12%的受访者经历了高的工作功能障碍,表明在场。护理人员的工作功能受损程度越高,(WFun评分类别:中,OR 3.62,95% CI 1.62-8.11;高,OR 4.36,95% CI 1.37-13.84;非常高,OR 8.62,95% CI 2.09-35.48)。结论护理人员工作功能受损与出勤率和未遂事件之间存在正相关。这表明出勤率可能与可能导致严重事故的错误有关。改善对常见健康问题的治疗可能会减少护理人员的事故数量。
Background Paramedics need to be in good physical health to be able to respond to emergencies. We hypothesized that near misses by paramedics and unanticipated incidents that cause no harm may be associated with presenteeism during emergency rescues.Aims To examine the association between presenteeism and near misses among paramedics.Methods A cross-sectional study was conducted among 254 paramedics using a self-administered questionnaire. Presenteeism was measured using the work functioning impairment scale (WFun).Results Twelve per cent of respondents experienced high work function impairment indicating presenteeism. The rate of near-miss experiences steadily increased with increasing work function impairment among paramedics (WFun score category: middle, odds ratio (OR) 3.62, 95% confidence interval (CI) 1.62-8.11; high, OR 4.36, 95% CI 1.37-13.84; very high, OR 8.62, 95% CI 2.09-35.48).Conclusions This study demonstrated a positive relationship between impaired work function indicating presenteeism and near misses among paramedics. This suggests that presenteeism may be associated with errors that have the potential to cause serious accidents. Improved access to treatment for frequent health problems may reduce the number of incidents among paramedics.