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Exploring factors associated with paramedic work-related psychological injury through data linkage.
Kearney, Jason; Muir, Carlyn; Smith, Karen; Meadley, Ben.
Afiliação
  • Kearney J; Monash University Accident Research Centre, Monash University, Clayton, Victoria, Australia. Electronic address: Jason.kearney@monash.edu.
  • Muir C; Monash University Accident Research Centre, Monash University, Clayton, Victoria, Australia. Electronic address: Carlyn.muir@monash.edu.
  • Smith K; Department of Paramedicine, Monash University, Frankston, Victoria, Australia; Department of Epidemiology and Preventative Medicine, Monash University, Melbourne, Victoria, Australia; Silverchain Group, Melbourne, Victoria, Australia. Electronic address: Karen.smith1@silverchain.org.au.
  • Meadley B; Department of Paramedicine, Monash University, Frankston, Victoria, Australia; Ambulance Victoria, Melbourne, Victoria, Australia. Electronic address: Ben.meadley@ambulance.vic.gov.au.
J Safety Res ; 86: 213-225, 2023 09.
Article em En | MEDLINE | ID: mdl-37718050
INTRODUCTION: In comparison to the general population and other emergency services workers, paramedics experience high rates of work-related psychological injury. However, there is limited understanding of the case and practitioner-related factors that increase the risk of psychological injury among these workers. This paper aims to identify case and practitioner-related factors associated with paramedic work-related psychological injury in Victoria, Australia, through data linkage. METHODS: Data linkage of 7,223 paramedic injury reports with electronic patient care records, and paramedic demographic data from the single state-wide ambulance service in Victoria, Australia - Ambulance Victoria. Injuries reported between 1 January 2015 and 30 June 2020 were included. Factors associated with paramedic psychological injury were assessed using multivariable logistic regression analysis. RESULTS: A total of 4,641 (64%) injury reports were successfully linked, of which, 244 (5%) were psychological injuries. Shift hours between 0401 and 0800 (AOR 1.83; 95%CI: 1.12-2.97), cardiac arrest or deceased patient attendances (AOR 2.15; 95%CI: 1.06-4.34), hospital or medical center case locations (AOR 2.44; 95%CI: 1.22-4.91), and Priority 0 (AOR 2.27; 95%CI: 1.26-4.09), Priority 2 (AOR 1.56; 95%CI: 1.04-2.33), and Priority 3 (AOR 1.95; 95%CI: 1.15-3.32) dispatch codes were associated with increased odds of psychological injury. Increasing patient age (AOR 0.98; 95%CI: 0.97-0.99), and the absence of other emergency services on scene (AOR 0.50; 95%CI: 0.34-0.72) were associated with decreased odds of paramedic psychological injury. CONCLUSIONS: This is the first study to collectively examine and identify EMS case and practitioner-related characteristics associated with paramedic psychological injury through data linkage of EMS agency-level data sources. PRACTICAL APPLICATION: The findings of this study highlight the dispatch case characteristics that may increase the risk of a paramedic sustaining a work-related psychological injury, and consequently facilitate the early identification, intervention, and support of the individuals most at risk.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Auxiliares de Emergência Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: J Safety Res Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência / Auxiliares de Emergência Tipo de estudo: Prognostic_studies / Risk_factors_studies Limite: Humans País/Região como assunto: Oceania Idioma: En Revista: J Safety Res Ano de publicação: 2023 Tipo de documento: Article