OCCUPATIONAL ACCIDENTS ENCOUNTERED PRE-HOSPITAL BY EMERGENCY MEDICAL SERVICES PERSONNEL AND EVALUATION OF FEEDBACK

Year 2020, Volume: 5 Issue: 3, 482 - 496, 02.12.2020

Eren Usul , İshak Şan , Burak Bekgöz , Elvan Ulucan Özkan

https://doi.org/10.35232/estudamhsd.774960

Cited By: 1

Abstract

This study aims to investigate occupational accidents and their contributing factors encountered by emergency medical services professionals. Workplace incident report forms submitted between January 2017 and November 2019 and determined by the Ankara provincial health directorate emergency health services have been evaluated. Evaluation of workplace accidents according to contributing factors has shown that most accidents occur due to mechanical (41.3%) and psychosocial (19.7%) factors. In this study, musculoskeletal system injuries were found to be the most observed result of occupational accidents (57.8%). While males encountered workplace accidents mostly due to ergonomic reasons, female personnel suffered accidents mainly due to biological factors. Thus, while female workers were more likely to be exposed to blood and bodily fluids, male workers were at risk to face accidents due to transportation. Further analysis showed that biological accidents were mostly seen in interns (50.0%), whereas the highest rates of ergonomic (29.1%) and psychosocial (22.5%) workplace accidents were seen among drivers. Pre-hospital emergency health care workers have a high risk of exposure to workplace accidents. It will be beneficial to develop strategies in order to decrease the risk of occupational incidents.

Keywords

Pre-hospital emergency medical services, emergency medical services personnels, workplace accident, occupational hazard, occupational safety and health

HASTANE ÖNCESİ ACİL SERVİS ÇALIŞANLARININ MARUZ KALDIĞI İŞ KAZALARI VE GERİ BİLDİRİMLERİNİN DEĞERLENDİRİLMESİ

Abstract

Araştırma, 112 Ambulans Servisinde çalışan acil sağlık hizmetleri (EMS) personellerinin maruz kaldığı iş kazalarını ve etkileyen etmenlerini incelemeyi amaçlamaktadır. Ocak 2017-Kasım 2019 tarihleri arasında yapılan ve Ankara il sağlık müdürlüğü acil sağlık hizmetleri başkanlığınca tespit edilen tüm iş kazası bildirim formları analiz edilmiştir. Maruz kalınan kazaların risk etmenlerine göre dağılımı incelendiğinde 112 ambulans çalışanlarının en fazla mekanik (%41,3) ve psikososyal (%19,7) risklere bağlı iş kazası geçirdiği bulunmuştur. Bu araştırmada maruz kalınan iş kazaları sonrasında en çok kas iskelet sistemi yaralanması (%57,8) olduğu tespit edilmiştir. Erkekler kadınlara göre daha fazla ergonomik nedenlere bağlı iş kazası geçirirken, kadınların erkeklere göre daha fazla biyolojik nedenlere bağlı iş kazası geçirdiği tespit edilmiştir. Ayrıca, kadın personel erkeklere göre daha fazla kan ve vücut sıvılarına maruz kalırken erkekler kadınlara göre daha fazla taşımaya bağlı nedenlerden kaza geçirdiği tespit edilmiştir. Biyolojik risklere bağlı iş kazalarına en çok stajyerler maruz kalırken (%50,0), ergonomik (%29,1) ve psikosoyal etmenlere (%22,5) sürücülerin maruz kaldığı bulunmuştur (%29,1 ve %22,5). Hastane öncesi acil sağlık hizmetleri çalışanlarının iş kazasına maruz kalma riski yüksektir. İş kazası riskini azaltmak için yeni stratejiler geliştirmek faydalı olabilir.

Keywords

Hastane öncesi acil sağlık hizmetleri, acil sağlık hizmetleri personeli, iş kazası, mesleksel kazalar, iş sağlığı ve güvenliği

References

• 1. ILO. Occupational Injuries. https://www.ilo.org/ilostat-files/Documents/description_INJ_EN.pdf Accessed 23 October, 2020.
• 2. Saygun, M. Occupational Health and Safety Problems in Healthcare Professionals. TAF Preventive Medicine Bulletin. 2012;11(4):373.
• 3. ILO. Occupational Health Services and Practice 2011. https://www.iloencyclopaedia.org/part-ii-44366/occupational-health-services/item/155-occupational-health-services-and-practice. Accessed March 3,2020.
• 4. Bilir, N. Occupational Health and Safety Profile Turkey. Ministry of Labor and Social Security, General Publication, 2016: 62.
• 5. Reichard AA, Marsh SM, Moore PH. Fatal and nonfatal injuries among emergency medical technicians and paramedics. Prehospital emergency care. 2011; 15(4): 511-7.
• 6. Occupational fatalities in emergency medical services: a hidden crisis. Annals of emergency medicine. 2002; 40(6): 625-32.
• 7. Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. EMS helicopter crashes: What influences fatal outcome? Annals of emergency medicine. 2006; 47(4): 351-6.
• 8. Maguire, BJ, Smith, S. Injuries and fatalities among emergency medical technicians and paramedics in the United States. Prehospital and disaster medicine. 2013; 28(4): 376-82.
• 9. Leigh, JP. Economic burden of occupational injury and illness in the United States. The Milbank Quarterly. 2011; 89(4): 728-72.
• 10. Sterud T, Ekeberg Ø, Hem, E. Health status in the ambulance services: a systematic review. BMC Health Services Research. 2006; 6(1): 82.
• 11. Suyama, J., Rittenberger, JC., Patterson, PD, Hostler, D. Comparison of public safety provider injury rates. Prehospital Emergency Care. 2009; 13(4): 451-5.
• 12. Xia, Ting, Collie, Alex. Work-related injury and illness in the Victorian healthcare sector: a retrospective analysis of workers’ compensation claim records. Australian Health Review. 2020; 24: 30.
• 13. Sterud T, Ekeberg Ø, Hem, E. Health status in the ambulance services: a systematic review. BMC Health Services Research. 2006; 6(1): 82.
• 14. Gülen B, Serinken M, Hatipoğlu C, Özaşır D, Sönmez E, Kaya G, Work-related injuries sustained by emergency medical technicians and paramedics in Turkey. 2016; 22(2): 145-9.
• 15. Guidelines for protecting the safety and health of health care workers: US Department of Health and Human Services, Public Health Service, Centers. 1988:88-119.
• 16. Özdamar, K. Modern scientific research methods: research planning, society and sample selection, power analysis, project preparation, data collection, data analysis, scientific report writing: Kaan Bookstore. 2003.
• 17. Akay, E, Şan, İ. The Relationship Between the Type of Violence Against Healthcare Workers in Ankara with Sociodemographic Variables and Mental Symptoms. Medical Social Work Journal. 2019;(12): 2-16.
• 18. Mechem CC, Dickinson ET, Shofer FS, Jaslow D. Injuries From Assault On Paramedics And Firefighters In An Urban Emergency Medical Services System. Prehospital Emergency Care. 2002;. 6(4):396-401.
• 19. Maguire BJ, Hunting KL, Guidotti TL, Smith GS. Occupational Injuries Among Emergency Medical Services Personnel. Prehospital Emergency Care. 2005; 9(4): 405-11.
• 20. Keskin, EM. Occupational Accident Occurrence and Examination of Factors Affecting Accident in Healthcare Staff Working in Emergency Department. (Master's Master). 2019; Üsküdar University, Institute of Health Sciences, Istanbul.
• 21. Başsüllü, T. Dokuz Eylül Üniversitesi Hastanesi Evaluation of Workplace Health and Safety Unit Work Accident Surveillance System. (Medical Specialty Thesis). 2017; Dokuz Eylül Unıversty, İzmir.
• 22. Dikmen AU, Medeni V, Uslu İ, Altun B, Aycan S. Evaluation of the Work Accidents it expresses. TTB Occupational Health and Safety Journal.2014; 14(53): 22-9.
• 23. Davas, A, Türk, M, Yüksel, M. Relationship Between Working Conditions and Work Accidents: A Hospital Example. TTB Occupational Health and Safety Journal. 2017; 16(60): 67-75.