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Background <p>Patient safety is becoming increasingly important in the healthcare sector, while the prehospital sector has not been systematically analysed to date. This study analyses the patient safety climate and established safety measures in Swiss emergency medical services (EMS).</p> Methods <p>In autumn 2021, 27&#xa0;EMS services were surveyed using a&#xa0;two-part questionnaire. The modified ReSKI (‘Rettungsdienst-Sicherheitsklimainventar’) instrument recorded the safety climate among 745 employees, while a&#xa0;supplementary questionnaire evaluated organisational measures such as debriefings, checklists and error reporting systems.</p> Results <p>The survey revealed high safety climate scores overall, particularly in the dimensions of teamwork and communication. However, the clear discrepancy between established error reporting systems and the very low number of reported events, as well as the low evaluation of the feedback on errors, was striking. Despite widely implemented measures, there is still room for improvement.</p> Conclusion <p>The study provides initial reference values for the patient safety climate in Swiss EMS and highlights structural deficits, particularly regarding the use of and feedback from error reporting systems. Due to potential self-selection of participating services, the generalisability of the findings may be limited. The results underline the need for targeted interventions to further improve patient safety in the prehospital setting.</p>

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Patientensicherheitsklima im Rettungsdienst: Einführung eines neuen Instruments und erste Ergebnisse aus der Schweiz

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年8月13日

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  • Rafael Wespi,
  • Kai Kranz,
  • Tanja Manser,
  • Jan B. Schmutz

摘要

Background

Patient safety is becoming increasingly important in the healthcare sector, while the prehospital sector has not been systematically analysed to date. This study analyses the patient safety climate and established safety measures in Swiss emergency medical services (EMS).

Methods

In autumn 2021, 27 EMS services were surveyed using a two-part questionnaire. The modified ReSKI (‘Rettungsdienst-Sicherheitsklimainventar’) instrument recorded the safety climate among 745 employees, while a supplementary questionnaire evaluated organisational measures such as debriefings, checklists and error reporting systems.

Results

The survey revealed high safety climate scores overall, particularly in the dimensions of teamwork and communication. However, the clear discrepancy between established error reporting systems and the very low number of reported events, as well as the low evaluation of the feedback on errors, was striking. Despite widely implemented measures, there is still room for improvement.

Conclusion

The study provides initial reference values for the patient safety climate in Swiss EMS and highlights structural deficits, particularly regarding the use of and feedback from error reporting systems. Due to potential self-selection of participating services, the generalisability of the findings may be limited. The results underline the need for targeted interventions to further improve patient safety in the prehospital setting.