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Background <p>Patient safety in the high-risk environment of emergency medical services (EMS) depends strongly on leadership and team communication. As team leaders, emergency physicians (EP) play a&#xa0;crucial role. However, the leadership and communication competencies of German EPs remain insufficiently understood.</p> Methods <p>An anonymous, voluntary online survey was conducted among German EPs and paramedics (PMs) focusing on team leadership and communication.</p> Results <p>A&#xa0;total of 602 questionnaires met the inclusion criteria. Many participants considered EPs effective team players (EP 94.1%; PM 60.9%). Nevertheless, task allocation within teams was often unclear (EP 26.2%; PM 35.2%). Doubts were frequently suppressed (EP 52.3%; PM 53.4%), and EPs tended to ignore team input more often than PMs (EP 41.0%; PM 60.6%). Some EPs communicated ambiguously (EP 29.2%; PM 51.0%). Few consistently involved the team in decision-making (EP 46.9%; PM 73.1%) or managed conflicts constructively (EP 25.5%; PM 60.9%). High stress reduced leadership (71.2%) and communication (81.3%) performance. EPs did not always lead teams reliably (EP 36.2%; PM 59.6%), although they liked to take on team leadership roles (EP 91.7%; PM 83.9%). Good leaders were primarily characterized by personality (EP 95.6%; PM 84.2%) and expertise (EP 88.9%; PM 91.0%). Many respondents felt adequately trained in leadership during education (EP 35.3%; PM 54.0%).</p> Conclusion <p>Leadership and communication skills among EPs appear insufficient to ensure optimal patient safety. Integrating structured leadership and communication training into EP education could strengthen EMS as a&#xa0;high-reliability organization.</p>

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Notärzte als Führungskräfte im Rettungsdienst

  • 期刊论文

  • 发表日期：

    2026年5月19日

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  • Matthias Zimmer,
  • Amina Heimann,
  • Stephan Sahm

摘要

Background

Patient safety in the high-risk environment of emergency medical services (EMS) depends strongly on leadership and team communication. As team leaders, emergency physicians (EP) play a crucial role. However, the leadership and communication competencies of German EPs remain insufficiently understood.

Methods

An anonymous, voluntary online survey was conducted among German EPs and paramedics (PMs) focusing on team leadership and communication.

Results

A total of 602 questionnaires met the inclusion criteria. Many participants considered EPs effective team players (EP 94.1%; PM 60.9%). Nevertheless, task allocation within teams was often unclear (EP 26.2%; PM 35.2%). Doubts were frequently suppressed (EP 52.3%; PM 53.4%), and EPs tended to ignore team input more often than PMs (EP 41.0%; PM 60.6%). Some EPs communicated ambiguously (EP 29.2%; PM 51.0%). Few consistently involved the team in decision-making (EP 46.9%; PM 73.1%) or managed conflicts constructively (EP 25.5%; PM 60.9%). High stress reduced leadership (71.2%) and communication (81.3%) performance. EPs did not always lead teams reliably (EP 36.2%; PM 59.6%), although they liked to take on team leadership roles (EP 91.7%; PM 83.9%). Good leaders were primarily characterized by personality (EP 95.6%; PM 84.2%) and expertise (EP 88.9%; PM 91.0%). Many respondents felt adequately trained in leadership during education (EP 35.3%; PM 54.0%).

Conclusion

Leadership and communication skills among EPs appear insufficient to ensure optimal patient safety. Integrating structured leadership and communication training into EP education could strengthen EMS as a high-reliability organization.