This study will explore possible associations between EMT
partner familiarity and teamwork and on-the-job
Principal Investigator: Daniel Patterson, PhD, University of Pittsburgh
Funding Agency: National Institute for Occupational Safety and Health (NIOSH)
Period: 9/2013 - 6/2014
Abstract: Emergency Medical Technicians (EMTs) are at a significantly greater risk of death and injury at work than the general population. Annually, 12.7 out of every 100,000 EMTs die in the line of duty--a rate more than twice the national workplace average. On the job illnesses, back sprains, needle sticks and other non-fatal injuries affect between three and eight out of every 100 EMTs nationwide. The annual rate of non-fatal injuries has reached epidemic proportions in some EMS agencies, where the rate has risen to over 34%.
There is reason to believe that partner familiarity and teamwork are associated with injury. In some agencies, EMTs may work with more than 50 different partners annually and have limited exposure to other partners in the agency. In these situations, EMTs may have never trained together and work with a limited understanding of their partner's expertise. Prior research in aviation link this type of configuration to accidents, errors, and poor teamwork engagement. Similar research in EMS does not exist.
We hypothesize that fatal and non-fatal EMT injuries occur more frequently among less familiar partners and among partners that fail to engage in positive teamwork behaviors such as frequent communication. We seek to accomplish the following aims:
We have a unique opportunity to make a significant contribution
to the literature and impact the industry by establishing
benchmarking data and answer questions previously unanswered
in the published literature. We will use this study's findings to
develop an R01 application to test the effectiveness of injury and
safety programs conditioned on the relationships between
partner familiarity, teamwork and injury.