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Published VersionCC BY V4.0, Open Access
Journal article
Rethinking paramedic occupational injury surveillance: A systems approach to better understanding paramedic work-related injury
Safety Science, Vol.172, pp.1-17
2024
Abstract
Paramedic work occurs in complex, dynamic, uncontrolled, and unpredictable work environments which increase their risk of occupational injury. The complex and multi-factorial nature of paramedic occupational injury requires a holistic systems-based approach to identify and understand contributory factors of paramedic occupational injury. Systems thinking methods are useful for understanding and responding to complex issues, however these have never been applied to the surveillance of paramedic injuries. Through a narrative review of the paramedic occupational injury literature, this paper aims to establish the currently known contributors of paramedic injury, examine the extent to which a systems thinking approach has been applied in this context, and outline how these could be integrated into current paramedic injury surveillance systems. A search of Ovid Medline between the years 2004–2021. In total, 120 literature works were used to develop the systems maps and models presented in this paper. These included: a social-ecological model; an ActorMap; an AcciMap; and a PreventiMap. The findings illustrate the complexity and diversity of the factors contributing to the occurrence of paramedic injury at work. However, systems thinking-based approaches like those presented in this paper are not a substitute for the traditional epidemiological approach to injury surveillance, rather these approaches should be incorporated together to improve risk and protective factor identification, facilitating the development and implementation of targeted interventions.
Details
- Title
- Rethinking paramedic occupational injury surveillance: A systems approach to better understanding paramedic work-related injury
- Authors
- Jason Kearney (Corresponding Author) - Monash UniversityCarlyn Muir (Author) - Monash UniversityPaul Salmon (Author) - University of the Sunshine Coast, Queensland, Centre for Human Factors and Systems ScienceKaren Smith (Author) - Department of Paramedicine, Monash University, Frankston, Victoria, Australia
- Publication details
- Safety Science, Vol.172, pp.1-17
- Publisher
- Elsevier BV
- Date published
- 2024
- DOI
- 10.1016/j.ssci.2024.106419
- ISSN
- 1879-1042; 0925-7535
- Copyright note
- © 2024 The Author(s). Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
- Organisation Unit
- Centre for Human Factors and Systems Science
- Language
- English
- Record Identifier
- 99999995102621
- Output Type
- Journal article
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