A culture of safety in EMS systems.

Organizational Policy/Guidelines

A culture of safety in EMS systems.

October 20, 2021

American College of Emergency Physicians, National Association of Emergency Medical Services. Ann Emerg Med. 2021;78(3):e37-e57.

Emergency medical services (EMS) are often provided in stressful situations that require an orientation to safety to keep patients and staff from harm. This policy statement outlines components of an EMS safety orientation that rests on an established culture of safety in the field.

PubMed citation

Available at

Related Resources From the Same Author(s)

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

April 22, 2009

Handoffs: transitions of care for children in the emergency department.

January 25, 2017

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

Joint Statement on Multiple Patients Per Ventilator.

April 22, 2020

Disclosure of Medical Errors.

September 27, 2023

A Culture of Safety in EMS Systems.

November 6, 2013

The National Report Card on the State of Emergency Medicine.

January 25, 2006

Cognitive biases encountered by physicians in the emergency room.

November 9, 2022

The safety of emergency care systems: results of a survey of clinicians in 65 US emergency departments.

March 4, 2009

Five Steps to Safer Health Care.

March 27, 2005

Accuracy of emergency department clinical findings for diagnosis of coronavirus disease 2019.

July 29, 2020

Tolerance of uncertainty and the practice of emergency medicine.

July 15, 2020

Fast does not imply flawed: analyzing emergency physician productivity and medical errors.

December 14, 2022

Voluntary medical incident reporting tool to improve physician reporting of medical errors in an emergency department.

February 17, 2016

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

Changes in weekend and weekday care quality of emergency medical admissions to 20 hospitals in England during implementation of the 7-day services national health policy.

November 25, 2020

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

The emergency department trigger tool: a novel approach to screening for quality and safety events.

September 30, 2020

Adverse events among emergency department patients with cardiovascular conditions: a multicenter study.

March 10, 2021

Debriefing in the emergency department after clinical events: a practical guide.

December 17, 2014

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study

February 12, 2020

Early prognostic value of the medical emergency team calling criteria in patients admitted to intensive care from the emergency department.

February 6, 2008

Teaching Clinical Reasoning.

August 26, 2015

Quality and Safety in Women's Health Care. Second Edition.

October 20, 2010

Patient Safety in the Office-Based Practice Setting.

November 15, 2017

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

Delayed time to defibrillation after in-hospital cardiac arrest.

January 16, 2008

Patient Safety Innovations

Journal Article

Study

Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings.

November 16, 2022

Electronic medical record-based interventions to encourage opioid prescribing best practices in the emergency department.

September 30, 2020

The National Emergency Department Safety Study: study rationale and design.

January 9, 2008

Posttraumatic growth and second victim distress resulting from medical mishaps among physicians and nurses.

January 11, 2023

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.

July 18, 2007

Lewis Blackman Patient Safety Award.

March 12, 2024

SECUre: a multicentre survey of the safety of emergency care in UK emergency departments.

November 24, 2021

Usability study of two common defibrillators reveals hazards.

January 2, 2008

Leading a Culture of Safety: a Blueprint for Success.

May 24, 2017

Patients' perceptions of safety in emergency medical services: an interview study.

December 2, 2020

Impact of pharmacist interventions provided in the emergency department on quality use of medicines: a systematic review and meta-analysis.

March 8, 2023

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

Reducing diagnostic errors in the emergency department at the time of patient treatment.

March 29, 2023

The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States.

August 26, 2020

Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice.

July 21, 2021

Incidence of prescription errors in patients discharged from the emergency department.

September 22, 2021

Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis.

January 26, 2022

Core Entrustable Professional Activities for Entering Residency.

August 6, 2014

July 2011 Author in the Room Teleconference.

January 30, 2005

Quality Improvement and Patient Safety Competencies Across the Learning Continuum.

January 1, 2019

Swimming against the tide: primary care physicians' views on deprescribing in everyday practice.

August 23, 2017

Safety checklists for emergency response driving and patient transport: experiences from emergency medical services.

July 7, 2021

Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic.

April 21, 2021

Epidemiology of adverse events in air medical transport.

October 1, 2008

When safety event reporting is seen as punitive: "I've been PSN-ed!"

September 9, 2020

Critical events during land-based interfacility transport.

February 12, 2014

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.

September 7, 2022

Scottish Audit of Surgical Mortality.

May 11, 2005

Situational Awareness and Patient Safety: A Learning Package.

December 7, 2011

Optimizing Crisis Resource Management to Improve Patient Safety and Team Performance--A Handbook for Acute Care Health Professionals.

September 13, 2017

Designing Safer Rotas for Junior Doctors in the 48-Hour Week.

October 25, 2006

Canadian Patient Safety Dictionary.

March 6, 2005

May 5, 2021

Association of implementation and social network factors with patient safety culture in medical homes: a coincidence analysis.

September 2, 2020

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Medication use leading to emergency department visits for adverse drug events in older adults.

December 19, 2007

Guidance on Safe Medical Staffing: Report of a Working Party.

August 1, 2018

The implementation of communication didactics for OB/GYN residents on the disclosure of adverse perioperative events.

July 7, 2021

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

How accurately do older adult emergency department patients recall their medications?

August 12, 2020

When disasters strike the emergency department: a case series and narrative review.

November 10, 2021

Prehospital naloxone and emergency department adverse events: a dose-dependent relationship.

November 25, 2020

COVID-19: an emerging threat to antibiotic stewardship in the emergency department.

October 21, 2020

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019.

April 27, 2022

Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime.

April 27, 2022

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Physicians and cognitive decline: a challenge for state medical boards.

September 7, 2022

Impact of clinical decision support therapeutic interchanges on hospital discharge medication omissions and duplications.

October 20, 2021

Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices.

June 2, 2021

The work of nurses to provide good and safe services to children receiving hospital-at-home: a qualitative interview study from the perspectives of hospital nurses and physicians.

October 20, 2021

AMA Prior Authorization (PA) Physician Survey.

March 15, 2023

Cybersecurity for the Clinician.

October 18, 2023

Ways to Improve Electronic Health Record Safety.

September 19, 2018

Physician's Guide to Patient Safety Organizations.

August 4, 2010

There and Home Again, Safely.

February 20, 2013

Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review.

January 4, 2012

Reducing the Risk by Designing a Safer, Shame-free Health Care Environment.

September 26, 2007

Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed.

September 5, 2007

A Guide to Patient Safety in the Medical Practice.

February 20, 2008

Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?

July 23, 2008

Hospital ward adaptation during the COVID-19 pandemic: a national survey of academic medical centers.

September 23, 2020

Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors.

September 13, 2017

Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health.

August 16, 2017

Critical incidents involving the medical emergency team: a 5-year retrospective assessment for healthcare improvement.

April 28, 2021

Achieving the Institute of Medicine's 6 aims for quality in the midst of the opioid crisis: considerations for the emergency department.

January 10, 2018

Strong for Surgery.

January 30, 2013

Related Resources

An integrative systematic review of promoting patient safety within prehospital emergency medical services by paramedics: a role theory perspective.

April 17, 2024

Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment.

April 10, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Patient safety near misses – still missing opportunities to learn.

March 13, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Perspective

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training

February 28, 2024

Factors influencing witnesses' perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional study.

February 14, 2024

Society of Critical Care Medicine Guidelines on Recognizing and Responding to Clinical Deterioration Outside the ICU: 2023.

February 7, 2024

Adverse safety events in emergency medical services care of children with out-of-hospital cardiac arrest.

January 31, 2024

Frequency, type, and degree of potential harm of adverse safety events among pediatric emergency medical services encounters.

November 1, 2023

A scoping review exploring the confidence of healthcare professionals in assessing all skin tones.

October 4, 2023

Understanding And Addressing Pre-Hospital Diagnostic Delays.

September 20, 2023

Weight estimation for drug dose calculations in the prehospital setting - a systematic review.

September 6, 2023

Harm Caused by Delays in Transferring Patients to the Right Place of Care.

September 6, 2023

Women with large vessel occlusion acute ischemic stroke are less likely to be routed to comprehensive stroke centers.

August 23, 2023

Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review.

August 9, 2023

Improving emergency medicine clinician awareness of prehospital-administered medications.

August 9, 2023

Emergency lights and sirens on ambulances may do more harm than good.

July 19, 2023

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.

July 12, 2023

Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study.

July 5, 2023

Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study.

May 24, 2023

The effect of documenting patient weight in kilograms on pediatric medication dosing errors in emergency medical services.

May 3, 2023

Use of the revised second victim experience and support tool to examine second victim experiences of respiratory therapists.

April 26, 2023

NHS staff cried in safety interviews, says watchdog.

March 8, 2023

An analysis of prehospital pediatric medication dosing errors after implementation of a state-wide EMS pediatric drug dosing reference.

March 1, 2023

'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols?

February 15, 2023

Self-assessment and learning motivation in the second victim phenomenon.

February 1, 2023

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

Optimizing Pediatric Patient Safety in the Emergency Care Setting.

October 19, 2022

A novel study of situational awareness among out-of-hospital providers during an online clinical simulation.

October 5, 2022

See More About The Topic

Patient Transport

Health Care Executives and Administrators

Quality and Safety Professionals

Allied Health Services

Emergency Medicine