The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey

<b>Background</b>: Air rescue crew members work equally in aviation and medicine, and thus occupy an important interface between the two work environments of aviation and medicine. The aim of this study was to obtain responses from participants to a validated online-based questionnaire r...

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Main Authors: Christian von Rüden, Andre Ewers, Andreas Brand, Sven Hungerer, Christoph J. Erichsen, Philipp Dahlmann, Daniel Werner
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Medicines
Subjects:
Online Access:https://www.mdpi.com/2305-6320/10/1/2
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author Christian von Rüden
Andre Ewers
Andreas Brand
Sven Hungerer
Christoph J. Erichsen
Philipp Dahlmann
Daniel Werner
author_facet Christian von Rüden
Andre Ewers
Andreas Brand
Sven Hungerer
Christoph J. Erichsen
Philipp Dahlmann
Daniel Werner
author_sort Christian von Rüden
collection DOAJ
description <b>Background</b>: Air rescue crew members work equally in aviation and medicine, and thus occupy an important interface between the two work environments of aviation and medicine. The aim of this study was to obtain responses from participants to a validated online-based questionnaire regarding whether hospitals may benefit from the commitment of a medical hospital staff which is also professionally involved in the aviation system as emergency physicians and Helicopter Emergency Medical Services Technical Crew Members (HEMS TC). Furthermore, it focused on the question of whether the skills acquired through Crew Resource Management (CRM) training in the air rescue service might also be used in the ground-based rescue service and, if so, whether they may have a positive effect. <b>Methods</b>: Medical air rescue staff of 37 German air rescue stations was included. Between 27 November 2020 and 03 March 2021, 253 out of 621 employees (response rate: 40.7%) participated voluntarily in a validated anonymized online survey. A quantitative test procedure was performed using the modified questionnaire on teamwork and patient safety (German version). <b>Results</b>: The examination and interpretation of the internal consistency (Cronbach’s alpha) resulted in the following reliabilities: Factor I (Cooperation): α = 0.707 (good); Factor II (Human factors): α = 0.853 (very good); Factor III (Communication): α = 0.657 (acceptable); and Factor IV (Safety): α = 0.620 (acceptable). Factor analysis explained 53.1% of the variance. <b>Conclusions</b>: The medical clinicians participating in this online survey believed that the skills they learned in human factors training such as CRM are helpful in their daily routine work in hospitals or other medical facilities, as well as in their ground-based rescue service activities. These findings may result in the recommendation to make CRM available on a regular to the medical staff in all medical facilities and also to ground-based rescue service staff aiming to increase patient safety and employee satisfaction.
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spelling doaj.art-1e2ddffaba7648d18dd44dbe05430bfd2023-11-30T23:25:39ZengMDPI AGMedicines2305-63202022-12-01101210.3390/medicines10010002The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online SurveyChristian von Rüden0Andre Ewers1Andreas Brand2Sven Hungerer3Christoph J. Erichsen4Philipp Dahlmann5Daniel Werner6Department of Trauma Surgery, BG Unfallklinik Murnau, 82418 Murnau, GermanyInstitute of Nursing Science and Practice, Paracelsus Medical University, 5020 Salzburg, AustriaInstitute for Biomechanics, BG Unfallklinik Murnau, 82418 Murnau, GermanyDepartment of Trauma Surgery, BG Unfallklinik Murnau, 82418 Murnau, GermanyDepartment of Trauma Surgery, BG Unfallklinik Murnau, 82418 Murnau, GermanyCenter for Academic Further Education, Deggendorf Institute of Technology, 94469 Deggendorf, GermanyDepartment of Anesthesiology, LMU Klinikum, University Hospital, Ludwig-Maximilians-University, 80539 Munich, Germany<b>Background</b>: Air rescue crew members work equally in aviation and medicine, and thus occupy an important interface between the two work environments of aviation and medicine. The aim of this study was to obtain responses from participants to a validated online-based questionnaire regarding whether hospitals may benefit from the commitment of a medical hospital staff which is also professionally involved in the aviation system as emergency physicians and Helicopter Emergency Medical Services Technical Crew Members (HEMS TC). Furthermore, it focused on the question of whether the skills acquired through Crew Resource Management (CRM) training in the air rescue service might also be used in the ground-based rescue service and, if so, whether they may have a positive effect. <b>Methods</b>: Medical air rescue staff of 37 German air rescue stations was included. Between 27 November 2020 and 03 March 2021, 253 out of 621 employees (response rate: 40.7%) participated voluntarily in a validated anonymized online survey. A quantitative test procedure was performed using the modified questionnaire on teamwork and patient safety (German version). <b>Results</b>: The examination and interpretation of the internal consistency (Cronbach’s alpha) resulted in the following reliabilities: Factor I (Cooperation): α = 0.707 (good); Factor II (Human factors): α = 0.853 (very good); Factor III (Communication): α = 0.657 (acceptable); and Factor IV (Safety): α = 0.620 (acceptable). Factor analysis explained 53.1% of the variance. <b>Conclusions</b>: The medical clinicians participating in this online survey believed that the skills they learned in human factors training such as CRM are helpful in their daily routine work in hospitals or other medical facilities, as well as in their ground-based rescue service activities. These findings may result in the recommendation to make CRM available on a regular to the medical staff in all medical facilities and also to ground-based rescue service staff aiming to increase patient safety and employee satisfaction.https://www.mdpi.com/2305-6320/10/1/2patient safetycrew resource managementhuman factorsteam trainingonline surveyhelicopter emergency medical services technical crew members
spellingShingle Christian von Rüden
Andre Ewers
Andreas Brand
Sven Hungerer
Christoph J. Erichsen
Philipp Dahlmann
Daniel Werner
The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
Medicines
patient safety
crew resource management
human factors
team training
online survey
helicopter emergency medical services technical crew members
title The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
title_full The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
title_fullStr The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
title_full_unstemmed The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
title_short The Influence of Human Factors Training in Air Rescue Service on Patient Safety in Hospitals: Results of an Online Survey
title_sort influence of human factors training in air rescue service on patient safety in hospitals results of an online survey
topic patient safety
crew resource management
human factors
team training
online survey
helicopter emergency medical services technical crew members
url https://www.mdpi.com/2305-6320/10/1/2
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