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Objective <p>Prehospital personnel operate in environments with a significant risk of on-duty traffic accidents. We investigated the prevalence and characteristics of on-duty ambulance traffic accidents and explored how prehospital personnel perceive and experience accidents involving occupational injury.</p> Methods <p>This mixed-methods study combined a quantitative analysis of accidents including prehospital vehicles in the Region of Southern Denmark from 2017 through 2022 with qualitative interviews and a focus group.</p> <p>All vehicles damaged in accidents were identified. Through occupational injury reports, we identified personnel reporting injuries following an on-duty traffic accident. To capture the experiences of prehospital personnel, we conducted two individual interviews and a focus group. Accident data were analysed by type and location. Qualitative data were analysed using Malterud’s Systematic Text Condensation.</p> Results <p>Within the study period, 562,612 emergency missions were carried out in the Region of Southern Denmark. We identified 120 moderate or severe on-duty accidents (0.02%). Most accidents occurred at intersections, on highways, or involved animals. The qualitative analysis resulted in three categories: 1. Recognising the risk while fearing consequences during emergency driving, 2. Acting within a masculinised work culture, 3. Struggling to recognise the need for personal support.</p> Conclusion <p>Although the risk of on-duty ambulance accidents is low, their psychological consequences are notable. Prehospital personnel request structured post-incident protocols and organisational support to change work culture and enhance safety and well-being. Organisational interventions that address both the operational and emotional dimensions of ambulance accidents are required.</p>

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Ambulance traffic accidents and their impact on prehospital personnel: a mixed-methods study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月5日

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  • Marianne Winther,
  • Oliver Beierholm Sørensen,
  • Anne Craveiro Brøchner,
  • Daniel Wittrock,
  • Peter Martin Hansen,
  • Jens Stubager Knudsen,
  • Lisa Seest Nielsen,
  • Signe Amalie Wolthers,
  • Lars Bak Nielsen,
  • Helle Collatz Christensen,
  • Lotte Huniche,
  • Søren Mikkelsen,
  • Eva Laerkner

摘要

Objective

Prehospital personnel operate in environments with a significant risk of on-duty traffic accidents. We investigated the prevalence and characteristics of on-duty ambulance traffic accidents and explored how prehospital personnel perceive and experience accidents involving occupational injury.

Methods

This mixed-methods study combined a quantitative analysis of accidents including prehospital vehicles in the Region of Southern Denmark from 2017 through 2022 with qualitative interviews and a focus group.

All vehicles damaged in accidents were identified. Through occupational injury reports, we identified personnel reporting injuries following an on-duty traffic accident. To capture the experiences of prehospital personnel, we conducted two individual interviews and a focus group. Accident data were analysed by type and location. Qualitative data were analysed using Malterud’s Systematic Text Condensation.

Results

Within the study period, 562,612 emergency missions were carried out in the Region of Southern Denmark. We identified 120 moderate or severe on-duty accidents (0.02%). Most accidents occurred at intersections, on highways, or involved animals. The qualitative analysis resulted in three categories: 1. Recognising the risk while fearing consequences during emergency driving, 2. Acting within a masculinised work culture, 3. Struggling to recognise the need for personal support.

Conclusion

Although the risk of on-duty ambulance accidents is low, their psychological consequences are notable. Prehospital personnel request structured post-incident protocols and organisational support to change work culture and enhance safety and well-being. Organisational interventions that address both the operational and emotional dimensions of ambulance accidents are required.