title: [Out of hospital emergencies towards a safety culture].
abstract: OBJECTIVE
  The aim of this study is to measure the degree of safety culture (CS) among healthcare professional workers of an out-of-hospital Emergency Medical Service. Most patient safety studies have been conducted in relation to the hospital rather than pre-hospital Emergency Medical Services. The objective is to analyze the dimensions with lower scores in order to plan futures strategies.
  
  
  METHODS
  A descriptive study using the AHRQ (Agency for Healthcare Research and Quality) questionnaire. The questionnaire was delivered to all healthcare professionals workers of 061 Advanced Life Support Units of Aragón, during the month of August 2013.
  
  
  RESULTS
  The response rate was 55%. Main strengths detected: an adequate number of staff (96%), good working conditions (89%), tasks supported from immediate superior (77%), teamwork climate (74%), and non-punitive environment to report adverse events (68%). Areas for improvement: insufficient training in patient safety (53%) and lack of feedback of incidents reported (50%).
  
  
  CONCLUSIONS
  The opportunities for improvement identified focus on the training of professionals in order to ensure safer care, while extending the safety culture. Also, the implementation of a system of notification and registration of adverse events in the service is deemed necessary.
authors.affiliation: Dirección General de Planificación y Aseguramiento, Departamento de Sanidad, Bienestar Social y Familia, Gobierno de Aragón, España; Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España. Electronic address: micanopozo@gmail.com.
authors.forename: M I
authors.initials: MI
authors.lastname: Cano-del Pozo
authors.affiliation: Unidad Docente de Medicina Preventiva y Salud Pública de Aragón, Zaragoza, España.
authors.forename: B
authors.initials: B
authors.lastname: Obón-Azuara
authors.affiliation: Unidad Docente de Medicina Preventiva y Salud Pública de Aragón, Zaragoza, España.
authors.forename: M
authors.initials: M
authors.lastname: Valderrama-Rodríguez
authors.affiliation: Unidad Docente de Medicina Preventiva y Salud Pública de Aragón, Zaragoza, España.
authors.forename: C
authors.initials: C
authors.lastname: Revilla-López
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: C
authors.initials: C
authors.lastname: Brosed-Yuste
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: E
authors.initials: E
authors.lastname: Fajardo-Trasobares
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: P
authors.initials: P
authors.lastname: Garcés-Baquero
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: J
authors.initials: J
authors.lastname: Mateo-Clavería
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: I
authors.initials: I
authors.lastname: Molina-Estrada
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: N
authors.initials: N
authors.lastname: Perona-Flores
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: S
authors.initials: S
authors.lastname: Salcedo-de Dios
authors.affiliation: Grupo de Trabajo de Seguridad Clínica del 061 ARAGÓN, Zaragoza, España.
authors.forename: A
authors.initials: A
authors.lastname: Tomé-Rey
mesh_terms: D003430:Cross-Sectional Studies; D004630:Emergencies; D004632:Emergency Medical Services / Q000458:organization & administration*; D060731:Emergency Responders / Q000193:education; D006801:Humans; D007398:Interpersonal Relations; D007588:Job Satisfaction; D018635:Rescue Work; D012308:Risk Management; D017751:Safety Management; D013030:Spain; D011795:Surveys and Questionnaires
keywords: Cooperative behavior; Cultura de las organizaciones; Emergency medical service; Organizational culture; Patient safety; Percepciones y conductas; Seguridad del paciente; Servicio de urgencias