Accidents Experiences and Safety Behavior among Emergency Medical Personnel with Ambulance: Qualitative Research


  • Rattiyakorn Thuewan Kasetsart University, Bangkok, Thailand
  • Somkid Prabpai Kasetsart University, Bangkok, Thailand


accidents experiences, safety behavior, emergency medical personnel


Introduction: Road traffic accidents are the primary cause of injury, disability, and death. It had a tremendous impact to the economy, society, and the quality of life leading to a major global problem in many countries. Research objectives:This study aimed to investigate the accident experiences, relevant factors, effects from accident and safety behaviors of emergency medical services workers who work with ambulances. Research methodology:This Qualitative Research using the Phenomenological method and Purposive Sampling. The data were collected from 40 samples using semi-structured in-depth interview and analyzing data using descriptive statistics included frequency and percentage, and content analysis. Results: The results found that emergency medical services workers who work with ambulances ever experienced an accident while working, due to an accident from an ambulance was bumped by another vehicle and collided with another vehicle or sidewalk, swerved off the road, off a bridge, and accidents from medical devices, such as needle prick injury. Effects from accident caused an injury of workers (such as bruised arms and legs, broken tooth, chest pain, some organs were cut until deformed, and some workers died). Risk factors of accidents were caused by lack of safety behaviors of emergency medical personnel such as some drivers were in a weak physically condition, drove at speeds of over 80 km/h, and ran a red light, nursing personnel did not wear a seat belt, not sit in the right place, performed medical procedures while the ambulance was running, and not keep medical devices tidy. The vehicle factor related to unsafe behaviors of emergency medical services workers was no having seat belts enough for all seats inside ambulance. The environmental factors were 2 narrow lanes of rural roads at the crossroads without street light, urban roads with traffic jam were the risk factors causing accidents which emergency medical services workers had to increase their safety behaviors in emergency medical services operations. Conclusions: From the present study, risk factors affecting accidents from emergency operation in an ambulance included personal factors, vehicle factors and environmental factors such as lack of safe behavior of emergency medical personnel which was an essential risk factor on accidents of the ambulances. Implications: To solve problems of the ambulance’s accidents should be focused on suggestions for behavioral adjustment of the emergency medical personnel. For example, the emergency operators accompanying with the ambulances should strictly comply with laws/ measures specified by the Ministry of Public Health, and a training related to how to drive an ambulance safely and other necessary trainings should be provided which include studying, monitoring, evaluating and extracting lessons in case of an accident, as well as a drill that should be organized occasionally in support of accidental events.


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1. National Institute for Emergency Medical. Emergency Medical Act B.E.2551 [Internet]. 2020 [cited 2020 May 30]. Available from : migrate/file/255601101636362435_c2ps85DUy7tpW0yp.pdf

2. National Institute for Emergency Medical. National Emergency Medical Master Plan 2019-2021 [Internet]. 2020 [cited 2020 May 30]. Available from :

3. World Health Organization. Global status report on road safety 2015. Geneva: World Health Organization; 2015.

4. Ministry of Transport. Road accident situations [Internet]. 2019 [cited 2019 May 1]. Available from:

5. National Institute for Emergency Medicine. Strengthen the system Annual Report 2018. Nonthaburee: National Institute for Emergency Medicine; 2019. (in Thai).

6. Bangkok Emergency Medical Service Center. Annual Report 2017 [Internet]. 2019 [cited 2019 August 18]. Available from: wpcontent/uploads/2020/03/Annual-report.pdf

7. Sethasathien A, Sirisamutr T, Wachiradilok P, Dairoob S, Nimma S. Situation and Causes of Ambulance Crash in Thailand. Journal of Health Systems Research 2015;9(3):279-93. (in Thai).

8. LoBiondo-Wood G, Haber J. Nursing Research: Methods and critical appraisal for evidence-based practice. Mosby Elsevier 2020;5:93-105.

9. Sutheewasinnon P and Pasunon P. Sampling Strategies for Qualitative Research. Parichart Journal of Thaksin University 2016;29(2):31-48. (in Thai).

10. Patcharatanasan N, Ekburanawat W, Kanoungkid R, Punyaratabandhu M. Health hazards and traffic accidents during the operations of emergency vehicle drivers. Disease Control Journal 2016;42(4):304-14. (in Thai).

11. Hsiao H, Chang J, Simeonov P. Preventing emergency vehicle crashes: status and challenges of human factors issues. Human factors 2018;60(7):1048-72.

12. Centers for Disease Control and Prevention (CDC). Ambulance crash-related injuries among Emergency Medical Services workers - United States, 1991-2002. Morbidity and mortality weekly report 2003;52(8):154.

13. Koski A, Sumanen H. The risk factors Finnish paramedics recognize when performing emergency response driving. Accident Analysis & Prevention 2019;125:40-8.

14. Losunthorn P. Epidemiology. Bangkok: Chulalongkorn University; 2010. (in Thai).

15. Khampor K. The Study of the Relationship between Personal Health Care Behaviors and Quality of Working Life of Ambulance Drivers in Maha Sarakham province. Mahasarakham Hospital Journal 2019;16(1):44-52. (in Thai).



How to Cite

Thuewan R, Prabpai S. Accidents Experiences and Safety Behavior among Emergency Medical Personnel with Ambulance: Qualitative Research. JHNR [Internet]. 2021 Apr. 9 [cited 2022 Dec. 9];37(1):142-55. Available from:



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