To the Editor: Mr. Weaver and colleagues report an investigation of the association between emergency medical services (EMS) workplace safety culture scores and patient or provider safety outcomes.1 They indicate that there were no previous studies of occupational safety culture and adverse events among EMS personnel. However, several articles from the National Study to Prevent Blood Exposure in Paramedics2 touched upon safety culture and exposures to blood among paramedics and support the general findings of Weaver et al. that EMS worker perceptions of workplace safety culture are associated with provider safety outcomes. The findings of Weaver et al., as well as the survey of paramedics and other literature on workplace safety culture, suggest that EMS workers experience fewer injuries when there is management support for occupational safety.
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