Evaluating the Effect of a Mechanical Adjunct to Improve the Installation of Child Restraint Systems to Vehicles

Objectives: We explored if an alternative CRS design that utilized a mechanical adjunct to amplify the force applied to the adult seat belt (intervention CRS) results in more accurate and secure attachment between the CRS and the vehicle compared to similar CRS models that use LATCH or the existing adult seat belt. We conducted three separate studies to address this question and additionally explored: (1) the contribution of prior CRS installation experience (Study 1), (2) the value-added of CRS labeling (Study 2), and (3) paper-based vs. video instructions (Study 3).

Methods: In Studies 1 and 2 we assessed a forward facing combination CRS design (intervention CRS) compared to a commercially available LATCH equipped model (control CRS) and in Study 3 we conducted a similar study using a convertible model of both the intervention and control CRS. Participants installed both CRS in a contemporary minivan and could choose which type of attachment to use for the control CRS (LATCH or seat belt); order of installation was counter-balanced. Evaluators systematically examined installations for accuracy and security.

Results: Study 1: A greater proportion of participants in both the experienced and inexperienced groups was able to securely install the intervention CRS compared to the control CRS: (45% vs. 16%, p =.0001 for experienced) and (37% vs. 6%, p =.003 for inexperienced). No differences between the CRS were observed for accuracy of installation in either user group. Study 2: A greater proportion of participants were able to securely install the enhanced intervention CRS compared to the control CRS: (62% vs. 9%, p =.001). The intervention CRS demonstrated reduced installation accuracy: (30% vs. 61%, p =.001). Study 3: A greater proportion of participants was able to securely install the intervention CRS compared to the control CRS: 79% vs. 66% p =.03, but this effect was smaller than in the previous studies. Participants were less likely to achieve an accurate installation with the intervention CRS compared to the control CRS: 54% vs. 79%, p =.004. Common accuracy errors in each study included twisting or misrouting the seatbelt when installing the intervention CRS.

Conclusions: Our results suggest that novel CRS designs that utilize mechanical advantage to facilitate attachment of the CRS to the vehicle result in a tighter installation compared to LATCH equipped models, but an increase in accuracy errors occurred.     

Adaptation of a Canadian culpability scoring tool to Alberta police traffic collision report data

Objective: The objective of this study was to adapt a previously validated Canadian Culpability Scoring Tool (CCST) to Alberta police report data.

Methods: Police traffic collision reports from motor vehicle (MV) collisions in Calgary and Edmonton (Alberta, Canada) from 2010 to 2014 were used. Adaptation of the CCST was completed with input from personnel within Alberta Transportation, contributing to face and content validity. Two research assistants, given only the information necessary for scoring, evaluated 175 randomly selected MV–MV collisions. Interrater agreement was estimated using kappa (k) and reported with 95% confidence intervals (CIs). Discussion of disagreements between the research assistants and consultation from Alberta Transportation informed the algorithm used in the Alberta Motor Vehicle Collision Culpability Tool (AMVCCT). The AMVCCT was automated and applied to all motorists involved in collisions. Binary logistic regression was used to examine characteristics of the culpable and nonculpable drivers and their effects were reported using odds ratios (ORs) with 95% CIs.

Results: Interrater agreement for the random sample was excellent (k = 0.95; 95% CI, 0.92–0.99). Of those drivers hospitalized, 1,130 (37.54%) were rated not culpable and 1,880 (62.46%) were rated culpable. The odds of being culpable were higher for males than for females (OR = 1.43; 95% CI, 1.23–1.66). The odds of being culpable were higher in those impaired by alcohol than those considered “apparently normal” (OR = 61.10; 95% CI, 22.66–164.75). The odds of being deemed culpable, when compared with drivers >54 years old, were higher for those <25 years old (OR = 1.72; 95% CI, 1.35–2.20) and lower for those in the 40- to 54-year-old age group (OR = 0.78; 95% CI, 0.63–0.96). Driving between 12 a.m. and 6 a.m. resulted in higher odds of being culpable compare with all other 6-h time blocks. Direction and statistical significance remained consistent when applying the tool to all MV collisions. Sensitivity analysis including the removal of single vehicle collisions did not affect the direction or statistical significance of the main results.

Conclusions: The AMVCCT identified a culpable group that exhibited characteristics expected in drivers who are at fault in collisions. The age groups 25–39 and 40–54 demonstrated different results than the CCST. However, this is the only difference that exists in the findings of the AMVCCT compared to the CCST and could exist due to differences between the driving populations in Alberta and British Columbia. It is possible to adapt the CCST to provinces outside British Columbia and, in doing so, we can identify risk factors for collision contribution and not-at-fault drivers who represent the driving population.     

Assessment of patients' medical fitness to drive by primary care physicians: A cross-sectional study

Objectives: Motor vehicle collisions (MVCs) are a significant health burden in Saudi Arabia. The literature has consistently indicated that chronic medical conditions, such as diabetes, heart disease, stroke, obstructive sleep apnea, and neurodevelopmental disorders, increase the risk of MVCs. Therefore, assessment of driver fitness by primary care physicians (PCPs) remains a major health intervention that might reduce MVCs. We studied the practices of PCPs in assessing medical fitness to drive in at-risk patients.

Methods: We conducted a cross-sectional study of all 88 government-funded primary care centers in the city of Riyadh, Saudi Arabia. We administered a self-reported questionnaire to PCPs that inquired about their driving risk assessment for specific medical conditions.

Results: Among all PCPs and centers, 189 PCPs (63%) from 74 centers (84%) participated in our survey. The mean age of the PCPs was 40 ± 10 years, and 108 (57%) were men. The average clinical experience of the group was 13 ± 9 years. Fewer than half of PCPs considered diabetes mellitus (45%) and obstructive sleep apnea (46%) as potential risks for MVCs. Approximately 45% of PCPs did not notify any authority or relatives of potential driving issues that they noticed in their patients. Only 15% of the participants believed that PCPs were responsible for alerting authorities about their fitness to drive.

Conclusions: PCPs did not adequately assess their patients' driving history and eligibility. Efforts are needed to improve awareness among PCPs regarding the effects of chronic medical conditions on driving.     

Ticketing aggressive cars and trucks (TACT): How does it work on city streets?

Objective: The purpose of this study was to determine the feasibility of modifying the Ticking Aggressive Cars and Trucks (TACT) program, originally designed to work on state highways, within a metropolitan area to reduce unsafe interactions and their related crashes between drivers of large trucks and passenger vehicles.

Methods: Using crash data, the driving behaviors most commonly associated with large truck and passenger vehicle crashes were identified. A public awareness campaign using media messaging and increased law enforcement was created targeting these associated behaviors. The frequency of these behaviors both before and after the public awareness campaign was determined through observation of traffic at 3 specific locations within the city. Each location had a sufficient volume of large truck and passenger traffic to observe frequent interactions. Pre- and postintervention data were compared using negative binomial regression with generalized estimating equations to evaluate whether the campaign was associated with a reduction in the identified driving behaviors.

Results: A comparison between crash data from before, during, and after the campaign and crashes during the same time periods in previous years did not show a significant difference (P =.081). The number of large trucks observed in traffic remained the same during pre- and postintervention periods (P =.625). The rates of negative interactions per 100 large trucks decreased for both large trucks and passenger vehicles after the intervention, with calculated rate ratios of 0.58 (95% confidence interval [CI], 0.48, 0.70) and 0.31 (95% CI, 0.20, 0.47). The greatest reduction was seen in passenger vehicles following too close, with a rate ratio of 0.21 (95% CI, 0.15, 0.30).

Conclusions: Although designed for reducing crashes on highways, the TACT program can be an effective approach for improving driver behaviors on city streets.     

Characteristics of Moose-vehicle Collisions in Anchorage, Alaska, 1991–1995

Moose have successfully adapted to Anchorage's urban environment, using greenbelt areas for shelter, forage, and protection from nearby predator populations. However, the proximity of moose to people poses unique hazards: a motor vehicle colliding a moose may cause significant injury and vehicle damage. The annual Moose Vehicle Collision (MVC) rate increased during the study period from 40 to 52 MVCs per 100,000 registered vehicles in Anchorage, a significant (X² = 7.8, p < 0.01) increase of 23%. Of 519 reported MVCs, 23% resulted in injury to 158 people, with no human fatalities. Collisions were 2.6 times more likely to have occurred in the dark (n = 375, [72%]) than during daylight hours. An MVC on a dry road was twice (95% CI: 1.29, 3.08) as likely to have resulted in an injury as an incident on a slick road. MVCs may be prevented by: reducing speed limits around greenbelt areas, brighter vehicle headlights, placement of street lights in known moose areas, underpasses for wildlife at known crossings, and snow removal to reduce berm height in areas of high moose concentrations. Published by National Safety Council and Elsevier Science Ltd     

Association Between NCAP Ratings and Real-World Rear Seat Occupant Risk of Injury

Objective: Several studies have evaluated the correlation between U.S. or Euro New Car Assessment Program (NCAP) ratings and injury risk to front seat occupants, in particular driver injuries. Conversely, little is known about whether NCAP 5-star ratings predict real-world risk of injury to restrained rear seat occupants. The NHTSA has identified rear seat occupant protection as a specific area under consideration for improvements to its NCAP. In order to inform NHTSA's efforts, we examined how NCAP's current 5-star rating system predicts risk of moderate or greater injury among restrained rear seat occupants in real-world crashes.

Methods: We identified crash-involved vehicles, model year 2004–2013, in NASS-CDS (2003–2012) with known make and model and nonmissing occupant information. We manually matched these vehicles to their NCAP star ratings using data on make, model, model year, body type, and other identifying information. The resultant linked NASS-CDS and NCAP database was analyzed to examine associations between vehicle ratings and rear seat occupant injury risk; risk to front seat occupants was also estimated for comparison. Data were limited to restrained occupants and occupant injuries were defined as any injury with a maximum Abbreviated Injury Scale (AIS) score of 2 or greater.

Results: We linked 95% of vehicles in NASS-CDS to a specific vehicle in NCAP. The 18,218 vehicles represented an estimated 6 million vehicles with over 9 million occupants. Rear seat passengers accounted for 12.4% of restrained occupants. The risk of injury in all crashes for restrained rear seat occupants was lower in vehicles with a 5-star driver rating in frontal impact tests (1.4%) than with 4 or fewer stars (2.6%, P =.015); results were similar for the frontal impact passenger rating (1.3% vs. 2.4%, P =.024). Conversely, side impact driver and passenger crash tests were not associated with rear seat occupant injury risk (driver test: 1.7% for 5-star vs. 1.8% for 1–4 stars; passenger test: 1.6% for 5 stars vs 1.8% for 1–4 stars).

Conclusions: Current frontal impact test procedures provide some degree of discrimination in real-world rear seat injury risk among vehicles with 5 compared to fewer than 5 stars. However, there is no evidence that vehicles with a 5-star side impact passenger rating, which is the only crash test procedure to include an anthropomorphic test dummy (ATD) in the rear, demonstrate lower risks of injury in the rear than vehicles with fewer than 5 stars. These results support prioritizing modifications to the NCAP program that specifically evaluate rear seat injury risk to restrained occupants of all ages.     

认知分心时驾驶人应激反应特征分析

为预防由认知分心影响驾驶人应激反应能力引发的交通事故,开展试验,在驾驶模拟器平台上模拟城市、乡镇、山区和高速公路等应激场景,测试有无分心任务2种条件下驾驶人的应激反应,采集驾驶人操作数据和车辆行驶数据,并利用Facelab5型眼动仪记录驾驶人眼动数据;选取相关表征指标并分析试验数据。结果表明:相比于正常驾驶,认知分心驾驶导致驾驶人视觉搜索范围变窄;无论正常驾驶还是认知分心驾驶,扫视行为均以中、低幅度为主;认知分心导致驾驶人对加速踏板的控制能力减弱;与正常驾驶相比,认知分心时驾驶人的应激反应时间明显增加。     

重庆市建筑业高处坠落事故调查分析

本文以通过重庆市安全生产监督管理局收集的建筑业事故调查表为基础,对其中43起建筑业高空坠落事故发生的部位、工种、伤亡人员情况以及事故原因进行了调查统计分析。通过调查分析发现,建筑业高处坠落事故主要发生在“四口、五临边”和脚手架操作平台;伤亡人员以30~40岁之间的农民工居多,大都从事普工作业;在事故原因方面,安全管理、安全教育等间接原因略高于直接原因。这说明目前建筑业在对农民工的安全管理、安全教育等方面还存在一定的问题。     

The analysis of influence of individual and environmental factors on 2-wheeled users’ injuries

Objective: Powered 2-wheeled motor vehicles (PTWs) are one of the most vulnerable categories of road users. Bearing that fact in mind, we have researched the effects of individual and environmental factors on the severity and type of injuries of PTW users. The aim was to recognize the circumstances that cause these accidents and take some preventive actions that would improve the level of road safety for PTWs.

Methods: In the period from 2001 to 2010, an analysis of 139 road accidents involving PTWs was made by the Faculty of Transport and Traffic Engineering in Belgrade. The effects of both individual (age, gender, etc.) and environmental factors (place of an accident, time of day, etc.) on the cause of accidents and severity and type of injuries of PTWs are reported in this article. Analyses of these effects were conducted using logistic regression, chi-square tests, and Pearson's correlation.

Results: Factors such as categories of road users, pavement conditions, place of accident, age, and time of day have a statistically significant effect on PTW injuries, whereas other factors (gender, road type; that is, straight or curvy) do not. The article also defines the interdependence of the occurrence of particular injuries at certain speeds. The results show that if PTW users died of a head injury, these were usually concurrent with chest injuries, injuries to internal organs, and limb injuries.

Conclusions: It has been shown that there is a high degree of influence of individual factors on the occurrence of accidents involving 2-wheelers (PTWs/bicycles) but with no statistically significant relation. Establishing the existence of such conditionalities enables identifying and defining factors that have an impact on the occurrence of traffic accidents involving bicyclists or PTWs. Such a link between individual factors and the occurrence of accidents makes it possible for system managers to take appropriate actions aimed at certain categories of 2-wheelers in order to reduce casualties in a particular area. The analysis showed that most of the road factors do not have a statistically significant effect on either category of 2-wheeler. Namely, the logistic regression analysis showed that there is a statistically significant effect of the place of accident on the occurrence of accidents involving bicyclists.     

机动车辆火灾调查

近年来,机动车遍布全国各大城市,已成为移动的建筑,随之而来的机动车辆火灾事故频发,载客车辆因人员高度密集造成群死群伤;载货车辆因货物集中或运载危险品造成重大损失,并引发交通堵塞、环境污染等次生灾害。本文主要介绍了机动车火灾的现场勘验和调查,通过现场勘验确定起火点,调查询问收集和发现证据等方面对机动车辆火灾进行研究,从中发现起火原因的规律和特点,采取有针对性的措施,有效地遏制和减少此类火灾发生,达到预防机动车辆火灾的目的。     

高速公路事故责任认定探讨

在事故责任认定中应同时考虑司机、交警、管理部门和道路条件等存在的问题,分析并量化各方面应承担的责任,而不能像目前,事故责任几乎仅由司机一方100%承担.以开阳高速(开平到阳江)\"1·23\"特大交通事故为例,着重论述了当前我国高速公路管理体制存在的弊端,事故责任认定和事故赔偿的不合理性,紧急救援体系的不完善性.并对高速公路事故责任的量化,交通警察现场指挥能力的提高,高速公路管理部门责任的落实与监督,应急救援及强制保险理赔体系的进一步完善提出相应的建议和措施,促进我国交通事故责任认定与落实全过程的科学、合理、公平及规范化.     

基于车辆事故等级分类的紧急呼救系统研究

基于交通事故紧急救援的现状,阐述建立车辆事故紧急呼救系统的新需求,提出了开发基于车辆事故严重等级分类的紧急呼救系统需要实现的功能;应用车辆碰撞安全性理论和研究成果、导航定位技术及通信技术,设计了基于事故严重等级分类的车辆事故紧急呼救决策流程;探讨车辆事故自动检测和等级分类及紧急救援的实施方案,以实现车辆事故紧急自动呼救,使车辆和伤员得到及时高效的紧急救助.     

某钢铁厂2014年度事故统计分析及预防措施

通过对某钢铁厂2014年发生的事故统计分析,找出事故发生的主要规律和原因,提出预防事故重复发生的措施,达到减少或杜绝事故发生,确保安全生产。     

基于事故致因理论分析煤矿安全事故

从我国煤矿安全现状出发,根据事故致因理论分析了煤矿安全事故发生的主要原因,阐述了煤矿安全事故发生的直接原因和间接原因,实例分析了 2 起煤矿安全事故,以便为煤矿安全隐患提供预防指导.