Accident; analysis and prevention
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Powered two-wheelers (PTWs--mopeds, motorcycles, and scooters) remain the most dangerous form of travel on today's roads. This study used hospital discharge data from eight European countries to examine the frequencies and patterns of injury among PTW users (age≥14 years), the predicted incidence of the loss of functional ability, and the mechanisms of the head injuries observed (all in light of increased helmet use). Of 977,557 injured patients discharged in 2004, 12,994 were identified as having been injured in PTW collisions. ⋯ Among the AIS3+ head injuries that could be mapped to an injury mechanism, 48% of these were associated with a translational-impact mechanism, and 37% were associated with a rotational mechanism. The observation of high rates of expected long-term disability suggests that future efforts aim to mitigate lower and upper extremity injuries among PTW users. Likewise, the high rates of concussion and head injuries associated with a rotational mechanism provide goals for the next phase of PTW user head protection.
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Crash risk factors related to individuals sustaining and drivers following traumatic brain injuries.
Some crashes result in drivers experiencing (or sustaining) a traumatic brain injury (TBI) while other crashes involve drivers that have already experienced a TBI. The objective of this study is to examine the factors that influence these two TBI crash groups. ⋯ Different factors influence the crash likelihood for those that sustain a TBI in a crash and those that crash following a TBI. In general, post-TBI drivers have a higher occurrence of multiple crashes and this should be further explored to guide driver rehabilitation, evaluation, and training.
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Stated response to increased enforcement density and penalty size for speeding and driving unbelted.
To what extent can traffic offences be reduced through stronger enforcement, higher penalties, and the provision of information to road users? This question was addressed with respect to the offences of "speeding" and "driving unbelted." Data were collected by a telephone survey of admitted speeders, followed by 438 face-to-face stated response interviews. Based on the data collected, separate statistical models were developed for the two offences. The models predict the behavioral effect of increasing enforcement density and/or penalty size as well as the additional effect of providing information to car drivers. ⋯ An increase in the penalty size is predicted to raise the stated wearing rate, which is already 90% in Austria. It seems that both the fear of punishment and the motivation for driving unbelted are limited, so that there is only a weak tradeoff between the two. This may apply to most traffic offences, with the exception of speeding, which accounts for over 80% of tickets alone, whereas all other offences account for less than 3% each.
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Existing initiatives in the management of construction project safety are largely based on normative compliance and error prevention, a risk management approach. Although advantageous, these approaches are not wholly successful in further lowering accident rates. A major limitation lies with the approaches' lack of emphasis on the social and team processes inherent in construction project settings. ⋯ The results reveal that, while the structural dimension is not significant, the mediational thesis is generally supported with the cognitive and relational dimensions affecting project participants' adaptation and cooperation, and the latter two processes affect safety performance. However, the cognitive dimension also directly affects safety performance. The implications of these results for project safety management are discussed.
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There have been 30 years of research on Intelligent Speed Adaptation (ISA), the in-vehicle system that is designed to promote compliance with speed limits. Extensive trials of ISA in real-world driving have shown that ISA can significantly reduce speeding, users have been found to have generally positive attitudes and at least some sections of the public have been shown to be willing to purchase ISA systems. Yet large-scale deployment of a system that could deliver huge accident reductions is still by no means guaranteed.