Joseph Bellal, Zangbar Bardiya, Bains Sandeep, Kulvatunyou Narong, Khalil Mazhar, Mahmoud Dalal, Friese Randall S, O'Keeffe Terence, Pandit Viraj, Rhee Peter
a Division of Trauma, Critical Care, Burns, and Emergency Surgery, Department of Surgery , University of Arizona , Tucson , Arizona.
Traffic Inj Prev. 2016 Jul 3;17(5):460-4. doi: 10.1080/15389588.2015.1116042. Epub 2016 Jan 13.
Distracted driving (talking and/or texting) is a growing public safety problem, with increasing incidence among adult drivers. The aim of this study was to identify the incidence of distracted driving (DD) among health care providers and to create awareness against DD. We hypothesized that distracted driving is prevalent among health care providers and a preventive campaign against distracted driving would effectively decrease distracted driving among health care providers.
We performed a 4-phase prospective interventional study of all health care providers at our level 1 trauma center. Phase 1: one week of pre-intervention observation; phase 2: one week of intervention; phase 3: one week of postintervention observation; and phase 4: one week of 6 months of postintervention observation. Observations were performed outside employee parking garage at the following time intervals: 6:30-8:30 a.m., 4:40-5:30 p.m., and 6:30-7:30 p.m. Intervention included an e-mail survey, pamphlets and banners in the hospital cafeteria, and a postintervention survey. Hospital employees were identified with badges and scrubs, employees exiting through employee gate, and parking pass on the car. Outcome measure was incidence of DD pre, post, and 6 months postintervention.
A total of 15,416 observations (pre: 6,639, post: 4,220, 6 months post: 4,557) and 520 survey responses were collected. The incident of DD was 11.8% among health care providers. There was a significant reduction in DD in each time interval of observation between pre- and postintervention. On subanalysis, there was a significant decrease in talking (P = .0001) and texting (P = .01) while driving postintervention compared to pre-intervention. In the survey, 35.5% of respondents admitted to DD and 4.5% respondents were involved in an accident due to DD. We found that 77% respondents felt more informed after the survey and 91% respondents supported a state legislation against DD. The reduction in the incidence of DD postintervention was sustained even at 6-month follow-up.
There was a 32% reduction in the incidence of distracted driving postintervention, which remained low even at 6-month follow-up. Implementation of an effective injury prevention campaign could reduce the incidence of distracted driving nationally.
分心驾驶(交谈和/或发短信)是一个日益严重的公共安全问题,在成年驾驶员中的发生率不断上升。本研究的目的是确定医疗保健人员中分心驾驶(DD)的发生率,并提高对分心驾驶的认识。我们假设分心驾驶在医疗保健人员中很普遍,针对分心驾驶的预防活动将有效减少医疗保健人员中的分心驾驶行为。
我们对一级创伤中心的所有医疗保健人员进行了一项为期4个阶段的前瞻性干预研究。第1阶段:干预前观察1周;第2阶段:干预1周;第3阶段:干预后观察1周;第4阶段:干预后6个月观察1周。观察在员工停车场外进行,时间间隔如下:上午6:30 - 8:30、下午4:40 - 5:30和下午6:30 - 7:30。干预措施包括电子邮件调查、医院自助餐厅的宣传册和横幅以及干预后调查。通过徽章、工作服识别医院员工,员工从员工通道离开以及车辆上的停车证来确定人员。观察指标为干预前、干预后和干预后6个月时分心驾驶的发生率。
共收集了15416次观察数据(干预前:6639次,干预后:4220次,干预后6个月:4557次)以及520份调查问卷回复。医疗保健人员中分心驾驶的发生率为11.8%。干预前和干预后各观察时间间隔内,分心驾驶发生率均有显著下降。进一步分析发现,与干预前相比,干预后驾车时交谈(P = 0.0001)和发短信(P = 0.01)的情况显著减少。在调查中,35.5%的受访者承认存在分心驾驶行为,4.5%的受访者因分心驾驶发生过事故。我们发现,77%的受访者在调查后了解到了更多信息,91%的受访者支持制定针对分心驾驶的州立法。干预后分心驾驶发生率的降低在6个月随访时仍持续存在。
干预后分心驾驶发生率降低了32%,即使在6个月随访时仍保持在较低水平。实施有效的伤害预防活动可以在全国范围内降低分心驾驶的发生率。