Accident Prevention
Accidents
Accidents, Home
Accidents, Occupational
Accidents, Traffic
Wounds and Injuries
Chernobyl Nuclear Accident
Accident Proneness
Water traffic accidents, drowning and alcohol in Finland, 1969-1995. (1/408)
OBJECTIVE: To examine age- and sex-specific mortality rates and trends in water traffic accidents (WTA), and their association with alcohol, in Finland. MATERIALS AND METHODS: National mortality and population data from Finland, 1969-1995, are used to analyse rates and trends. The mortality rates are calculated on the basis of population, per 100000 inhabitants in each age group (<1, 1-4, 5-14, 15-24, 25-44, 45-64, > or = 65), and analysed by sex and age. The Poisson regression model and chi2 test for trend (EGRET and StatXact softwares) are used to analyse time trends. RESULTS: From 1969 through 1995 there were 3473 (2.7/100000/year; M:F= 20.4:1) WTA-related deaths among Finns of all ages. In 94.7% of the cases the cause of death was drowning. Alcohol intoxication was a contributing cause of death in 63.0% of the fatalities. During the study period the overall WTA mortality rates declined significantly (-4% per year; P < 0.001). This decline was observed in all age groups except > or = 65 year olds. The overall mortality rates in WTA associated with alcohol intoxication (1987-1995) also declined significantly (-6%; P = 0.01). CONCLUSIONS: In Finland, mortality rates in WTA are exceptionally high. Despite a marked decline in most age groups, the high mortality in WTA nevertheless remains a preventable cause of death. Preventive countermeasures targeted specifically to adult males, to the reduction of alcohol consumption in aquatic settings and to the use of personal safety devices should receive priority. (+info)"First aid for scalds" campaign: reaching Sydney's Chinese, Vietnamese, and Arabic speaking communities. (2/408)
OBJECTIVES: As a serious yet preventable problem, scald injuries in children have been a priority for prevention in Australia and other developed countries. Not only can the occurrence of scalds be prevented, but immediate first aid treatment offers an effective method for secondary prevention, reducing the severity of scalds. Despite the success of scald prevention initiatives, local evidence suggested that first aid knowledge was lacking in some minority ethnic groups. To redress this gap, the "First Aid for Scalds" campaign for those from a non-English speaking background was specifically targeted to three ethnic groups (Vietnamese, Chinese, and Arabic), with the aim of increasing the proportions of parents and caregivers who had correct knowledge of first aid treatment for scalds. The primary strategy was a media campaign, including advertisements on ethnic radio and in ethnic newspapers. METHODS: The evaluation design included formative research and impact evaluation. The impact evaluation study involved random population based telephone surveys with each of the three language groups, before and after the campaign, to assess the reach and effectiveness of the campaign. RESULTS: After the campaign, there were significant increases in the proportion of people who knew the correct first aid treatment for scalds. There were substantial variations in campaign recall and knowledge between each of the three language groups. The largest improvement was found in the Vietnamese group. CONCLUSION: The association between campaign recall and increase in correct knowledge, and the absence of any similar interventions during the campaign period, give credence to the conclusion that the changes observed were a result of the campaign. The results demonstrate the value of community based injury prevention campaigns specifically targeting linguistically diverse communities. (+info)Evaluation of a drowning prevention campaign in King County, Washington. (3/408)
OBJECTIVES: A three year drowning prevention campaign focused on increasing the use of life vests among children 1-14 years old. An evaluation was conducted to determine campaign awareness, change in ownership and use of life vests by children, and predictors of life vest use. SETTING: King County, Washington. METHODS: Four telephone surveys were conducted with parents before, during, and after the campaign. RESULTS: The campaign was recalled by 50% of families surveyed. From before to after the campaign, reported life vest use by children on docks, beaches, or at pools increased from 20% to 29% (p < 0.01) and life vest ownership for children increased from 69% to 75% (p = 0.06). Among parents aware of the campaign, reported child life vest use increased from 20% to 34% (p < 0.001) and ownership increased from 69% to 80% (p < 0.01). Among families unaware of the campaign, neither life vest use nor ownership changed significantly. Children were more often reported to wear life vests if a parent knew of the campaign, was confident fitting the vest, was younger than 40 years, felt the child could not swim well, and owned a life vest for the child. CONCLUSIONS: A community-wide drowning prevention campaign resulted in a significant, although modest, increase in reported life vest use and ownership among children. (+info)Achieving compliance with pool fencing legislation in New Zealand: a survey of regulatory authorities. (4/408)
OBJECTIVES: To identify the status of compliance and enforcement of New Zealand's Fencing of Swimming Pools Act (FOSP Act), 10 years after its introduction, and to identify methods for improving both compliance with the act and the process of enforcement. METHODS: A postal questionnaire was sent to all 74 authorities in New Zealand in which they were asked questions about their enforcement of the FOSP Act. Semistructured telephone interviews were conducted with 12 authorities to supplement the data obtained in the postal survey. RESULTS: Based on responses to the survey, it was estimated that there are over 59,000 domestic swimming pools in New Zealand, giving rates of 46 pools/1000 dwellings and 16 pools/1000 persons. The authorities reported that 44% of pools complied with the act, and a further 4% had been granted exemptions. Nineteen per cent of pools were reported to not comply with the act, and the compliance status of a further 33% was not known, or not stated by the authority. Only 9% of authorities had procedures for locating and inspecting pools, while 28% had a programme of reinspection to ensure that pools continued to comply. Pool owner resistance was considered to be the main difficulty with enforcing the act, and nearly half of the authorities believed publicity or education was needed to overcome these barriers. Fifty two per cent of authorities had publicized the act during the 12 months preceding the survey. CONCLUSIONS: Due to ambiguities within the legislation, and differing levels of commitment by authorities to locate pools and monitor compliance, compliance with the FOSP Act is not consistent nationally. If the act were less ambiguous, there would be greater consistency and more enforcement. (+info)An intervention to reduce playground equipment hazards. (5/408)
OBJECTIVES: A community intervention trial was carried out to evaluate the relative effectiveness of two methods of reducing playground hazards in schools. The study hypotheses were: (1) a health promotion programme addressing barriers to implementing the New Zealand Playground Safety Standard will reduce playground hazards and (2) the intervention programme will be more successful than providing information alone. METHODS: Twenty four schools in Wellington, New Zealand were randomly allocated into two groups of 12 and their playgrounds audited for hazards. After the audit, the intervention group received a health promotion programme consisting of information about the hazards, an engineer's report, regular contact and encouragement to act on the report, and assistance in obtaining funding. The control group only received information about hazards in their playground. RESULTS: After 19 months, there was a significant fall in hazards in the intervention schools compared with the control schools (Mann-Whitney U test, p = 0.027). No intervention schools had increased hazards and eight out of 12 had reduced them by at least three. In contrast, only two of the control schools had reduced their hazards by this amount, with three others increasing their hazards in that time. CONCLUSIONS: It is concluded that working intensively with schools to overcome barriers to upgrading playground equipment can lead to a reduction in hazards, and that this form of intensive intervention is more effective than providing information alone. (+info)'Fatalism', accident causation and prevention: issues for health promotion from an exploratory study in a Yoruba town, Nigeria. (6/408)
As countries experience the 'epidemiological transition' with a relative decline in infectious diseases, accident rates tend to increase, particularly road traffic accidents. The health promotion interventions intended to prevent or minimize the consequences of accidents have been developed in predominantly Western, industrialized countries. Although some of these solutions have been applied with success to less developed countries, there are also good reasons why such solutions are ineffective when tried in a different context. Health promotion as developed in the West has a particular ideological bias, being framed within a secular, individualist and rationalist culture. Different cosmologies exist outside this culture, often described as 'fatalist' by Western commentators and as obstructing change. Changing these cosmologies or worldviews may not fit with the ethic of paying due respect to the cultural traditions of the 'target group'. Health promotion is therefore faced with a dilemma. In addition to different worldviews, the different levels of development also mean that solutions formulated in richer countries do not suit poorer countries. This paper uses a small exploratory study in a Yoruba town in Nigeria to examine these points. Interviews with key informants were held in March 1994 in Igbo-Ora and data were extracted from hospital records. Levels of accidents from available records are noted and people's ideas about accident prevention are discussed. Recommendations as to the way forward are then proposed. (+info)Smoke alarm installation and function in inner London council housing. (7/408)
AIM: To determine the prevalence of and predictors for installed, functioning smoke alarms in council (public) housing in a low income, multi-ethnic urban area. DESIGN: Cross sectional study. SETTING: 40 materially deprived electoral wards in two inner London boroughs. PARTICIPANTS: Occupants of 315 addresses randomly selected from council housing lists, with 75% response rate. MAIN OUTCOME MEASURES: Installation and function of smoke alarms based on inspection and testing. RESULTS: 39% (95% confidence interval (CI) 33% to 46%) of council tenants owned a smoke alarm, 31% (95% CI 25% to 38%) had an installed alarm (of which 54% were correctly installed), and 16% (95% CI 12% to 22%) had at least one installed, functioning alarm. Alarms most commonly failed because they lacked batteries (72%). In multivariate modelling, having an installed, functioning alarm was most strongly associated with living in a house versus a flat (apartment) (odds ratio (OR) 3.2, 95% CI 1.1 to 10.0), having two resident adults versus one (OR 2.8, 95% CI 1.2 to 6.5), and recognising stills from a Home Office television smoke alarm campaign (OR 2.4, 95% CI 1.1 to 5.5). CONCLUSIONS: Fires are a leading cause of child injury and death, particularly among those younger than 5 years of age and those in social classes IV and V. Smoke alarms are associated with a significantly reduced risk of death in residential fires, and are more protective in households with young children. Few council properties in a multi-ethnic, materially deprived urban area had any installed, functioning smoke alarms, despite a high risk of residential fires and fire related injuries in such areas. Effective methods to increase the prevalence of installed and functioning alarms must be identified. (+info)Integration of clinical decision support with on-line encounter documentation for well child care at the point of care. (8/408)
Electronic medical record systems and clinical practice guideline (CPG) support applications are emerging in the clinical environment to document and support care. Applications which integrate online documentation with CPG are often complex systems bound to a proprietary infrastructure and as such, can be difficult to adapt to changing care guidelines. This paper describes integration of point-of-care clinical documentation to an Internet-based CPG system that was easily modified, utilized available software resources, and separated patient information from CPG. The system combined a text-based encounter documentation tool, Inbox, with a web-based CPG system, SIEGFRIED (System for Interactive Electronic Guidelines with Feedback and Resources for Instructional and Educational Development), which interactively presented care guidelines to providers. Age-specific well child care documentation templates were developed using Inbox for point-of-care documentation. SIEGFRIED contained the knowledge base of child safety education guidelines and executed independent of the program presenting the guidelines. The CPG were accessed from within the documentation template via an Internet hyperlink. Patient chart evaluation indicated that 77% of safety topics were reviewed and 32% of the charts contained documentation indicating all the safety topics were reviewed. Last, routine use of the Inbox-SIEGFRIED system was not realized due to the clinical time constraints and workload of the medical providers, and lack of data entry experience. A user survey indicated time cost (network access and software execution) were negative aspects of the system. However, the system function was highly regarded and the Internet-based patient education materials were described as useful and accurate. In summary, the system was functional, met original development goals, and provided valuable patient education materials; however, routine system use was prevented by time requirements. We recommend further development be oriented towards integrating the identified beneficial components of the system into clinician workflow. (+info)Accident prevention is the systematic process of identifying, evaluating, and controlling hazards and risks in order to prevent or reduce the occurrence of unplanned and unwanted events, also known as accidents. It involves implementing measures and practices to promote safety, minimize potential injuries, and protect individuals, property, and the environment from harm.
Accident prevention can be achieved through various strategies such as:
1. Hazard identification and risk assessment: Identifying potential hazards in the workplace or environment and evaluating the level of risk they pose.
2. Implementing controls: Putting in place measures to eliminate or reduce the risks associated with identified hazards, such as engineering controls, administrative controls, and personal protective equipment.
3. Training and education: Providing employees and individuals with the necessary knowledge and skills to work safely and prevent accidents.
4. Regular inspections and maintenance: Conducting regular inspections of equipment and facilities to ensure they are in good working order and identifying any potential hazards before they become a risk.
5. Incident reporting and investigation: Encouraging employees and individuals to report incidents and conducting thorough investigations to identify root causes and prevent future occurrences.
6. Continuous improvement: Regularly reviewing and updating accident prevention measures to ensure they remain effective and up-to-date with changing circumstances.
An "accident" is an unfortunate event that happens unexpectedly and unintentionally, typically resulting in damage or injury. In medical terms, an accident refers to an unplanned occurrence resulting in harm or injury to a person's body, which may require medical attention. Accidents can happen due to various reasons such as human error, mechanical failure, or environmental factors.
Examples of accidents that may require medical attention include:
1. Traffic accidents: These can result in injuries such as fractures, head trauma, and soft tissue injuries.
2. Workplace accidents: These can include falls, machinery malfunctions, or exposure to hazardous substances, resulting in injuries or illnesses.
3. Home accidents: These can include burns, cuts, falls, or poisoning, which may require medical treatment.
4. Sports accidents: These can result in injuries such as sprains, strains, fractures, or concussions.
5. Recreational accidents: These can occur during activities such as swimming, hiking, or biking and may result in injuries such as drowning, falls, or trauma.
Preventing accidents is crucial to maintaining good health and safety. This can be achieved through education, awareness, and the implementation of safety measures in various settings such as homes, workplaces, and roads.
"Home accidents" is a general term that refers to unplanned events or mishaps that occur in the home environment, which may result in injury or illness. These types of accidents can happen in various areas of the home, such as the kitchen, bathroom, living room, or bedroom, and can be caused by a range of factors, including:
* Slips, trips, and falls on wet floors, uneven surfaces, or cluttered walkways
* Burns or scalds from hot stoves, ovens, or water
* Cuts or lacerations from sharp objects like knives or broken glass
* Poisoning from ingesting harmful substances like cleaning products or medications
* Strains or sprains from lifting heavy objects or performing repetitive movements
* Drowning in bathtubs, swimming pools, or other bodies of water within the home
Preventing home accidents involves identifying potential hazards and taking steps to minimize or eliminate them. This may include keeping walkways clear, using non-slip mats, properly storing sharp objects and harmful substances, installing safety devices like grab bars and railings, and ensuring that the home is well-lit and ventilated. Regular safety inspections and maintenance can also help prevent home accidents and keep the living environment safe and healthy.
Occupational accidents are defined as unexpected and unplanned events that occur in the context of work and lead to physical or mental harm. These accidents can be caused by a variety of factors, including unsafe working conditions, lack of proper training, or failure to use appropriate personal protective equipment. Occupational accidents can result in injuries, illnesses, or even death, and can have significant impacts on individuals, families, and communities. In many cases, occupational accidents are preventable through the implementation of effective safety measures and risk management strategies.
Traffic accidents are incidents that occur when a vehicle collides with another vehicle, a pedestrian, an animal, or a stationary object, resulting in damage or injury. These accidents can be caused by various factors such as driver error, distracted driving, drunk driving, speeding, reckless driving, poor road conditions, and adverse weather conditions. Traffic accidents can range from minor fender benders to severe crashes that result in serious injuries or fatalities. They are a significant public health concern and cause a substantial burden on healthcare systems, emergency services, and society as a whole.
A wound is a type of injury that occurs when the skin or other tissues are cut, pierced, torn, or otherwise broken. Wounds can be caused by a variety of factors, including accidents, violence, surgery, or certain medical conditions. There are several different types of wounds, including:
* Incisions: These are cuts that are made deliberately, often during surgery. They are usually straight and clean.
* Lacerations: These are tears in the skin or other tissues. They can be irregular and jagged.
* Abrasions: These occur when the top layer of skin is scraped off. They may look like a bruise or a scab.
* Punctures: These are wounds that are caused by sharp objects, such as needles or knives. They are usually small and deep.
* Avulsions: These occur when tissue is forcibly torn away from the body. They can be very serious and require immediate medical attention.
Injuries refer to any harm or damage to the body, including wounds. Injuries can range from minor scrapes and bruises to more severe injuries such as fractures, dislocations, and head trauma. It is important to seek medical attention for any injury that is causing significant pain, swelling, or bleeding, or if there is a suspected bone fracture or head injury.
In general, wounds and injuries should be cleaned and covered with a sterile bandage to prevent infection. Depending on the severity of the wound or injury, additional medical treatment may be necessary. This may include stitches for deep cuts, immobilization for broken bones, or surgery for more serious injuries. It is important to follow your healthcare provider's instructions carefully to ensure proper healing and to prevent complications.
The Chernobyl nuclear accident, also known as the Chernobyl disaster, was a catastrophic nuclear meltdown that occurred on April 26, 1986, at the No. 4 reactor in the Chernobyl Nuclear Power Plant, near the city of Pripyat in the north of the Ukrainian SSR in the Soviet Union. It is considered the worst nuclear disaster in history and resulted in a significant release of radioactive material into the environment, which had serious health and environmental consequences both in the immediate vicinity of the reactor and in the wider region.
The accident occurred during a late-night safety test which simulated a station blackout power-failure, in order to test an emergency cooling feature of the reactor. The operators temporarily disabled several safety systems, including the automatic shutdown mechanisms. They also removed too many control rods from the reactor core, which made the reactor extremely unstable. When they performed a surprise test at low power, a sudden power surge occurred, which led to a reactor vessel rupture and a series of explosions. This event exposed the graphite moderator components of the reactor to air, causing them to ignite.
The resulting fire sent a plume of highly radioactive smoke into the atmosphere and over an extensive geographical area, including Pripyat. The plume drifted over large parts of the western Soviet Union and Europe. From 1986 to 2000, 350,000 people were evacuated and resettled from the most severely contaminated areas of Belarus, Russia, and Ukraine.
According to official post-Soviet data, about 60% of the fallout landed in Belarus. The battle to contain the contamination and prevent a subsequent disaster required about 500,000 workers and cost an estimated 18 billion rubles. During the accident itself, 31 people died, and long-term effects such as cancers and deformities are still being accounted for.
The Chernobyl Exclusion Zone was established around the power plant, and it is still in place today, with restricted access. The site of the reactor is now enclosed in a large steel and concrete structure, called the New Safe Confinement, to prevent further leakage of radiation.
"Accident proneness" is a term used to describe the tendency of an individual to have a higher than average number of accidents or mishaps. It is based on the idea that some people are more prone to accidents due to their personality traits, behaviors, or habits. However, it's important to note that this concept has been debated in the scientific community and is not universally accepted as a valid construct.
According to the medical definition, "accident proneness" refers to the predisposition of certain individuals to have a higher frequency of accidents than others, even after controlling for environmental factors. This concept was first introduced in the early 20th century and gained popularity in the 1930s and 1940s. However, subsequent research has shown that the relationship between personality traits and accident involvement is complex and may be influenced by a variety of factors, including situational variables, environmental conditions, and individual differences.
Some studies have identified certain personality traits that may be associated with "accident proneness," such as impulsivity, sensation-seeking, risk-taking, and distractibility. However, these traits are not necessarily predictive of accident involvement, and their relationship to accidents is likely to be moderated by other factors, such as the type of activity being engaged in and the individual's level of experience and training.
Overall, while the concept of "accident proneness" may have some validity, it is important to recognize that it is a complex phenomenon that is influenced by a variety of factors, both personal and environmental. Therefore, a more comprehensive approach to accident prevention should take into account not only individual differences but also situational and environmental factors that may contribute to the risk of accidents.
The Fukushima Daiichi Nuclear Power Plant accident refers to the series of equipment failures, nuclear meltdowns, and releases of radioactive materials at the Fukushima Daiichi Nuclear Power Plant in Ōkuma, Fukushima Prefecture, Japan. It is considered the most significant nuclear incident since the Chernobyl disaster in 1986 and the second disaster (along with Chernobyl) to be given the Level 7 event classification of the International Nuclear Event Scale.
The accident was initiated by the tsunami following the Tōhoku earthquake on March 11, 2011. The tsunami disabled the power supply and cooling of three Fukushima Daiichi reactors, causing a nuclear meltdown that led to hydrogen-air explosions. Over 450,000 residents were evacuated from the surrounding area due to the high radioactive release.
The cleanup process is expected to take decades, with the plant's operator, Tokyo Electric Power Company (TEPCO), estimating that the complete decommissioning of the power plant will take around 40 years. The accident has had significant social and economic impacts on the region, including contamination of land and water, loss of homes and businesses, and long-term health effects for those exposed to radiation.
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