Evaluating the Insurance Corporation of British Columbia Road-Safety Improvement Program

Author(s):  
Tarek Sayed ◽  
Paul deLeur ◽  
Ziad Sawalha
Author(s):  
Jerome P. Breyer

The Arizona Department of Transportation (ADOT) recognizes that a new paradigm in highway safety evaluation was brought about by the advent of advanced technologies such as photo log, geographic information systems (GIS), and global-positioning satellite systems. Whereas these technologies are known to serve distinct singular purposes in a highway agency, ADOT has endeavored to explore the possibilities of integrating these technologies for the purpose of providing an all-encompassing perspective of crash history and roadside characteristics in a multimedia display of GIS maps and related photo imagery. The research provides the account of an analytic tool-development process aimed at improving the recognition of highway safety hazards. These hazards might otherwise be apparent if not for the relative complexity of existing relational databases and spatial GIS infrastructure at ADOT. Previous methods of mining data from the ADOT crash databases were limited in functionality as well as in reliability. By promoting the “visualization” of highway safety conditions, the advanced technologies open a wealth of new opportunities in identifying problematic roadside conditions and crash histories. This is expected to lead to an improved economy of implementing safety improvements that are designed properly to mitigate the “real” conditions that can be identified. The research is a companion to the larger, FHWA-sponsored research into establishing a corridor safety-improvement program for Arizona (FHWA Report FHWA-AZ 98-458).


2018 ◽  
Vol 31 (2) ◽  
pp. 140-149 ◽  
Author(s):  
Chantal Backman ◽  
Paul C. Hebert ◽  
Alison Jennings ◽  
David Neilipovitz ◽  
Omar Choudhri ◽  
...  

Purpose Patient safety remains a top priority in healthcare. Many organizations have developed systems to monitor and prevent harm, and have invested in different approaches to quality improvement. Despite these organizational efforts to better detect adverse events, efficient resolution of safety problems remains a significant challenge. The authors developed and implemented a comprehensive multimodal patient safety improvement program called SafetyLEAP. The term “LEAP” is an acronym that highlights the three facets of the program including: a Leadership and Engagement approach; Audit and feedback; and a Planned improvement intervention. The purpose of this paper is to evaluate the implementation of the SafetyLEAP program in the intensive care units (ICUs) of three large hospitals. Design/methodology/approach A comparative case study approach was used to compare and contrast the adherence to each component of the SafetyLEAP program. The study was conducted using a convenience sample of three (n=3) ICUs from two provinces. Two reviewers independently evaluated major adherence metrics of the SafetyLEAP program for their completeness. Analysis was performed for each individual case, and across cases. Findings A total of 257 patients were included in the study. Overall, the proportion of the SafetyLEAP tasks completed was 64.47, 100, and 26.32 percent, respectively. ICU nos 1 and 2 were able to identify opportunities for improvement, follow a quality improvement process and demonstrate positive changes in patient safety. The main factors influencing adherence were the engagement of a local champion, competing priorities, and the identification of appropriate resources. Practical implications The SafetyLEAP program allowed for the identification of processes that could result in patient harm in the ICUs. However, the success in improving patient safety was dependent on the engagement of the care teams. Originality/value The authors developed an evidence-based approach to systematically and prospectively detect, improve, and evaluate actions related to patient safety.


2019 ◽  
Vol 11 (7) ◽  
pp. 1925 ◽  
Author(s):  
Shuai Yu ◽  
Yuanhua Jia ◽  
Dongye Sun

Road traffic injury is currently the leading cause of death among children and young adults aged 5–29 years all over the world. Measures must be taken to avoid accidents and promote the sustainability of road safety. The current study aimed to identify risk factors that are significantly associated with the severity in crash accidents; therefore, traffic crashes could be reduced, and the sustainable safety level of roadways could be improved. The Apriori algorithm is carried out to mine the significant association rules between the severity of the crash accidents and the factors influencing the occurrence of crash accidents. Compared to previous studies, the current study included the variables more comprehensively, including environment, management, and the state of drivers and vehicles. The data for the current study comes from the Wisconsin Transportation crash database that contains information on all reported crashes in Wisconsin in the year 2016. The results indicate that male drivers aged 16–29 are more inclined to be involved in crashes on roadways with no physical separation. Additionally, fatal crashes are more likely to occur in towns while property damage crashes are more likely to occur in the city. The findings can help government to make efficient policies on road safety improvement.


Author(s):  
Mouloud Haddak ◽  
Nathalie Havet ◽  
Marie Leffvre

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