Miles away or just around the corner? Systems thinking in road safety research and practice.
نویسندگان
چکیده
The facts around current and projected levels of road trauma eed little introduction: in 2012 road injury was the ninth leadng cause of worldwide deaths (WHO, 2014) and it is estimated hat by 2030 it will be the fifth (WHO, 2009). Its presence in the orld Health Organisation’s top ten causes of death gives a clear ndication of the scale of the problem: currently road injury stands lone within this list as the only non-disease-related issue. The nescapable truth is that road transport systems kill people on a cale that is comparable to cancers, cardiovascular disease, and espiratory diseases. There is no doubt that significant progress has been made y the road safety community in our attempts to reduce road rauma. There are numerous success stories and countless lives ave been saved through many forms of intervention. It is indisutable that in most areas roads are now the safest they have ever een. Recent paradigm shifts in the approach to road safety, such as he Swedish Vision Zero and Dutch Sustainable Safety approaches see Johansson, 2009; Wegman et al., 2008), have had a signifcant impact. Despite this, we are still faced with unacceptable evels of road trauma that result from problems that have so far roved resistant to interventions, orwhere the impact of successful nterventions is beginning to plateau. As evidenced by the figres mentioned above, our road systems still kill and injure people n a regular basis. Worse still, in some lower and middle-income ountries the road toll is increasing. At best, this suggests that past pproaches to reducing road trauma may have reached their limit n terms of their effectiveness. At worst, it suggests that the global esponse to road trauma is now failing. As road safety practitioners and researchers we appear to be aced with a stark choice in terms of how we continue to purue improvements in road safety. Do we continue with previously uccessful approaches and accept that only small, incremental mprovementsmaybe achieved?Or is a newparadigmshift needed o facilitate greater road safety gains? The impetus for this special ssue was derived from these authors’ belief that the latter option s now the most viable (Salmon and Lenné, 2009; Salmon et al., 012). It is our contention (and others’ e.g. Johnston et al., 2014; arssonet al., 2010;Readet al., 2013) that anewapproach is needed f further significant reductions in road trauma are to be realised. uch an approach is needed to deal with the longstanding issues hat continue to resist current interventions, such as collisions at
منابع مشابه
It Ain’t What You Do (But the Way That You Do It): Will Safety II Transform the Way We Do Patient Safety; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
Mannion and Braithwaite outline a new paradigm for studying and improving patient safety – Safety II. In this response, I argue that Safety I should not be dismissed simply because the safety management strategies that are developed and enacted in the name of Safety I are not always true to the original philosophy of ‘systems thinking.’
متن کاملFalse Dawns and New Horizons in Patient Safety Research and Practice
In response to a weight of evidence that patients are frequently harmed as a result of their care, there have been concerted efforts to make healthcare safer, with health systems across the globe investing significant resources in policies and programmes designed to reduce adverse events. Yet, despite extensive efforts, improvements in safety have proved difficult to sustain and spread, with st...
متن کاملA Cross-sectional Study of Road Traffic Safety Knowledge, Attitude, and Practice among Emergency Department Staff
Background and Purpose: Emergency Department (ED) staff are frequently faced with road traffic injury victims and also play role as various road users. This study was conducted to investigate the knowledge, attitude, and practices of ED staff towards road safety at referral trauma hospitals of Tabriz. Materials and Methods: This cross-sectional study was conducted in 2020 in the referral traum...
متن کاملSafety I to Safety II: A Paradigm Shift or More Work as Imagined?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”
In their editorial, Mannion and Braithwaite contend that the approach to solving the problem of unsafe care, Safety I, is flawed and requires a shift in thinking to what they are calling Safety II. We have reservations as to whether by itself the shift from Safety I to Safety II is sufficient. Perhaps our failure to improve outcomes in the field of patient safety and quality lies less in our ap...
متن کاملHealth systems research initiative to tackle growing road traffic injuries in India
Road traffic injuries (RTIs) are the sixth leading cause of deaths in India and about 400 deaths take place every day due to road traffic accidents. The present paper analyses the data of the India’s National Crime Record Bureau (NCRB) to assess the burden of RTI. In addition, it reports the health systems research initiated by the Indian Council of Medical Research (ICMR). As per NCRB data, in...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Accident; analysis and prevention
دوره 74 شماره
صفحات -
تاریخ انتشار 2015