Safety And Quality In Medical Transport Systems

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Safety and Quality in Medical Transport Systems

Author : John W. Overton
Publisher : CRC Press
ISBN 13 : 1317059972
Total Pages : 310 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety and Quality in Medical Transport Systems by : John W. Overton

Download or read book Safety and Quality in Medical Transport Systems written by John W. Overton and published by CRC Press. This book was released on 2019-07-23 with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Commission on Accreditation of Medical Transport Systems (CAMTS) has been accrediting air and ground transport services since 1991. One of the most significant needs the Commission has recognized is to assist transport services in creating a culture that supports safety and quality for both crews and patients. Most of the helicopter EMS (emergency medical service) accidents and many ground ambulance accidents can be attributed to human factors and systems designs that lead to poor decision-making. Management commitment is vital to create and maintain a culture that supports risk assessment, accountability, professionalism and organizational dynamics. This reference book has been created by CAMTS to address this need directly and comprehensively. It offers a groundbreaking collection of expert insights and practical solutions that can be used by EMS, Fire and Rescue, public and private services, and professional emergency and transport professionals worldwide. Quoting from the foreword written by the late Robert L. Helmreich, Professor Emeritus of Psychology at The University of Texas Human Factors Research Project, 'This is an important book which should be required reading for everyone involved in patient transport, from managers and dispatchers to those at the sharp end... The experienced and able authors and editors of this work use culture as the overarching concept needed to maximize safety while delivering patients expeditiously.'

Safety and Quality in Medical Transport Systems

Author : John W. Overton
Publisher : CRC Press
ISBN 13 : 1317059980
Total Pages : 391 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety and Quality in Medical Transport Systems by : John W. Overton

Download or read book Safety and Quality in Medical Transport Systems written by John W. Overton and published by CRC Press. This book was released on 2019-07-23 with total page 391 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Commission on Accreditation of Medical Transport Systems (CAMTS) has been accrediting air and ground transport services since 1991. One of the most significant needs the Commission has recognized is to assist transport services in creating a culture that supports safety and quality for both crews and patients. Most of the helicopter EMS (emergency medical service) accidents and many ground ambulance accidents can be attributed to human factors and systems designs that lead to poor decision-making. Management commitment is vital to create and maintain a culture that supports risk assessment, accountability, professionalism and organizational dynamics. This reference book has been created by CAMTS to address this need directly and comprehensively. It offers a groundbreaking collection of expert insights and practical solutions that can be used by EMS, Fire and Rescue, public and private services, and professional emergency and transport professionals worldwide. Quoting from the foreword written by the late Robert L. Helmreich, Professor Emeritus of Psychology at The University of Texas Human Factors Research Project, 'This is an important book which should be required reading for everyone involved in patient transport, from managers and dispatchers to those at the sharp end... The experienced and able authors and editors of this work use culture as the overarching concept needed to maximize safety while delivering patients expeditiously.'

Gerontechnology

Author : Sunkyo Kwon, PhD
Publisher : Springer Publishing Company
ISBN 13 : 0826128890
Total Pages : 571 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Gerontechnology by : Sunkyo Kwon, PhD

Download or read book Gerontechnology written by Sunkyo Kwon, PhD and published by Springer Publishing Company. This book was released on 2016-08-28 with total page 571 pages. Available in PDF, EPUB and Kindle. Book excerpt: Awarded third place in the 2017 AJN Book of the Year Awards in Information Technology Two mega-trends of modern culture, the rapid aging of the population and the inexorable advances in technology, have fueled the development of gerontechnology--the use of technology to sustain individual autonomy to an advanced age. This expansive book encompasses state-of-the-art research in gerontechnology and promising new technologies, products, and services that can improve activities of daily living, general health, and wellbeing of older individuals. It addresses current and future applications in such crucial areasas mobility and transportation, assistive devices, smart homes for senior citizens, in-home technologies, safety and privacy, and research and development highlighting--among others--design. Topics include, but are not limited to, virtual environments as a research tool, sensation, perception, and cognition research advancements, novel accessibility challenges to information and communication technology, as well as the evolving characteristics of the elderly. These are among the welcome developments addressed in the book. Contributors from around the globe, including the UK, Germany, Japan, Canada, The Netherlands, Korea, the United States, and more, bring unprecedented cross-cultural insight to the intersections of aging phenomena and technology. Key Features: Disseminates empirically proven findings and evidence-based theories, models, and concepts Written by world-recognized leaders in the field of technology and aging Reflects the global usage of gerontechnological applications Includes new technologies, research, and applications for virtual environments, smart homes, assistive technology care, and robotics Discusses computer-assisted social engagement, technology-facilitated caregiving, business case examples, and more

Keeping Patients Safe

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309187362
Total Pages : 485 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Keeping Patients Safe by : Institute of Medicine

Download or read book Keeping Patients Safe written by Institute of Medicine and published by National Academies Press. This book was released on 2004-03-27 with total page 485 pages. Available in PDF, EPUB and Kindle. Book excerpt: Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform â€" monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis â€" provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care â€" and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.

Textbook of Patient Safety and Clinical Risk Management

Author : Liam Donaldson
Publisher : Springer Nature
ISBN 13 : 3030594033
Total Pages : 496 pages
Book Rating : 4.0/5 (35 download)

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Book Synopsis Textbook of Patient Safety and Clinical Risk Management by : Liam Donaldson

Download or read book Textbook of Patient Safety and Clinical Risk Management written by Liam Donaldson and published by Springer Nature. This book was released on 2020-12-14 with total page 496 pages. Available in PDF, EPUB and Kindle. Book excerpt: Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Disease Control Priorities in Developing Countries

Author : Dean T. Jamison
Publisher : World Bank Publications
ISBN 13 : 0821361805
Total Pages : 1449 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Disease Control Priorities in Developing Countries by : Dean T. Jamison

Download or read book Disease Control Priorities in Developing Countries written by Dean T. Jamison and published by World Bank Publications. This book was released on 2006-04-02 with total page 1449 pages. Available in PDF, EPUB and Kindle. Book excerpt: Based on careful analysis of burden of disease and the costs ofinterventions, this second edition of 'Disease Control Priorities in Developing Countries, 2nd edition' highlights achievable priorities; measures progresstoward providing efficient, equitable care; promotes cost-effectiveinterventions to targeted populations; and encourages integrated effortsto optimize health. Nearly 500 experts - scientists, epidemiologists, health economists,academicians, and public health practitioners - from around the worldcontributed to the data sources and methodologies, and identifiedchallenges and priorities, resulting in this integrated, comprehensivereference volume on the state of health in developing countries.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Patient Transport:Principles and Practice - E-Book

Author : Air & Surface Transport Nurses Associati
Publisher : Elsevier Health Sciences
ISBN 13 : 0443106223
Total Pages : 402 pages
Book Rating : 4.4/5 (431 download)

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Book Synopsis Patient Transport:Principles and Practice - E-Book by : Air & Surface Transport Nurses Associati

Download or read book Patient Transport:Principles and Practice - E-Book written by Air & Surface Transport Nurses Associati and published by Elsevier Health Sciences. This book was released on 2023-12-18 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for certification as a flight and ground transport nurse! ASTNA: Patient Transport: Principles & Practice, 6th Edition addresses the scenarios and injuries commonly encountered in transport nursing, and provides a comprehensive, one-of-a-kind study tool for taking certification exams including the CFRN®, CTRN®, FP-C®, and CCP-C®. Coverage includes the role of air and ground transport personnel, along with topics such as transport physiology, communications, teamwork, safety, airway management, shock, and the different types of trauma. New to this edition is an Aviation for Medical Personnel chapter. Written by the Air & Surface Transport Nurses Association, this resource helps you gain the knowledge and skills you need to succeed on your exam and to transport patients safely. - In-depth coverage of expert care delivery in transport meets the needs of all healthcare providers including registered nurses, paramedics, physicians, respiratory therapists, pilots, mechanics, and communication specialists. - Real-life scenarios demonstrate how to apply concepts to situations similar to those seen in practice. - Information on important safety regulations is based on the latest updates from the Federal Aviation Association and the National Transportation Safety Board. - Coverage of injuries commonly encountered in flight and ground nursing includes discussions of pathophysiology, assessment, planning, implementation, and evaluation. - Detailed coverage of management issues include scene management, communication, safety, disaster management/triage, quality management, and marketing/public relations. - Focus on interprofessionalism and collaboration emphasizes the importance of teamwork in ensuring successful patient outcomes. - Evolve website includes 350 questions and answers mapped to the CRFN®/CTRN® exams for additional preparation. - NEW! New Aviation for Medical Personnel chapter is written from the perspective of a veteran transport pilot, and provides valuable information on the idiosyncrasies, tips, and tricks about transport aircraft transport. - NEW! Updated and new content on diversity and inclusion covers this timely issue — both among colleagues and patients. - NEW! Additional information on technology used in transport nursing/critical care includes topics such as point-of-care ultrasound (POCUS). - NEW! Content on COVID-19 as it relates to trauma transport is included. - NEW! More philosophical, psychological, and wellness-associated content is added.

Emergency Medical Services

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309101743
Total Pages : 311 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Emergency Medical Services by : Institute of Medicine

Download or read book Emergency Medical Services written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-03 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Fuhrman & Zimmerman's Pediatric Critical Care E-Book

Author : Jerry J. Zimmerman
Publisher : Elsevier Health Sciences
ISBN 13 : 0323672701
Total Pages : 2653 pages
Book Rating : 4.3/5 (236 download)

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Book Synopsis Fuhrman & Zimmerman's Pediatric Critical Care E-Book by : Jerry J. Zimmerman

Download or read book Fuhrman & Zimmerman's Pediatric Critical Care E-Book written by Jerry J. Zimmerman and published by Elsevier Health Sciences. This book was released on 2021-02-05 with total page 2653 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the highly specialized field of caring for children in the PICU, Fuhrman and Zimmerman's Pediatric Critical Care is the definitive reference for all members of the pediatric intensive care team. Drs. Jerry J. Zimmerman and Alexandre T. Rotta, along with an expert team of editors and contributors from around the world, have carefully updated the 6th Edition of this highly regarded text to bring you the most authoritative and useful information on today's pediatric critical care—everything from basic science to clinical applications. - Contains highly readable, concise chapters with hundreds of useful photos, diagrams, algorithms, and clinical pearls. - Uses a clear, logical, organ-system approach that allows you to focus on the development, function, and treatment of a wide range of disease entities. - Features more international authors and expanded coverage of global topics including pandemics, sepsis treatment in underserved communities, specific global health concerns by region. - Covers current trends in sepsis-related mortality and acute care after sepsis, as well as new device applications for pediatric patients. - Provides ultrasound videos and more than 500 board-style review questions and answers on Expert Consult. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Critical Care Transport

Author : American Academy of Orthopaedic Surgeons (AAOS),
Publisher : Jones & Bartlett Publishers
ISBN 13 : 0763762725
Total Pages : 1057 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Critical Care Transport by : American Academy of Orthopaedic Surgeons (AAOS),

Download or read book Critical Care Transport written by American Academy of Orthopaedic Surgeons (AAOS), and published by Jones & Bartlett Publishers. This book was released on 2009-11-09 with total page 1057 pages. Available in PDF, EPUB and Kindle. Book excerpt: Welcome to the new gold standard in critical care transport training. Published in conjunction with the American Academy of Orthopaedic Surgeons (AAOS) and the American College of Emergency Physicians (ACEP), Critical Care Transport offers cutting edge content relevant to any healthcare provider training in critical care transport. Like no other textbook in this market, Critical Care Transport thoroughly prepares medical professionals to function as competent members of a critical care team by covering the material that everyone—paramedics, nurses, physicians, and specialty crew—needs to know to operate effectively in the prehospital critical care environment. This book meets the curricula of major critical care training programs, including University of Maryland, Baltimore County (UMBC). It covers both ground and flight transport, and meets the objectives of critical care transport certification exams such as the Certified Flight Paramedic (FP-C) exam administered by the Board for Critical Care Transport Paramedic Certification. Content includes information specific to prehospital critical care transport, such as flight physiology, lab analysis, hemodynamic monitoring, and specialized devices such as the intra-aortic balloon pump. Standard topics such as airway management, trauma, and pharmacology are covered in the context of critical care. Chapters have been authored by leading critical care professionals across the country and represent the most current, state-of-the-art information on management of critical care patients.

McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care

Author : Julie K. Johnson
Publisher : Jones & Bartlett Learning
ISBN 13 : 1284126595
Total Pages : 373 pages
Book Rating : 4.2/5 (841 download)

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Book Synopsis McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care by : Julie K. Johnson

Download or read book McLaughlin & Kaluzny's Continuous Quality Improvement in Health Care written by Julie K. Johnson and published by Jones & Bartlett Learning. This book was released on 2018-10-05 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through a unique interdisciplinary perspective on quality management in health care, this text covers the subjects of operations management, organizational behavior, and health services research. With a particular focus on Total Quality Management (TQM) and Continuous Quality Improvement (CQI), the challenges of implementation and institutionalization are addressed using examples from a variety of health care organizations, including primary care clinics, hospital laboratories, public health departments, and academic health centers. Significantly revised throughout, the Fifth Edition offers a greater focus on application techniques, and features 14 chapters in lieu of the prior edition's 20 chapters, making it an even more effective teaching tool. New chapters have been incorporated on Implementation Science (3), Lean Six Sigma (6), and Classification and the Reduction of Medical Errors (10).

Safety-I and Safety-II

Author : Erik Hollnagel
Publisher : CRC Press
ISBN 13 : 1317059794
Total Pages : 158 pages
Book Rating : 4.3/5 (17 download)

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Book Synopsis Safety-I and Safety-II by : Erik Hollnagel

Download or read book Safety-I and Safety-II written by Erik Hollnagel and published by CRC Press. This book was released on 2018-04-17 with total page 158 pages. Available in PDF, EPUB and Kindle. Book excerpt: Safety has traditionally been defined as a condition where the number of adverse outcomes was as low as possible (Safety-I). From a Safety-I perspective, the purpose of safety management is to make sure that the number of accidents and incidents is kept as low as possible, or as low as is reasonably practicable. This means that safety management must start from the manifestations of the absence of safety and that - paradoxically - safety is measured by counting the number of cases where it fails rather than by the number of cases where it succeeds. This unavoidably leads to a reactive approach based on responding to what goes wrong or what is identified as a risk - as something that could go wrong. Focusing on what goes right, rather than on what goes wrong, changes the definition of safety from ’avoiding that something goes wrong’ to ’ensuring that everything goes right’. More precisely, Safety-II is the ability to succeed under varying conditions, so that the number of intended and acceptable outcomes is as high as possible. From a Safety-II perspective, the purpose of safety management is to ensure that as much as possible goes right, in the sense that everyday work achieves its objectives. This means that safety is managed by what it achieves (successes, things that go right), and that likewise it is measured by counting the number of cases where things go right. In order to do this, safety management cannot only be reactive, it must also be proactive. But it must be proactive with regard to how actions succeed, to everyday acceptable performance, rather than with regard to how they can fail, as traditional risk analysis does. This book analyses and explains the principles behind both approaches and uses this to consider the past and future of safety management practices. The analysis makes use of common examples and cases from domains such as aviation, nuclear power production, process management and health care. The final chapters explain the theoret

Research Anthology on Reliability and Safety in Aviation Systems, Spacecraft, and Air Transport

Author : Management Association, Information Resources
Publisher : IGI Global
ISBN 13 : 1799853586
Total Pages : 1601 pages
Book Rating : 4.7/5 (998 download)

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Book Synopsis Research Anthology on Reliability and Safety in Aviation Systems, Spacecraft, and Air Transport by : Management Association, Information Resources

Download or read book Research Anthology on Reliability and Safety in Aviation Systems, Spacecraft, and Air Transport written by Management Association, Information Resources and published by IGI Global. This book was released on 2020-09-24 with total page 1601 pages. Available in PDF, EPUB and Kindle. Book excerpt: As with other transportation methods, safety issues in aircraft can result in a total loss of life. Recently, the air transport industry has come under immense scrutiny after several deaths occurred due to aircraft design and airlines that allowed improperly inspected aircraft to fly. Spacecraft too have found errors in system software that could lead to catastrophic failure. It is imperative that the aviation and aerospace industries continue to revise and refine safety protocols from the construction and design of aircraft, to secure and improve aviation systems, and to test and inspect aircraft. The Research Anthology on Reliability and Safety in Aviation Systems, Spacecraft, and Air Transport is a vital reference source that examines the latest scholarly material on the use of adaptive and assistive technologies in aviation to establish clear guidelines for the design and implementation of such technologies to better serve the needs of both military and civilian pilots. It also covers new information technology use in aviation systems to streamline the cybersecurity, decision making, planning, and design processes within the aviation industry. Highlighting a range of topics such as air navigation systems, computer simulation, and airline operations, this multi-volume book is ideally designed for pilots, scientists, engineers, aviation operators, air traffic controllers, air crash investigators, teachers, academicians, researchers, and students.

The Measurement and Monitoring of Safety

Author : Charles Vincent
Publisher : The Health Foundation
ISBN 13 : 1906461449
Total Pages : 92 pages
Book Rating : 4.9/5 (64 download)

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Book Synopsis The Measurement and Monitoring of Safety by : Charles Vincent

Download or read book The Measurement and Monitoring of Safety written by Charles Vincent and published by The Health Foundation. This book was released on 2013 with total page 92 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Geography of Transport Systems

Author : Jean-Paul Rodrigue
Publisher : Routledge
ISBN 13 : 1134257783
Total Pages : 297 pages
Book Rating : 4.1/5 (342 download)

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Book Synopsis The Geography of Transport Systems by : Jean-Paul Rodrigue

Download or read book The Geography of Transport Systems written by Jean-Paul Rodrigue and published by Routledge. This book was released on 2006-09-27 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Mobility is fundamental to economic and social activities, including commuting, manufacturing, or supplying energy. This book focuses on understanding how mobility is linked with geography. It links spatial constraints and attributes with the origin, destination, extent, nature and purpose of movements.

Improving Motor Carrier Safety Measurement

Author : National Academies of Sciences, Engineering, and Medicine
Publisher : National Academies Press
ISBN 13 : 0309462010
Total Pages : 183 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Improving Motor Carrier Safety Measurement by : National Academies of Sciences, Engineering, and Medicine

Download or read book Improving Motor Carrier Safety Measurement written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-10-01 with total page 183 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every year roughly 100,000 fatal and injury crashes occur in the United States involving large trucks and buses. The Federal Motor Carrier Safety Administration (FMCSA) in the U.S. Department of Transportation works to reduce crashes, injuries, and fatalities involving large trucks and buses. FMCSA uses information that is collected on the frequency of approximately 900 different violations of safety regulations discovered during (mainly) roadside inspections to assess motor carriers' compliance with Federal Motor Carrier Safety Regulations, as well as to evaluate their compliance in comparison with their peers. Through use of this information, FMCSA's Safety Measurement System (SMS) identifies carriers to receive its available interventions in order to reduce the risk of crashes across all carriers. Improving Motor Carrier Safety Measurement examines the effectiveness of the use of the percentile ranks produced by SMS for identifying high-risk carriers, and if not, what alternatives might be preferred. In addition, this report evaluates the accuracy and sufficiency of the data used by SMS, to assess whether other approaches to identifying unsafe carriers would identify high-risk carriers more effectively, and to reflect on how members of the public use the SMS and what effect making the SMS information public has had on reducing crashes.