Archive for the ‘safety’ Category

American Housing Survey: 2013 Detailed Tables

October 20, 2014 Comments off

American Housing Survey: 2013 Detailed Tables
Source: U.S. Census Bureau

The first findings from the 2013 American Housing Survey are now available in the form of dozens of detailed tables and a microdata file. The American Housing Survey is conducted biennially and, as in past years, provides current national-level information on a wide range of housing subjects. Topics unique to this survey include characteristics and physical condition of the nation’s housing units, indicators of housing and neighborhood quality, and home improvement activities. Specific examples include the presence of appliances, respondents’ rating of their homes on a scale of 1 to 10, and the average cost of kitchen and bathroom remodeling.

Topics new to the American Housing Survey this year are disaster planning and emergency preparedness, public transportation, household involvement in neighborhood and community activities, and the prevalence of “doubled-up” households, such as those with an adult child living at home. Specific examples include having an adequate food or water supply in case of emergency, key amenities accessible via public transportation and neighbors willing to help one another.

About these ads

Sofas and Infant Mortality

October 16, 2014 Comments off

Sofas and Infant Mortality
Source: Pediatrics

Sleeping on sofas increases the risk of sudden infant death syndrome and other sleep-related deaths. We sought to describe factors associated with infant deaths on sofas.

We analyzed data for infant deaths on sofas from 24 states in 2004 to 2012 in the National Center for the Review and Prevention of Child Deaths Case Reporting System database. Demographic and environmental data for deaths on sofas were compared with data for sleep-related infant deaths in other locations, using bivariate and multivariable, multinomial logistic regression analyses.

1024 deaths on sofas made up 12.9% of sleep-related infant deaths. They were more likely than deaths in other locations to be classified as accidental suffocation or strangulation (adjusted odds ratio [aOR] 1.9; 95% confidence interval [CI], 1.6–2.3) or ill-defined cause of death (aOR 1.2; 95% CI, 1.0–1.5). Infants who died on sofas were less likely to be Hispanic (aOR 0.7; 95% CI, 0.6–0.9) compared with non-Hispanic white infants or to have objects in the environment (aOR 0.6; 95% CI, 0.5–0.7) and more likely to be sharing the surface with another person (aOR 2.4; 95% CI, 1.9–3.0), to be found on the side (aOR 1.9; 95% CI, 1.4–2.4), to be found in a new sleep location (aOR 6.5; 95% CI, 5.2–8.2), and to have had prenatal smoke exposure (aOR 1.4; 95% CI, 1.2–1.6). Data on recent parental alcohol and drug consumption were not available.

The sofa is an extremely hazardous sleep surface for infants. Deaths on sofas are associated with surface sharing, being found on the side, changing sleep location, and experiencing prenatal tobacco exposure, which are all risk factors for sudden infant death syndrome and sleep-related deaths.

Bicycle Safety Guide and Countermeasure Selection System

October 16, 2014 Comments off

Bicycle Safety Guide and Countermeasure Selection System
Source: Federal Highway Administration

The Bicycle Safety Guide and Countermeasure Selection System is intended to provide practitioners with the latest information available for improving the safety and mobility of those who bike. The online tools provide the user with a list of possible engineering, education, or enforcement treatments to improve bicycle safety and/or mobility based on user input about a specific location.

Factors Contributing to Median Encroachments and Cross-Median Crashes

October 16, 2014 Comments off

Factors Contributing to Median Encroachments and Cross-Median Crashes
Source: Transportation Research Board

TRB’s National Cooperative Highway Research Program (NCHRP) Report 790: Factors Contributing to Median Encroachments and Cross-Median Crashes investigates the factors that contribute to median-related crashes and identifies design treatments and countermeasures that can be applied to improve median safety on divided highways.

Vital Signs: Health Burden and Medical Costs of Nonfatal Injuries to Motor Vehicle Occupants — United States, 2012

October 15, 2014 Comments off

Vital Signs: Health Burden and Medical Costs of Nonfatal Injuries to Motor Vehicle Occupants — United States, 2012
Source: Morbidity and Mortality Weekly Report (CDC)

Motor vehicle crashes are a leading cause of death and injury in the United States. The purpose of this study was to describe the current health burden and medical and work loss costs of nonfatal crash injuries among vehicle occupants in the United States.

CDC analyzed data on emergency department (ED) visits resulting from nonfatal crash injuries among vehicle occupants in 2012 using the National Electronic Injury Surveillance System – All Injury Program (NEISS-AIP) and the Healthcare Cost and Utilization Project National Inpatient Sample (HCUP-NIS). The number and rate of all ED visits for the treatment of crash injuries that resulted in the patient being released and the number and rate of hospitalizations for the treatment of crash injuries were estimated, as were the associated number of hospital days and lifetime medical and work loss costs.

In 2012, an estimated 2,519,471 ED visits resulted from nonfatal crash injuries, with an estimated lifetime medical cost of $18.4 billion (2012 U.S. dollars). Approximately 7.5% of these visits resulted in hospitalizations that required an estimated 1,057,465 hospital days in 2012.

Nonfatal crash injuries occur frequently and result in substantial costs to individuals, employers, and society. For each motor vehicle crash death in 2012, eight persons were hospitalized, and 100 were treated and released from the ED.

Implications for Public Health:
Public health practices and laws, such as primary seat belt laws, child passenger restraint laws, ignition interlocks to prevent alcohol impaired driving, sobriety checkpoints, and graduated driver licensing systems have demonstrated effectiveness for reducing motor vehicle crashes and injuries. They might also substantially reduce associated ED visits, hospitalizations, and medical costs.

Medical Device Registries: Recommendations for Advancing Safety and Public Health

October 14, 2014 Comments off

Medical Device Registries: Recommendations for Advancing Safety and Public Health
Source: Pew Charitable Trusts

In 2012, FDA issued a report, “Strengthening Our National System for Medical Device Postmarket Surveillance,” outlining four key steps for creating a national surveillance system that would quickly identify poorly performing medical devices. One step was to encourage the development of national and international device registries, which contain information on patients who use or are treated with a specific device.

In response to FDA’s report, The Pew Charitable Trusts, the Blue Cross Blue Shield Association, and the Medical Device Epidemiological Network (MDEpiNet) Science Infrastructure Center at Weill Cornell Medical College partnered to develop a set of recommendations—which emerged from several multistakeholder convenings of practitioners, regulators, payers, patients, and industry—on the use of registries to improve patient safety.

The report outlines five objectives for stakeholders to work toward so that medical device registries can better contribute to the national surveillance system, including:

  • Establishing criteria for determining if a device registry is the appropriate tool for postmarket surveillance;
  • Ensuring registry data—as well as information about a registry’s governance and financing—are publicly available;
  • Implementing efficiencies that can help streamline registry data collection and reduce the time and cost of reporting;
  • Leveraging registry data to accelerate medical device innovation and help fulfill related regulatory responsibilities; and
  • Resolving varying legal interpretations of provisions governing quality improvement activities and research, as they apply to registries.

Opioids for chronic noncancer pain: A position paper of the American Academy of Neurology

October 10, 2014 Comments off

Opioids for chronic noncancer pain: A position paper of the American Academy of Neurology
Source: Neurology

The Patient Safety Subcommittee requested a review of the science and policy issues regarding the rapidly emerging public health epidemic of prescription opioid-related morbidity and mortality in the United States. Over 100,000 persons have died, directly or indirectly, from prescribed opioids in the United States since policies changed in the late 1990s. In the highest-risk group (age 35–54 years), these deaths have exceeded mortality from both firearms and motor vehicle accidents. Whereas there is evidence for significant short-term pain relief, there is no substantial evidence for maintenance of pain relief or improved function over long periods of time without incurring serious risk of overdose, dependence, or addiction. The objectives of the article are to review the following: (1) the key initiating causes of the epidemic; (2) the evidence for safety and effectiveness of opioids for chronic pain; (3) federal and state policy responses; and (4) recommendations for neurologists in practice to increase use of best practices/universal precautions most likely to improve effective and safe use of opioids and to reduce the likelihood of severe adverse and overdose events.


Get every new post delivered to your Inbox.

Join 939 other followers