Kenneth W Gish | PubMed Health

PubMed2005

Job change rate as a crash predictor for interstate truck drivers.

This research analyzed the Motor Carrier Management Information System (MCMIS) database to develop estimates of the increased risk of crash involvement experienced by commercial drivers who change jobs frequently. These analyses quantified the risk of single- and multiple-crash involvement as a function of annual job change rate, and expressed the relative risk for drivers with more versus fewer job changes through calculation of the "odds ratio" statistic. Significant odds ratio values were found, indicating that crash risk begins to rise when a driver has averaged more than two jobs with different employers each year for 2 years or longer, and that the odds of being involved in multiple crashes more than doubles for drivers with three or more jobs per year during this same interval. Opportunities for further research, focusing on variables that could be extracted from existing data sources to further enhance the validity and predictive value of the relationships found in this study, were also identified.

Accidents, Occupational↗

PubMed2003

MaryPODS revisited: updated crash analysis and implications for screening program implementation.

PROBLEM: Due to the relative scarcity of crashes, there has consistently been a problem with analyses that use crashes as a criterion measure in their analyses. METHOD: Previous analyses of the relationships between functional capacity measures and at-fault crash involvement for older drivers as reported in the NHTSA Model Driver Screening and Evaluation Program Final Technical Report have been updated to include one additional year of driving experience. Eighteen new at-fault crashes involving drivers who previously had no crash involvement were recorded for the Maryland Motor Vehicle Administration (MVA) test sample during this interval. The method of odds ratio (OR) calculation was used to examine the relationships between functional status predictors and the most salient among the safety outcome measures identified in the Maryland research. Peak valid OR values for the prior and current analyses were contrasted, and the stability of candidate pass-fail cut-points for each predictor relative to values identified in the Final Technical Report was examined. RESULTS: Results indicate that the predictive value of functional tests appears to decrease over time, particularly for the perceptual-cognitive measures. IMPACT ON INDUSTRY: The impact of these findings on programs and policies is to underscore a need for periodic reevaluation, spaced at the shortest practical intervals but not more than 2 years apart, in order for functional capacity screening to be applied effectively by licensing authorities, health care professionals, and others to reduce personal risk and enhance public safety.

Accidents, Traffic↗