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A Designated Drunk Driver?

When a person agrees to be a designated driver, what are they agreeing to? Are they agreeing to refrain from drinking in order to provide a safe ride home? Are they agreeing to refrain from getting drunk? Are they agreeing to arrange for a safe ride home for the people who are drinking? The understanding of what a designated driver is and what he or she is supposed to do may not be as clear as some believe. A study appearing in the Journal of Studies on Alcohol and Drugs concluded that a surprising number of designated drivers may be consuming alcohol before driving home. The result could be a deadly car accident.

According to the National Transportation Safety Board, alcohol-related crashes kill nearly 10,000 people every year. The group recently recommended that states lower the acceptable blood alcohol limit from .08 to .05. At that level, roughly 20 percent of the people involved in the designated driver study would be considered impaired. Nearly 40 percent of the designated drivers identified in the study had consumed some amount of alcohol.

Handheld Cell Phone Ban May Have Reduced Evanston Car Accidents

With Illinois considering a statewide ban on the use of handheld cell phones by drivers, the measures already enacted by individual communities are drawing attention. Three years ago, the Evanston City Council passed a handheld device ban in an effort to curb distracted driving accidents. Cell phones are considered a primary culprit in the nationwide increase in distracted driving fatalities. Texting while driving has garnered much of the attention, but any diversion of a driver's attention from the road is a safety hazard. With three year's worth of data available, it appears that Evanston's ban may have been successful.

From 2009 to 2012, the total number of traffic accidents dropped 17 percent in Evanston. The number of injuries caused in car crashes fell 14.5 percent. It is impossible to determine if the drop was responsible for the drop in accidents, but Ald. Jane Grover pointed out that the measure likely raised awareness of the problem of distracted driving.

Drunk Driving, Texting And Teen Car Accident Rates

The U.S. Centers for Disease Control and Prevention estimates that 2,700 teens are killed each year in car accidents where a teen driver was under the influence of alcohol. In addition, an estimated 282,000 injuries are suffered in such accidents. According to recent research, that makes drinking and driving the second most deadly behavior among teen drivers. A study conducted by researchers at Cohen Children's Medical Center in New Hyde Park suggested that teen deaths caused by texting drivers total more than 3,000. It estimated that 300,000 injuries result from this form of distracted driving.

Taking over the spot as the number one cause of death for teen drivers may force more people to take texting and driving seriously. Despite the proliferation of laws banning texting and driving, including some geared directly toward teen drivers, the hazard is growing according to the National Highway Traffic Safety Administration. While many people would express outrage at the notion of teens drinking and driving, texting does not yet illicit a similar response. A California survey recently showed that roughly two out of three drivers in the 30-64 age group use their cell phones while children are in the car and one out of three admit to texting with kids in the car.

Collision In Newark Raises Runway Incursion Question

The Federal Aviation Administration lists the reduction of runway incursions among its top priorities. The FAA defines a runway incursion as an "unauthorized presence on a runway, regardless of whether or not an aircraft, vehicle or pedestrian presents a potential conflict to an aircraft authorized to land, take off, or taxi on a runway." Runway incursions range from two planes colliding while taxiing, taking off or landing, to lesser incidents where a vehicle, person or object is in an area where it should not be but is removed before any safety consequences arise.

A runway incursion occurred yesterday at Newark airport when a plane operated by Scandinavian airline SAS collided with another plane while taxiing. The SAS plane lost part of a wing in the incident. The other plane, a United Airlines ExpressJet Embraer 145 lost its tail fin and had to be towed back to the terminal. Thankfully, none of the 253 passengers on board the SAS plane or any of the 31 passengers on the United Airlines plane were injured.

Missed, Delayed And Incorrect Diagnoses And Medical Malpractice

Recent research has shown that diagnostic errors were the most common basis for successful medical malpractice claims from 1986 to 2010. A study of such claims in the National Practitioner Data Bank revealed that incorrect, missed or delayed diagnoses made up 29 percent of the nearly 350,000 successful malpractice claims filed during that period. The study was conducted by neurologists at Johns Hopkins University School of Medicine and appears in BMJ Quality & Safety.

The study simply reviewed successful medical malpractice claims over the given time period. It did not seek to answer the question of why diagnostic errors are as common as they are. One of the two leading authors of the study referred to the diagnostic process as "complicated" and suggested that uncertainty and time pressure were complicating factors in making an accurate diagnosis. He further pointed out that there is no public reporting requirement for "measuring diagnostic accuracy or error."

Surgical Errors May Increase Profits For American Hospitals

According to a study appearing in the Journal of the American Medical Association, surgical errors can greatly increase the profit margin for the hospitals where they are committed. The research was conducted using data from more than 34,000 surgical patients who were operated on in selected Texas hospitals in 2010. The study looked at Medicare patients, privately insured patients, Medicaid patients, patients who paid out of pocket and patients using other forms of payment.

Roughly 85 percent of the surgical patients were insured through Medicare or through private insurers. The report showed that surgical errors led to hospitals realizing a 330 percent higher profit margin if the patient was privately insured. It further showed that Medicare patients who suffered surgical errors provided hospitals with a 190 percent increase in profit margin. In terms of straight numbers, a privately insured patient who was the victim of surgical error provided the offending hospital with, on average, $39,000 more in contribution margin (revenue minus variable costs) than if the hospital committed no error. Medicare patients provided $1,800 more in contribution margin if they were the victim of surgical mistakes.

Truck Drivers And State Marijuana Laws

Individual states have taken steps to legalize medical and even recreational use of marijuana in recent years. While the states have the right to make these decisions, commercial drivers, pilots and operators are still bound by federal regulations concerning safe operation of buses, trains, planes and trucks. Truck drivers are still in violation of these rules if they have any marijuana in their systems while operating their vehicles. This is an important consideration for the victims of truck accidents as state laws establishing safe limits for THC in the blood could be used to deny liability. Regardless of the state where the accident occurs, if the driver has THC levels higher than zero, he or she is in violation of Department of Transportation guidelines for commercial drivers.

The DOT released a policy notice, specifically informing truckers and trucking companies that state laws will not trump the current federal Drug and Alcohol Testing regulations. The issue likely arose as Colorado is considering a bill to set new rules regarding driving under the influence and marijuana. It is considering a limit of 5 nanograms per mL of blood.

Drowsy Driving And Caffeine Intake Among Truck Drivers

Long, uninterrupted stretches of driving can challenge a person physically and mentally. Boredom and exhaustion set in and can increase the likelihood of a serious accident. These stretches are the working reality for many commercial truck drivers. Rules limiting the hours of service in which a truck driver can work do not ensure that the driver is well-rested or alert during a shift. A new study conducted on Long-haul truck drivers in Australia reveals that drivers who drink caffeinated beverages are less likely to have an accident than drivers who have not ingested caffeine.

According to the National Highway Traffic Safety Administration, one in six fatal crashes involves a drowsy driver. The NHTSA estimates that tired drivers are responsible for more than 1,500 deaths and 70,000 injuries per year. To combat fatigue, many drivers turn to coffee, energy drinks, cola or other caffeinated beverages. While some of the health effects of caffeine are disputed, it is clear that caffeine stimulates the nervous system and improves a driver's ability to focus, at least in the short term.

NTSB And Boeing Differ Over 787 Dreamliner Investigation

Boeing executives gave a media briefing in Tokyo on March 15 regarding the 787 Dreamliner and the investigations into the problems with the lithium ion batteries. The National Transportation Safety Board is taking issue with that briefing and the company's discussion of the NTSB investigation into the January 7 fire involving the plane and additional problems related to the battery and electrical systems in the Dreamliner. The NTSB is concerned that Boeing provided its own, unauthorized analysis of the ongoing NTSB investigation. An attorney for the NTSB made it clear that the organization expected Boeing to inform investigators of the content of its remarks before making them during an investigation still under way.

All Boeing 787 Dreamliners have been grounded since January 16, pending the results of the investigation. The FAA took that unusual step after several incidents involving the battery system on the new, high-efficiency plane. Boeing has indicated that it is engaging in "around-the-clock efforts to return the 787 fleet to service." Those efforts include substantial cooperation with the NTSB investigation.

3 Deadly Crashes In 3 Days Highlights Teen Driver Risk

Last week served as a grim reminder of the dangers faced by teen drivers. Three car crashes claimed the lives of 15 teenagers, including four Chicago-area teens whose vehicle went into a creek on Tuesday morning. The Illinois car accident was joined by a fatal wreck in Ohio and another in Texas, each involving young drivers and multiple teen passengers. Following the report from the National Safety Council indicating that teen highway deaths rose sharply last year, this latest round of tragedies may increase calls for stricter standards for new drivers.

The U.S. Centers for Disease Control and Prevention track statistics regarding auto accidents, including those involving teenaged drivers. In 2010, kids between the ages of 16 and 19 suffered car accidents that lead to 282,000 being treated for injuries. There were roughly 2,700 highway fatalities in that age group. The fatality risk for drivers between 16 and 19 is 300 percent that of older drivers. The National Center for Health Statistics indicates that car accidents are the leading cause of death for the age group of 15 to 20.

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