Causes of Traffic Collisions of Ambulance Cars at the Prague Emergency Medical Services

NCT ID: NCT04808219

Last Updated: 2021-08-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-07-01

Study Completion Date

2023-12-31

Brief Summary

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The aim of the project is to increase the protection of patients, employees and the organization by means of data collection about traffic collisions of ambulance cars.

Detailed Description

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Published research studies have shown not only that approximately half of Emergency Medical Services (EMS) providers show signs of severe fatigue before traffic collision, but also that drowsy or tired EMS providers are significantly more often injured at work. Among the circumstances and factors contributing to the collisions, including environmental, road or equipment factors, the real causes of the collisions remain unclear, but might be investigated through interviews with participating drivers. The aim is to increase the protection of patients, employees and the organization by collect data in both qualitative and quantitative ways and to identify factors and measurable variables that might lead to strengthen healthy driving habits under the blue lights. The factors associated with ambulance accidents are not similar to those of the general driving population. The in-depth analysis of the whole problem aims not only to clarify the causes of collisions, but especially to create prevention steps so that such situations occur as little as possible.

The methodology will use the so-called mixed design - a combination of in-depth interviews with participating members of collisions (employees, or patient / relative), data from the road-scans and qualitative data including measurable variables.

A video-analysis of the collision will be performed. All data will be recorded anonymously - each participant in the accident will receive a special number for coding, under which they will appear. Data will be presented both in descriptive statistics and after statistical analysis (chi square test for independence and Fischer's exact test at the level of significance = 0.05).

In terms of qualitative data, in-depth interviews and their coding will be performed using grounded theory (based on Strauss and Corbin methodology). The aim is to gain the same view of events and their actions as the members of the group.

The sample of participants depends on collision rate, which was 50 incidents in the year 2020 (expecting approx. 100 cases in 2 years).

Conditions

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Traffic Collision Transport Accident

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

PROSPECTIVE

Study Groups

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Driver

Ambulance driver who was involved in a traffic collision - video analysis of the collision records and in-depth interview aiming to find the cause of the collision.

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* ambulance driver involved in a traffic collision of ambulance car
* consent to participate in the study
* video recording of the collision exists and can be used

Exclusion Criteria

* disagreement with participating in the study
* video recording of the collision cannot be obtained
Minimum Eligible Age

21 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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David Peran

OTHER_GOV

Sponsor Role lead

Responsible Party

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David Peran

Head of the Education and Training Centre

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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David Peran, Dr.

Role: STUDY_CHAIR

Prague Emergency Medical Services

Jaroslav Pekara, Ph.D.

Role: STUDY_DIRECTOR

Prague Emergency Medical Services

Locations

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Prague Emergency Medical Services

Prague, , Czechia

Site Status

Countries

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Czechia

References

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Chiu PW, Lin CH, Wu CL, Fang PH, Lu CH, Hsu HC, Chi CH. Ambulance traffic accidents in Taiwan. J Formos Med Assoc. 2018 Apr;117(4):283-291. doi: 10.1016/j.jfma.2018.01.014. Epub 2018 Feb 7.

Reference Type BACKGROUND
PMID: 29428195 (View on PubMed)

Tanaka K, De Lorenzo RA. Lights and Siren: A Risky Business? Ann Emerg Med. 2019 Jul;74(1):110-111. doi: 10.1016/j.annemergmed.2019.01.026. Epub 2019 Feb 21. No abstract available.

Reference Type BACKGROUND
PMID: 30797574 (View on PubMed)

Wolfberg DM. Red Lights and Siren: High risk, high liability, little reward. JEMS. 2017 Feb;42(2):18-9. No abstract available.

Reference Type BACKGROUND
PMID: 29215247 (View on PubMed)

Watanabe BL, Patterson GS, Kempema JM, Magallanes O, Brown LH. Is Use of Warning Lights and Sirens Associated With Increased Risk of Ambulance Crashes? A Contemporary Analysis Using National EMS Information System (NEMSIS) Data. Ann Emerg Med. 2019 Jul;74(1):101-109. doi: 10.1016/j.annemergmed.2018.09.032. Epub 2019 Jan 12.

Reference Type BACKGROUND
PMID: 30648537 (View on PubMed)

Murray B, Kue R. The Use of Emergency Lights and Sirens by Ambulances and Their Effect on Patient Outcomes and Public Safety: A Comprehensive Review of the Literature. Prehosp Disaster Med. 2017 Apr;32(2):209-216. doi: 10.1017/S1049023X16001503. Epub 2017 Jan 30.

Reference Type BACKGROUND
PMID: 28134063 (View on PubMed)

Other Identifiers

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ZZSHMP_001_2021

Identifier Type: -

Identifier Source: org_study_id

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