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Reducing non-collision injuries in special transportation services by enhanced safety culture
Lund University.
Swedish Transport Agency, Norrkoping, Sweden .
Umeå University Hospital.
Linköping University, Department of Clinical and Experimental Medicine, Rehabilitation Medicine . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Local Health Care Services in Central Östergötland, Paediatric Habilitation Community Service.
2010 (English)In: MEDICAL ENGINEERING and PHYSICS, ISSN 1350-4533, Vol. 32, no 3, 254-262 p.Article in journal (Refereed) Published
Abstract [en]

Previous research has pointed out that non-collision injuries occur among wheelchair users in Special Transportation Services (STS - a demand-responsive transport mode). The organization of such modes is also quite complex, involving both stakeholders and key personnel at different levels. Our objective was therefore to qualitatively explore the state of safety, as perceived and discussed within a workplace context. Focus groups were held with drivers of both taxi companies and bus companies. The results indicated that passengers run the risk of being injured without being involved in a vehicle collision. The pertinent organizational and corporate culture did not prioritize safety. The drivers identified some relatively clear-cut safety threats, primarily before and after a ride, at vehicle standstill. The drivers work place seemed to be surrounded with a reactive instead of proactive structure. We conclude that not only vehicle and wheelchair technical safety must be considered in STS, but also system safety. Instead of viewing drivers error as a cause, it should be seen as a symptom of systems failure. Human error is connected to aspects of tools, tasks, and operating environment. Enhanced understanding and influence of these connections within STS and accessible public transport systems will promote safety for wheelchair users.

Place, publisher, year, edition, pages
Elsevier Science B.V., Amsterdam. , 2010. Vol. 32, no 3, 254-262 p.
Keyword [en]
Wheelchair, Transportation, Safety, Organization, Procedure, Culture, Focus groups
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-55513DOI: 10.1016/j.medengphy.2009.09.002ISI: 000276589400005OAI: diva2:316245
Available from: 2010-04-30 Created: 2010-04-30 Last updated: 2010-04-30

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Falkmer, Torbjörn
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Rehabilitation Medicine Faculty of Health SciencesPaediatric Habilitation Community Service
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ReferencesLink to record
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