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Das Führen von Kraftfahrzeugen der Klasse 2 ist entsprechend der Fahrerlaubnisverordnung nach mehr als zwei epileptischen Anfällen ausgeschlossen. Als Ausnahme gilt eine durch ärztliche Kontrolle nachgewiesene fünfjährige Anfallsfreiheit ohne antiepileptische Behandlung. Im vorliegenden Fall wies ein Lkw-Fahrer mindestens vier epileptische Anfälle auf, eine fünfjaehrige Anfallsfreiheit ohne Medikamente unter ärztlicher Kontrolle ließ sich nicht feststellen. Der letzte Anfall führte zu einem Verkehrsunfall mit anschließendem Gerichtsverfahren. Ursächlich für den Unfall war am ehesten die abgesetzte Medikation. Ein Verfahren hinsichtlich der Ungeeignetheit zum Führen von Kraftfahrzeugen der Klasse 2 wurde eingeleitet.
Das Fehlen der Fahreignung stellt im Sinne der ICF eine Barriere bei der Teilhabe am Arbeitsleben dar. Die dargestellten Ergebnisse zeigen auf, dass weiterer Forschungsbedarf zum Thema Fahreignung und Therapie besteht, um den Patienten die Aussicht auf eine berufliche Reintegration zu bewahren. Durch ein effektives Training der Fähigkeiten zum Führen eines Kraftwagens könnten bei einem relevanten Anteil der Patienten die Voraussetzungen zur Teilhabe am Arbeitsleben stark verbessert werden. Durch die Präsentation dieser Ergebnisse kann eine Verbesserung des Problembewusstseins erwartet werden, da immer noch nicht alle Patienten über mögliche Einschränkungen der Fahreignung aufgeklärt werden. Daneben muss dem Fachpublikum die Notwendigkeit aufgezeigt werden, über neue Rehabilitationsstrategien zur Wiedererlangung beziehungsweise Verbesserung der Fahreignung nachzudenken.
An der Fortbildungsakademie der Ärztekammer Nordrhein werden in einem 16-Stunden-Kurs Qualifizierungen zum Fachgutachter/zur Fachgutachterin für verkehrsmedizinische Begutachtung in Kooperation mit unterschiedlichen Fachreferenten aus den verschiedenen klinischen Bereichen durchgeführt. Leistungskontrollen zum Kursinhalt, ein intensives Arbeiten an Fallbeispielen oder gar eine fachliche Begleitung der ersten Gutachten sind nicht generell vorgegeben, wenngleich in Evaluationen zum Kurs insbesondere eine fallorientierte Ausbildung und eine Supervision zumindest in ersten eigenen Begutachtungen von den Teilnehmern/Teilnehmerinnen gewünscht werden. Auf der Grundlage der Erfahrungen der Autoren mit der Leitung/Moderation der entsprechenden Fachfortbildungen der Ärztekammer Nordrhein wurden das bestehende Curriculum kritisch diskutiert und Anregungen zur Umstrukturierung erarbeitet, die im Einzelnen vorgestellt werden. Dabei handelt es sich um ein Konzept auf der Basis des "blended learning": Via Internet wird vertiefendes Lehrmaterial für die verschiedenen Fachbereiche der medizinischen Begutachtung unter verkehrsmedizinischen Fragestellungen zur Bearbeitung angeboten. Die Bearbeitung selbst kann online kontrolliert und bei Bedarf auch mit Lerninhaltsüberpruefungen verknüpft werden. Zusätzlich können Fallbeispiele anonymisiert vorgelegt und mit tatsächlich ausgesprochenen Begutachtungen bereitgestellt werden. Weiterhin wird eine qualifizierte Begleitung zumindest zu Beginn der Gutachtertätigkeit angeregt.
In 2011 399 cyclists died in road accidents in Germany and another 76.351 cyclists have been injured. Since 2000 the number of injured or fatally injured cyclists remained on the same high level. Cyclists form 19% of all casualties in German road traffic, although the modal split rate of this transport mode in 2008 was only 10% of trips and resp. 3% of kilometres per day. The high proportion of fatally and seriously injured shows the high vulnerability of cyclists. The demographic shift towards an older population in Germany and the governmental recommendation of increased bicycle use as an ecological, economical and healthy alternative to other modes of transport lead to the assumption that bicycle use especially of elderly people will increase. Based on these facts about the German cyclists' situation a representative survey of 2.000 cyclists was conducted. Results display use patterns and accident involvement on a descriptive level. Overall 7.7% of cyclists report to have been involved in at least one road traffic accident within the last three years. The performed path model analysis reveals an acceptable model fit. Though the explained variance of accident involvement of the applied psychological factors was low, significant relations between several of these factors and especially risky behaviour could be found.
Rural roads (highways) in Germany have to provide both high road safety and an appropriate level of service in accordance with their function in the road network. Single carriageway rural roads often underperform these expectations. An analysis of severe accidents on rural roads found two main contributing factors. First, high or inappropriate speed leads to accidents caused by the loss of control of the vehicle. Second, unsafe passing manoeuvres related to a misjudgement of sight distance, speed of oncoming vehicles or a misjudgement of the driver vehicle's acceleration capability. On the five roads where unsafe passing manoeuvres were a main contributing factor to accident occurrence, single short passing lanes (600 m to 1.2 km) were built to provide safe passing. On the remaining two-lane sections passing was prohibited by road signs and road marking. This paper investigates the effect of this design change on the accident situation and on traffic flow. The research project is based on a before/after comparison of traffic and accident data. Traffic volume, vehicle types and their velocities as well as the time gaps between the vehicles were recorded at different cross-sections. The result shows a significant improvement in road safety. This improvement was especially noted for severe head-on crashes, which were reduced to almost zero. The analysis of traffic flow on these roads pointed out that the chosen lengths of passing lanes were sufficient for safe passing and thereby reduced the need for dangerous driving behaviour. The recommendations of this research were fundamental for the determination of the design parameters of the second highest design class (EKL 2) in the new German Rural Road Design Guideline (RAL) published in spring 2013.
Im Mittelpunkt der Überlegungen zu Perspektiven einer zeitgemäßen und sicherheitswirksamen Fahranfängervorbereitung steht die Absenkung des weiterhin hohen Anfangsrisikos bei Fahranfängern. Ausgehend von den positiven Erfahrungen mit dem Begleiteten Fahren ab 17 beauftragte das Bundesministerium für Verkehr, Bau und Stadtentwicklung (BMVBS) die Bundesanstalt für Straßenwesen (BASt) mit der Erarbeitung eines Rahmenkonzepts, in dem Entwicklungsperspektiven für weitere Verbesserungen der Vorbereitung von Fahranfängern und wissenschaftlich begründete Maßnahmenvorschläge für die Erhöhung der Fahranfängersicherheit formuliert werden. Zunächst werden die Aufgaben und die Vorgehensweise der Rahmenkonzepterarbeitung sowie die Kriterien für die Ableitung von Maßnahmenprioritäten skizziert. Ausgehend von den Erkenntnissen zur Entwicklung des Unfallrisikos im Verlauf der Fahrkarriere werden im Anschluss die maßgeblichen Ansatzpunkte zur verbesserten Gestaltung eines sicheren Übergangs in die Automobilität aufgezeigt. Zentrale Maßnahmenvorschläge des Rahmenkonzepts werden vorgestellt. Diese beziehen sich auf die Bekämpfung der maßgeblichen Ursachen des erhöhten Fahranfängerrisikos (Fahrerfahrungsdefizit und Einstellungsmängel), die Optimierung bestehender Fahranfängermaßnahmen und die verstärkte Erschließung von Technik und Wissenschaft für das Fahren lernen.
Various kinds of demerit point systems have been developed and implemented in European countries, aimed at tackling repeat offences in road transport by acting as a deterrent and providing sanctioning. The impact of a demerit point system on the number of crashes is often reported to be significant, but temporary. The objective of the EU BestPoint project was to establish a set of recommended practices that would result in a more effective and sustainable contribution of demerit point systems to road safety. A high actual chance of losing the licence and a high perceived chance of losing the licence are basic prerequisites for the effective operation of demerit point systems. For measures applied within the context of a demerit point system, a four-step-approach is recommended: warning letter, driver improvement course, licence withdrawal, rehabilitation course. Further recommendations concern issues like points and offences, e.g. which offences should lead to points, target groups, and the administration of demerit point systems. The final result of the EU BestPoint project is a handbook (van Schagen & Machata, 2012) which provides a concise overview of all recommended practices. The presentation/paper outlines how sustainable safety improvements can be achieved if national demerit point systems are implemented and maintained according to the recommended practices. In addition, potential further steps towards an EU-wide demerit point system (cross-border exchange on points and/or offences) are presented.
The practicability and feasibility of using alcohol ignition interlock devices has been discussed for more than 15 years in Germany. Thereby, judicial issues have been treated conversely. Consensus exists about the fact that the voluntary use of alcohol ignition interlocks is in all areas of possible use recommendable. Great reservation is shown concerning the operation of the devices for DUI (Driving Under Influence) offenders. Main doubts regard the missing legal base for application in such cases and potential circumvention attempts while the need of supportive psychological measures is unquestioned. In 2011, the Ministry of Transport, Building and Urban Affairs entered this topic in its newly released traffic safety programme as a matter of future research. Almost in parallel, the Federal Highway Research Institute (BASt) launched an alcohol ignition interlock project for DUI offenders. The study at hand aimed at developing a comprehensive programme concept for the use of alcohol ignition interlocks as additional measure to psychological rehabilitation for DUI offenders. Expert surveys serve as input for the establishment of a widely accepted innovative concept for nationwide implementation. By means of a pilot trial, the added value of using a combination of structural (alcohol interlock) and individual (psychological measure) intervention for DUI offenders to the existing countermeasure system should be studied. In addition, selection criteria for DUI offenders eligible for future programme participation should be defined. The majority of the experts evaluate the introduction of alcohol ignition interlocks as a good option to enhance traffic safety. The possibility of early psychological rehabilitation is emphasized in the process. Those who do not approve alcohol ignition interlock usage estimate the amount of offenders eligible for such programmes too small. The survey also revealed that legal regulations for issuing an alcohol interlock restricted licence to DUI offenders is missing. Hence, a possible amendment to the German Driving Licencing Regulation was developed within the project. Consultations with the Ministry of Transport, Building and Urban Affairs and the Ministry of Justice disclosed the need for a change of the road traffic law before an amendment to the existing regulations may be put into force. At least, the person responsible in the Ministry of Justice developed a proposal for the law section that needs revision. All in all, it became clear within the process of the project that a field trial in Germany is still a distant vision. Nevertheless, all institutions involved are motivated to deal with the matter further on in order to pave the way for a soon start of the pilot trial.
In Germany, courses for the restoration of the fitness to drive after licence revocation are provided for different offender groups (alcohol, drug and demerit point offenders). Providers of these courses are by law required to prove the effectiveness of the applied course programs. For the evaluation of effectiveness, the Federal Highway Research Institute (BASt) established specific "Reference Values" in 2002. The objective of the study at hand was to collect valid data in order to renew the old-established Reference Values from 2002. Additionally, data collection aimed at initializing Reference Values for drug offender programs. Over 66,000 drivers were analysed regarding their traffic probation in the three years after licence reinstatement. Offenders were assigned to an offender group (alcohol, drugs and demerit point offenders) based on the reason for prior licence revocation. Different indicators were used as criteria for re-offending: new alcohol or drug records, culpable accident involvement and repeated licence revocation. For each of the offender groups, frequency distributions regarding these indicators were calculated. Frequencies of recidivism are highest for the group of demerit point offenders. Compared to the Reference Values of this group from 2002, frequencies of re-offending increased. Conversely, re-offence frequencies of alcohol offenders are halved compared to the data from 2001. The analysis of the re-offence frequencies of drug offenders reveals an equal amount of re-offenders as in the alcohol offender group. The collected data serve as a good base for renewal of the old-established Reference Values and may be applicable as comparative data for future evaluations The results reveal significant differences between recent data and earlier studies. These may occur due to improvements of the applied programmes, but also due to situational changes, e.g. increased enforcement levels and expansion of the catalogue of offenses which lead to demerit points.
The 6th RFP project DRUID aimed at supporting European transport policy makers by suggesting scientifically based recommendations to combat impaired driving. The main DRUID objectives were: 1. In-depth analysis of the problem situation with regard to DUI/DUID in Europe; 2. Assessment of prevalence and accident risks of DUI/DUID on the basis of epidemiological and experimental studies; 3. Evaluation of oral fluid screening devices and cost-benefit analysis of a strengthened drug driving enforcement; 4. Development of a classification system for medicines; 5. Evaluation of driver rehabilitation schemes and strategies of licence revocation; 6. Assessment of the effectiveness of new prescribing and dispensing guidelines for medicines; 7. Ddevelopment of policy recommendations on the basis of DRUID results. All in all, the DRUID results revealed that prevalence of psychoactive substance consumption, DUI/DUID, enforcement levels and legal strategies are very heterogeneous in European countries. Nonetheless, DRUID derives general recommendations as base for national solutions.
The DRUID expert consensus established recommendations on how to define limits for psychoactive substance use in traffic. The European DRUID project established a group of experts who are members of national working groups for defining analytical and/or risk thresholds. This group evaluated the results of DRUID, scientific literature and the experience of representatives of several EU Member States and Norway in determining cut-off levels. 1. Cut-offs should be defined for the most frequently used psychoactive substances; 2. In order to achieve compliance of the population towards cut-off regulations, they should be clear and comprehensible, pointing out the risks when used in traffic; 3. Thus, the definition of cut-offs should be based on current scientific knowledge; 4. The lowest substance concentration exerting an effect on driving should be preferred instead of the lowest limit of quantification/ detection; 5. For all psychoactive substances including alcohol, the same risk should be accepted. When a country intends to determine per se cut-off levels, several considerations have to be taken into account. From a scientific point of view, the same risk should be anticipated for all psychoactive substances including alcohol. Nevertheless, every cut-off discussion should address the question if the DRUID approach, to determine risk thresholds equivalent to alcohol limits, is feasible for the respective case.
The current paper reports on the results of a pilot study aiming to investigate the effect of mobile telephone use on the driving performance of 5 amateur and 5 professional drivers. Their driving acuity was tested through a driving simulator. Analysis and interpretation of the results occurred comparing the drivers' driving performance while talking, reading messages and writing a message on the mobile phone (intervention time) with the drivers' driving performance engaged in no activity (control time). The variables affected by the mobile phone were the "steering", the "lane offset" and the "duration of lane offset". Moreover, the drivers involved in a car crash in the last five years appeared to differ from those who were not involved in a crash in both "lane offset" and "following distance". The results of this pilot study will inform the design of a large experimental study on 50 professional and 50 amateur drivers.
The main focus of the benefit estimation of advanced safety systems with a warning interface by simulation is on the driver. The driver is the only link between the algorithm of the safety system and the vehicle, which makes the setup of a driver model for such simulations very important. This paper describes an approach for the use of a statistical driver model in simulation. It also gives an outlook on further work on this topic. The build-up process of the model suffices with a distribution of reaction times and a distribution of reaction intensities. Both were combined in different scenarios for every driver. Each scenario has then a specific probability to occur. To use the statistical driver model, every accident scene has to be simulated with each driver scenario (combinations of reaction times and intensities). The results of the simulations are then combined regarding the probabilities to occur, which leads to an overall estimated benefit of the specific system. The model works with one or more equipped participants and delivers a range for the benefit of advanced safety systems with warning interfaces.
Many safety-relevant tasks in control or diagnostics require binary choices such as "conflict versus separation" in air traffic control, "normal versus pathological" when interpreting x-ray pictures, or "permitted versus forbidden" when inspecting airport security scans. Deciders often are uncertain, but nevertheless required to decide between two alternatives, that is, they have not only to decide upon an action, but also about the admissible level of uncertainty. If the accepted level of judgment certainty is not taken into account, the sequence of decisions does not capture the full picture of the underlying decision process. Differences in judgment certainty are relevant, because they reflect not only the adequacy of the human-machine interface that is evaluated, but also the differences in expertise of the decider and the requirements of the actual situation or task. Therefore, capturing both judgment certainty and discrimination performance is essential. A comparison of different human-machine-interfaces (for air traffic control) is used to illustrate a methodological approach, which allows for integrated analyses of decision processes based on receiver-operator-characteristics and practical guidelines for the evaluation of human-machine-interfaces for safety-relevant operation procedures are provided.
Das Symposium umfasste folgende Beiträge: Who is afraid of more bicycle use? (Dijkstra,A); Safety of main roads in built-up-areas (Huber,CA); Safety of rural roads (Hehlen,P); Behavioural adaptation to vehicle design (Pfafferott,I); Adaptation to safety measures: there is still a lot to do (Levelt,PBM); Using sociological data to define target groups the speed limit's case (Barjonet,P); Definition of target groups for safety campaigns (Michalik,C); Influence speed choise (Clough,WS); Automatic speed management systems: great safety potential? (Oei,HL); Road accident risk factors in childhood and adolescence (Assailly,JP); What makes the young driver risky? (Hatakka,M); Influencing young driver's attitude by short-term reduction in traffic-risk factors (Johansen,HJ); Border crossing traffic and traffic safety (Elsner,A); Border-crossing traffic and security (Lukaschek,H); Enhancing police road accident data with information from other sources: the role of hospital data (Hopkin,JM); Exposure of unprotected road users (Thulin,H); Misuse of restraint systems for childs and adults (Wenaell,J); Emergency medical services systems (EMMS) and the care of traffic casualities in the Federal Republic of Germany (Kuehner,R).
Radfahren - aber sicher!
(1989)
Bei der Veranstaltung, die am 16. und 17. November 1987 zu dem Thema "Radfahren - aber sicher!" in Wiesbaden stattfand, ging es darum, dem Sicherheitsbedürfnis des zunehmenden Radfahrverkehrs in der Bundesrepublik Deutschland gerecht zu werden, andererseits aber auch das nicht unproblematische Verhältnis zwischen der Radfahrerpopulation auf der einen und den übrigen Verkehrsteilnehmergruppen auf der anderen Seite auszuleuchten. In der jüngeren Vergangenheit wurden Klagen geäußert wie etwa die, dass sich die Radfahrer ihr eigenes Gesetz schafften. Von den Betroffenen wird dagegengehalten, dass die den Straßenverkehr betreffenden Gesetze und Verordnungen aus dem Blickwinkel des Kraftfahrers heraus gemacht worden seien und ein Verstoß dagegen für Radfahrer oft die naheliegendste Möglichkeit sei, einer Selbstgefährdung zu entgehen. Aus diesem Grunde wurde die Thematik in dem von der Deutschen Verkehrswacht gemeinsam mit der Bundesanstalt für Straßenwesen (BASt) und dem Bundesverkehrsministerium durchgeführten Symposium aus unterschiedlichster Sicht angesprochen. Vertreten war sowohl die Unfallforschung, die Straßenplanung, die Fahrzeugtechnik und die Polizei wie auch die Interessenvertreter der Rad- und der Autofahrer. Von vornherein war klar, dass ein Symposium dieser Art nicht dazu angetan sein konnte, "Patentlösungen" zu erarbeiten. Ziel der Veranstaltung war es vielmehr, das gegenseitige Verständnis der unterschiedlichen Verkehrsteilnehmergruppen füreinander zu wecken bzw. zu fördern. Dabei wurde deutlich, dass auch die Problematik des "Rollenwechsels" keineswegs frei von Schwierigkeiten ist: Das Verhalten des möglicherweise überwiegenden Teils der Verkehrsteilnehmer ist nicht so sehr an einem Grundwissen und ein Grundverhalten gebunden, als vielmehr von der Art der jeweiligen Verkehrsteilnahme abhängig.
Cycling supports the independence and health of the aging population. However, elderly cyclists have an increased injury risk. The majority of injured cyclists is victim of a single-sided accident, an accident in which there is no other party involved. The aim of the project "Safe and Aware on the bicycle" is to develop guidelines for an advisory system that is useful in preventing single-sided accidents. This system is able to support the elderly cyclist; enabling the cyclist to timely adapt his cycling behaviour and improve cycling safety and comfort. For the development of such advisory system the causes of singles accidents and the wishes of the elderly cyclist must be known. First step to obtain this insight was a literature survey and an GIDAS research. Unfortunately accidentology research with GIDAS did not give the full understanding of the pre-crash situations and (especially the behaviour related) factors leading to the accident. The second step was consultation of elderly cyclist through a questionnaire (n=800), in-depth interviews (n=12) and focus group sessions (n=15). This offered complementary information and a much better understanding of the behavioural aspects. Results concern the behaviour in traffic and identify specific physical (i.e. problems looking backwards over the shoulder) and mental issues. Furthermore, the needs and wishes for support in specific cycling situations were identified. In conclusion; The GIDAS results together with the information obtained contacting the elderly cyclists enabled setting up requirements for an advisory system, which is useful in preventing single-sided accidents.
The changed focus in vehicle safety technology from secondary to primary safety systems need to evolve new methods to investigate accidents, high critical, critical and normal driving situations. Current Naturalistic Driving Studies mostly use vehicles that are highly equipped with additional measuring devices, video cameras, recording technology, and sensors. These equipped fleets are very expensive regarding the setup and administration of the study. Due to the great rarity of crashes it is additionally necessary to have a high distribution and a homogeneous distribution of subject groups. At the end all these facts are leading to a very expensive study with a manageable number of data. Smartphones are becoming more and more popular not only for younger people. Contrary to traditional mobile phones they are mostly equipped with sensors for acceleration and yaw rates, GPS modules as well as cameras in high definition resolution. Additionally they have high-performance processors that enable the execution of CPU-intensive tools directly on the phone. The wide distribution of these smartphones enables researchers to get high numbers of users for such studies. The paper shows and demonstrates a software app for smartphones that is able to record different driving situations up to crashes. Therefore all relevant parameter from the sensors, camera and GPS device are saved for a given duration if the event was triggered. The complete configuration is independently adjustable to the relevant driver and all events were sent automatically to the research institute for a further process. Direct after the event, interviews with the driver can be done and important data regarding the event itself are documented. The presentation shows the methodology and gives a demonstration of the working progress as well as first results and examples of the current study. In the discussion the advantages of this method will be discussed and compared with the disadvantages. The paper shows an alternative method to investigate real accident and incident data. This method is thereby highly cost efficient and comparable with existing methods for benefit estimation.
Introduction: The method of causation analysis applied under the German accident survey GIDAS, which is based on Accident Causation Analysis System (ACAS) focuses on an on-scene data collection of predominantly directly event-related causation factors which were crucial in the accident emergence as situational resulting events and influences. The paradigm underlying this method refers to the findings of the psychological traffic accident research that most causally relevant features of the system components human, infrastructure and vehicle technology are found directly in the situation shortly before the accident. This justifies the survey method which is conducted directly at the accident (on-scene), shortly after the accident occurrence (in-time) with the detection of human-related causes (in-depth). Human aspects of the situation analysis that interact and influence the risk situations shortly before the collision are reported as errors, lapses, mistakes and failures in ACAS in specific categories and subcategories. Thus methodically ACAS is designed primarily for the collection of accident features on the level of operational action, which certainly leads to valid findings and behavioral causes of accidents. The enhancement by means of Moderating Conditions concerns the pre-crash phase in different levels: strategical, tactical and operational.
Accident simulation and reconstruction for enhancing pedestrian safety: issues and challenges
(2015)
The enhancement of pedestrian safety represents a major challenge in traffic accidents. This study allows a better understanding of the issues in pedestrian protection. It highlights the potential of in-depth studies in identifying relevant crash parameters interfering in the pedestrian safety. A computational simulation tool was developed to reconstruct pedestrian real-world crashes. A sample of 100 in-depth accident cases was reconstructed from two sources: 40 crashes provided by IFSTTAR-LMA and 60 crashes from CASR. To exemplify the methodology, two accident cases from each database were illustrated. A description of the sample of crashes was presented including the travel and impact speed of the vehicle, the driver reaction, the pedestrian walking speed, the scene configuration with the eventual obstacles, etc. This detailed description is pointing to the major factors affecting the limits of pedestrian safety systems.