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Primary School Drop-off Zone Safety Analysis of Hazardous Road Conditions Utilizing Video Review
Ibrahim Abd el-shafy MD, Jillian Savino BA, Nathan A.M. Christopherson RN, MSN, MBA, TCRN, CPEN, CEN, EMT-P, Jose M Prince MD

Background: In 2012 76,000 pedestrians were struck by motor vehicles causing 20% of all pediatric mortalities between the ages of 5-15. We hypothesize that a video surveillance program will permit the establishment of a school drop-off zone hazard score which will guide future injury prevention programs.

Methods: In a 355 public schools county, we identified a primary school(588 students) in a suburban setting as a high risk environment. Field surveys observed traffic patterns and established optimal surveillance period identified 30 minutes before school. Three observation periods, from 2 discrete, blinded locations were conducted from January-March 2016. Videos were evaluated by 2 independent reviewers to identify quantifiable hazards.

Results: We identified 9 discrete hazards(table). Double parking (29+5.5), drop-off in bus-stop(23+7.6), and jaywalking(10+3.1) occurred with the greatest incidence. Of note, during one observation period, no crossing guard was present. Combining all hazards seen in each observation resulted in an overall hazard score of 79, 84 and 86 for each observation period(84 +3.6).

Conclusions: Our novel school drop-off hazard score provides a baseline against which the impact of future injury prevention interventions can be measured. Evaluation of different schools and different seasons in the future will further refine our understanding of the different hazards identified. Future studies will attempt to impact behavioral factors, road conditions, and traffic flow to improve safety.

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