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Analysis of a Novel Valet Parking Attendant Car Seat Safety Injury Prevention Program
Laura W. Hansen, MD, Ibrahim Abd El-Shafy, MD, Edgar Flores, BA, Francesca Bullaro, MD, Nathan A.M. Christopherson, RN, MSN, MBA, TCRN, CPEN, CEN, EMT-P, Josť M. Prince, MD. Cohen Children's Medical Center, New Hyde Park, NY, USA.

Background: Motor vehicle collisions are the leading cause of death and morbidity among children under age 12. With up to 75% of car seats improperly installed nationally, we propose to characterize a novel valet parking attendant car seat safety injury prevention program and to assess the potential impact when established in a hospital setting.

Methods: A 22 question, anonymous survey was distributed to drivers utilizing the valet parking service in a single suburban Children's Hospital on weekdays during August 2014. Demographics, previous car seat installation education/experience, and interest in using a free car seat inspection were ascertained. Concurrently, a valet parking attendant, trained car seat technician, offered a free inspection. Any errors in installation were corrected and the driver educated. The data were analyzed with descriptive statistics using n Query Advisor 4.0 including a power analysis.

Results: Survey results were collected from 65 participants. 16 car seats were inspected and only 3(18.8%) were installed correctly. A minority of participants reported that they had car seat installation education(29/63,46%) or had their car seat installed by a trained technician(13/65, 20%). Most reported that they would use a car seat inspection program(63/65,96.9%) and that it should be provided by hospitals(61/65,93.8%).

Conclusions: Proper car seat installation in a suburban New York setting is lower than the reported national average of 25%. Despite 97% stated interest in a free car seat inspection program, at most, 25% completed car seat inspection when offered. Future studies are needed to evaluate more effective means of encouraging participation and adherence.

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