Aiming at safe performance in traffic Vastuullinen liikenne. Rohkeasti yhdessä.
Medical doctors promoting traffic safety Jukka Terttunen Traffic Medicine Unit Finnish Traffic Safety Agency Vastuullinen liikenne. 28.10.2016 SLLY 40 Rohkeasti yhdessä.
Traffic Medicine serving Traffic Safety Accident investigation Human performance linked to incidents and accidents Human performance and medical requirements Traffic Medicine aims at Safe human performance Risk management Prevention of sudden incapacitation and gradual deterioration of performance Competent medical professionals Assess medical fitness and human performance in different transport professions
Evolution of safety culture Fully mature safety management system includes all three areas of safety management: predictive, proactive and reactive. Safety management levels High Intermediate Low Hazard Predictive Proactive Reactive Reactive e.g. dataanalysis e.g. raports, auditing e.g. raporting systems Accident investigation Very effective Effective Functional Inadequate Fully developed safety management
Risk and hazard identification Confidentiality Prevention Consultation Risk management Would you fly with this pilot?
Private vs. Public interest Trafin Liikennelääketiedeyksikön tehtäviä Medical Doctor must be objective, Ilmailu Traffic Medicine Examination is legally binding Lääketieteelliset kelpoisuustodistukset, e-ilmailulääkäritarkastukset as when assessing work ability for early retirement Ilmailulääkärien, ilmailulääketieteen keskusten ja työterveyslääkärien hyväksyntä, koulutus, ohjaus ja valvonta Active Rautatieliikenne returning Terveyserivapauslupa-päätökset to work vs. Asiantuntijalääkäreiden, työterveyshuollon ammattilaisten ja asiantuntijapsykologien valtuuttaminen ja koulutus safe performance Merenkulku Terveyspoikkeuslupa-päätökset, laiva-apteekkipoikkeusluvat Tieliikenne Ajoterveyslomakkeet- ja ohjeet Lääkärituki: liikennelaaketiede@trafi.fi Medical specialities act differently Kaikki liikennemuodot: sääntelyvalmistelu, kv-vaikuttaminen
Medical Doctors assessing human performance and medical fitness Problems and possibilities Traffic Medicine training for doctors missing Every doctor considered competent for traffic medicine - 25000 Traffic medicine guidelines and procedures not familiar Doctors don t report unfitness to police Police Doctor communication and procedures lacking Doctors don t think of traffic medicine during patient contacts Health organisations do not support traffic medicine evaluation Lack of risk management in cases of deteriorating fitness Professional drivers health risks are not managed Would you drive with your patient? Doctor s responsibity? Driver s responsibility? Family member s possibilities to act?
Remember in traffic Common problems are common Manage incapacitation risks and unfitness Alertness Metabolic syndrome, diabetes Cardiovascular diseases Sleep apnoea, cognition, medication, alcohol and narcotics 9
Traffic Medicine Assessment process Health data and fitness data Assessment Fitness Trafi Police Examination, history, consultationst One responsible doctor Traffic Medicine guidance Medical guidance and checklists Health care patient software Only fitness information, no confidential health information to the authorities Driver s licence Oversight of licence rights
Aiming at safe performance in traffic