Christina Holtsmark, Marie Hamilton Larsen, Simen A Steindal, Marianne Trygg Solberg
Critical care nurses' role in rapid response teams: A qualitative systematic review
Journal of clinical nursing
objective study examine association dangerous student car dropoff behaviors historical child pedestrianmotor vehicle collisions pmvcs near elementary schools toronto canada policereported child pmvcs school travel times 2000 2011 mapped within 200 118 elementary schools observers measured dangerous student morning car dropoff behaviors number children walking school one day 2011 composite score school social disadvantage obtained toronto district school board built environment traffic features mapped included covariates multivariate poisson regression used model rates pmvcnumber children walking dangerous student car dropoff behaviors adjusting built environment social disadvantage 45 child pmvcs 29 64 sustaining minor injuries resulting emergency department visits mean collision rate 2910000 children walkingyear sd 67 dangerous dropoff behaviors observed 104 schools 88 multivariate analysis additional dangerous dropoff behavior associated 45 increase collision rates incident rate ratio irr 145 95 confidence interval ci 102 207 higher speed roads irr 127 95 ci 113 144 social disadvantage irr 299 95 ci 103 868 associated higher collision rates dangerous student car dropoff behaviors associated historical nonfatal child pmvc rates school travel times near schools caution must taken interpreting results due small number events limitations data collection collision data collected historically 12year period whereas driving behavior observed single day 2011 targeted multifaceted intervention approaches related built environment enforcement education could address dangerous dropoff behaviors near schools reduce child pmvcs promote safe walking school