PMID- 37310409
OWN - NLM
STAT- MEDLINE
DCOM- 20230628
LR  - 20230628
IS  - 1538-957X (Electronic)
IS  - 1538-9588 (Linking)
VI  - 24
IP  - 6
DP  - 2023
TI  - Driving safety among Israeli military physicians in combat units.
PG  - 496-502
LID - 10.1080/15389588.2023.2209901 [doi]
AB  - OBJECTIVE: The objective of this study was to characterize driving safety and the 
      factors affecting it among physicians in combat units in the Israel Defense 
      Forces (IDF), who have high workloads and substantial sleep deprivation, which 
      could influence driving safety. METHODS: This cross-sectional study included 
      physicians in combat units who had a personal vehicle equipped with an advanced 
      driver assistance system (ADAS). The study outcomes included events such as 
      drowsy driving or falling asleep while driving, as well as motor vehicle 
      accidents (MVAs), obtained from self-reports from digital questionnaires, and 
      objective ADAS driving safety scores. Sleep hours, burnout scores (Maslach 
      Burnout Inventory), combat activity levels, and demographic characteristics were 
      obtained through digital questionnaires, and their effects on the outcomes were 
      analyzed. RESULTS: Sixty-four military combat unit physicians were included in 
      the study. No differences in drowsy driving, MVAs, or ADAS scores were found 
      between the 2 combat activity level groups. The results showed that 82% of 
      participants reported dozing off while driving, and this was positively 
      correlated with accelerations (beta = 0.19; P = .004) and negatively correlated 
      (adjusted R(2) = 21%) with hours of sleep (beta = -0.28; P = .001). Eleven percent 
      reported experiencing MVAs, none of whom required hospitalization. The mean ADAS 
      safety score was 87.17 +/- 7.54, and this was positively correlated with the 
      cynicism score (beta = 1.45; P = .04; adjusted R(2) = 4.7%). No association between 
      dozing off/falling asleep while driving and the reported MVAs was found (P = .10 
      and P = .27, respectively). CONCLUSION: Physicians in combat units have a low 
      incidence of MVAs and high ADAS scores. This may be attributed to the high safety 
      climate enforced in military units. However, the high rate of dozing off while 
      driving highlights the importance of addressing driving safety in this 
      population.
FAU - Shmueli, Or
AU  - Shmueli O
AUID- ORCID: 0000-0003-3718-2664
AD  - Department of Management, Bar-Ilan University, Ramat Gan, Israel.
AD  - Israel Defense Forces, Medical Corps, Ramat Gan, Israel.
AD  - Department of Ophthalmology, Hadassah-Hebrew University Medical Center, 
      Jerusalem, Israel.
FAU - Zabarsky Shasha, Gali
AU  - Zabarsky Shasha G
AD  - Department of Management, Bar-Ilan University, Ramat Gan, Israel.
AD  - Israel Defense Forces, Medical Corps, Ramat Gan, Israel.
FAU - Rosenbloom, Tova
AU  - Rosenbloom T
AD  - Department of Management, Bar-Ilan University, Ramat Gan, Israel.
LA  - eng
PT  - Journal Article
DEP - 20230613
PL  - England
TA  - Traffic Inj Prev
JT  - Traffic injury prevention
JID - 101144385
SB  - IM
MH  - Humans
MH  - Accidents, Traffic
MH  - *Automobile Driving
MH  - Israel
MH  - *Military Personnel
MH  - Cross-Sectional Studies
OTO - NOTNLM
OT  - Military physicians
OT  - advanced driver assistance system (ADAS)
OT  - burnout
OT  - driving safety
OT  - hours of sleep
EDAT- 2023/06/13 13:12
MHDA- 2023/06/28 06:42
CRDT- 2023/06/13 10:54
PHST- 2023/06/28 06:42 [medline]
PHST- 2023/06/13 13:12 [pubmed]
PHST- 2023/06/13 10:54 [entrez]
AID - 10.1080/15389588.2023.2209901 [doi]
PST - ppublish
SO  - Traffic Inj Prev. 2023;24(6):496-502. doi: 10.1080/15389588.2023.2209901. Epub 
      2023 Jun 13.