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1.
Am J Ind Med ; 64(6): 488-495, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-33682159

RESUMO

BACKGROUND: Ordinances requiring the implementation of robbery prevention measures have been enacted at the city level in many jurisdictions. We evaluated the impact of an ordinance requiring crime prevention measures on subsequent crime rates. METHODS: Crime reports for robbery and aggravated assault from January 2006 through December 2015 were linked to randomly-selected convenience stores and small retail grocers in Houston (n = 293). Store characteristics and compliance with a list of safety measures were collected by surveyors in 2011. Generalized linear mixed models were used to compare rates of crime before and after the implementation of the ordinance. RESULTS: Robberies decreased significantly after the ordinance went into effect (rate ratio = 0.38; 95% confidence interval 0.29-0.51). No individual safety measure was associated with decreased robbery rates. No similar decrease was observed for aggravated assault. CONCLUSIONS: City ordinances mandating crime prevention measures can be effective. We could not parse out the effectiveness of individual elements, suggesting a comprehensive approach may be more effective.


Assuntos
Comércio/organização & administração , Crime/prevenção & controle , Gestão da Segurança/legislação & jurisprudência , Roubo/prevenção & controle , Local de Trabalho/organização & administração , Cidades , Comércio/legislação & jurisprudência , Crime/estatística & dados numéricos , Humanos , Ciência da Implementação , Modelos Lineares , Supermercados , Texas , Roubo/estatística & dados numéricos , Local de Trabalho/legislação & jurisprudência
2.
Pan Afr Med J ; 35(Suppl 2): 148, 2020.
Artigo em Francês | MEDLINE | ID: mdl-33193963

RESUMO

Sub-Saharan African countries have been hit by the Coronavirus 2019 pandemic (COVID-19) since March 2020. Besides the resulting health and economic disasters is the psycho-socio-cultural problem related with the management of corpses of people dead from the disease, which might hinder the implementation of the response strategy. In Cameroon for instance, the current corpse management policy is very disputed. In fact, although they were recently made more flexible, the restrictions applied to burials still ban any transfer of dead bodies between cities. In light of the African cultural considerations of dead persons, the disputes observed between the families and the health personnel, the legislation and the available scientific evidence, this article analyses the risks and benefits of allowing families to bury their relatives. It thereafter suggests solutions that reconcile dignity (by allowing families to bury their dead relatives in their homes) and safety (by ensuring a sealed handling and the surveillance by a judiciary police officer). Applying these solutions could improve the population's trust towards the health system, and positively contribute to COVID-19 case prevention, identification and management.


Assuntos
Atitude Frente a Morte , Betacoronavirus , Sepultamento , Cadáver , Infecções por Coronavirus/prevenção & controle , Rituais Fúnebres , Práticas Mortuárias , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , África Subsaariana/epidemiologia , Sepultamento/ética , Sepultamento/legislação & jurisprudência , COVID-19 , Camarões , Infecções por Coronavirus/transmissão , Cultura , Transmissão de Doença Infecciosa/legislação & jurisprudência , Transmissão de Doença Infecciosa/prevenção & controle , Família , Humanos , Práticas Mortuárias/ética , Práticas Mortuárias/legislação & jurisprudência , Pessoalidade , Pneumonia Viral/transmissão , Opinião Pública , Medição de Risco , SARS-CoV-2 , Gestão da Segurança/ética , Gestão da Segurança/legislação & jurisprudência , Gestão da Segurança/métodos
3.
J Med Imaging Radiat Sci ; 51(4): 629-638, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32839139

RESUMO

BACKGROUND: An essential concept that all radiographers are required to implement is the use of techniques and the provision of protective devices to minimize radiation to patients and staff. Methods to achieve this could include good communication, immobilization, beam limitation, justification for radiation exposure, shielding, appropriate distances and optimum radiographic exposures factors. PURPOSE: The aim of this study was to assess the availability and utilization of radiation protection and safety measures by medical imaging technologists (MITs) in Rwandan hospitals. METHODS: A quantitative, non-experimental descriptive design was used and data collected by means of a self-designed questionnaire. One hundred and sixteen MITs (n = 116) representing 96.67% of the total population participated in the study. RESULTS: The study found radiation safety measures were not adequately implemented in government hospitals. Only 58.62% of MITs had radiation-measuring devices, with 29% receiving dose readings inconsistently. Lead rubber aprons were available at 99.13% of the hospitals; however, 59% of the participants had never checked the integrity of the aprons. Lead rubber aprons and lead equivalent barriers were most prevalent in the facilities. CONCLUSION: The study found there was a lack of adequate radiation safety equipment. Exposure charts and immobilization devices were not adequately implemented in the hospitals. The level of education and experience of the MITs did not appear to influence the radiation safety practice significantly. There is a need for concerted efforts between the Rwanda Utilities Regulatory Authority (RURA), Ministry of Health, University of Rwanda and hospital management to improve the radiation safety culture, especially in view of the law governing radiation protection that was recently promulgated.


Assuntos
Pessoal Técnico de Saúde/legislação & jurisprudência , Hospitais Públicos/legislação & jurisprudência , Exposição Ocupacional/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Proteção Radiológica/legislação & jurisprudência , Gestão da Segurança/legislação & jurisprudência , Adulto , Pessoal Técnico de Saúde/estatística & dados numéricos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional/estatística & dados numéricos , Segurança do Paciente/estatística & dados numéricos , Roupa de Proteção/estatística & dados numéricos , Equipamentos de Proteção/estatística & dados numéricos , Proteção Radiológica/métodos , Proteção Radiológica/estatística & dados numéricos , Ruanda , Gestão da Segurança/métodos , Gestão da Segurança/estatística & dados numéricos , Inquéritos e Questionários
4.
Med Leg J ; 88(1_suppl): 31-34, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-32700595

RESUMO

This article considers the recent calls to provide doctors with immunity from medical negligence claims arising out of the Covid-19 pandemic. It provides a critical analysis as to the conditions that would need to be considered for such a policy as well as exploring the wider ramifications.


Assuntos
Infecções por Coronavirus/terapia , Imperícia/legislação & jurisprudência , Erros Médicos/prevenção & controle , Pandemias/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Pneumonia Viral/terapia , COVID-19 , Competência Clínica , Pessoal de Saúde/legislação & jurisprudência , Humanos , Gestão da Segurança/legislação & jurisprudência , Medicina Estatal
5.
Bull World Health Organ ; 98(3): 206-211, 2020 Mar 01.
Artigo em Inglês | MEDLINE | ID: mdl-32132755

RESUMO

PROBLEM: Rapid growth in the use of medical devices has drawn attention to gaps in the systematic monitoring of medical device-associated adverse events in India. APPROACH: Implementation of national regulations on medical devices started in January 2018. Supported by a nationwide network of monitoring centres, the Indian Pharmacopoeia Commission coordinates adverse event reports from manufacturers, legal representatives and patients or users. The commission follows-up and reviews reports with subject expert groups and sends recommendations on necessary action to the national regulatory authority. LOCAL SETTING: Before 2015, no systematic structure was in place to collate adverse events associated with medical devices. Several reports of deaths and hospitalization due to faulty hip implants, cardiac stents and poor-quality devices prompted the health ministry to launch the materiovigilance programme. RELEVANT CHANGES: From July 2015 to October 2019, the commission received 1931 adverse event reports, mostly from marketing authorization holders; 1277 were serious events. Reporting increased markedly after 2017. Cardiac stents were the most reported device (926 events; 47.95%). To encourage a culture of reporting, the commission has raised awareness about the programme among stakeholders, developed user-friendly reporting tools and guidelines, and conducted training for hospital personnel on medical device adverse event reporting. LESSONS LEARNT: Regular training to stakeholders develops a sense of responsibility towards reporting medical device adverse events and ensures quality data reporting. Reporters must be assured that reporting adverse events does not have any legal implications for them and given acknowledgement of their role in high-quality device associated adverse event reporting.


Assuntos
Equipamentos e Provisões/efeitos adversos , Equipamentos e Provisões/estatística & dados numéricos , Gestão da Segurança/estatística & dados numéricos , Segurança de Equipamentos , Humanos , Índia , Notificação de Abuso , Vigilância de Produtos Comercializados , Sistema de Registros , Gestão da Segurança/legislação & jurisprudência
6.
Int J Occup Med Environ Health ; 33(3): 247-261, 2020 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-32205894

RESUMO

OBJECTIVES: The work is aimed to present and promote the Chemical Safety Management Training Hub for Chemicals Users (ChemSM-Hub) project implemented by the Nofer Institute of Occupational Medicine in cooperation with the Lodz University of Technology, Poland, and other partners from Germany (Oekopol GmbH), Greece (Prolipsis) and Romania (Romtens). The project is co-funded by the European Commission under the Erasmus+ program, whose aim is to support downstream users (DUs) and distributors (Ds) of chemicals in complying with the REACH and CLP Regulations by developing an innovative training program in chemical safety management (CSM), available via the online project platform, adapted to the real needs of the target groups. MATERIAL AND METHODS: The methodology for implementing the ChemSM-Hub project includes: 1) conducting survey research among the target groups, 2) conducting a state-of-the-art review of literature and websites, 3) developing the Dissemination and Promotion Plan, 4) developing the Monitoring and Evaluation Procedure, 5) developing the CSM training curriculum, 6) designing the project e-learning platform and mobile app, 7) developing the "Training pattern for trainers" guidance, and 8) organizing training events. RESULTS: The project is being implemented in response to the changing EU legislation on chemicals. As a result of the project, a CSM training program has been established consisting of 3 modules (introductory, basic and advanced) with varying degrees of complexity. In addition, a pocket guide has been developed that contains basic information for DUs and Ds regarding the REACH and CLP Regulations, as well as the "Training pattern for trainers" guidance containing a CSM training session plan for trainers. All these materials will be available via the project platform, and their selected elements also via a mobile app. CONCLUSIONS: The publication is aimed to familiarize the potential users of the ChemSM-Hub training program with its thematic scope, the structure of the training and the expected results. It is also a way to promote online training adapted to the needs of its target groups. Int J Occup Med Environ Health. 2020;33(3):247-61.


Assuntos
Indústria Química/educação , Segurança Química/métodos , Gestão da Segurança/métodos , Segurança Química/legislação & jurisprudência , Educação a Distância , Europa (Continente) , Aplicativos Móveis , Gestão da Segurança/legislação & jurisprudência
8.
J Healthc Qual Res ; 34(5): 258-265, 2019.
Artigo em Espanhol | MEDLINE | ID: mdl-31713522

RESUMO

INTRODUCTION: Patient Safety Culture is based on learning from incidents, developing preventive strategies to reduce the likelihood to happen and recognizing and accompanying those who have suffered unnecessary and involuntary harm derived from the health care received. To go ahead on patient safety culture entails facilitating the implementation of these behaviors and attitudes in healthcare professionals. Objective was to describe the regulations of some autonomous communities and national proposals for regulations changes. MATERIAL AND METHODS: Search of normative changes made in the autonomous communities of Catalonia, Navarra and the Basque Country. Proposals for legislative changes at national level were agreed. RESULTS: Activities and normative changes made in the autonomous communities of Catalonia, Navarre and the Basque Country are described and proposals for normative changes at the national level at short-term and long-term changes are made. In such a way that it is easier to advance in creating culture of patient safety in the whole National Health System CONCLUSION: Currently there is no global regulation that facilitates to advance in patient safety culture. Changes at the national legislation level are essential. It is at the Inter-territorial Council where the proposed legislative amendment should be defined, promoted by the representatives of the health systems of the autonomous communities.


Assuntos
Instalações de Saúde/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Gestão de Riscos/legislação & jurisprudência , Gestão da Segurança/legislação & jurisprudência , Instalações de Saúde/tendências , Humanos , Programas Nacionais de Saúde/legislação & jurisprudência , Programas Nacionais de Saúde/tendências , Cultura Organizacional , Gestão de Riscos/organização & administração , Gestão de Riscos/tendências , Gestão da Segurança/organização & administração , Gestão da Segurança/tendências , Espanha
14.
J Safety Res ; 69: 109-114, 2019 06.
Artigo em Inglês | MEDLINE | ID: mdl-31235221

RESUMO

INTRODUCTION: In mid-2007 the State of New South Wales (NSW) in Australia introduced modifications to the existing graduated driver licensing system, lengthening the mandatory number of supervised hours for learner drivers aged under 25 years from 50 to 120 and extending the minimum learner period from 6 to 12 months. Additional driving restrictions were also introduced for young drivers in the two provisional licensed periods, P1, P2. This paper aims to evaluate this change by comparing the crash and offense experiences of young learner drivers before and after it occurred. METHOD: From driver licensing files supplied by the NSW transport authority two cohorts of persons obtaining their initial learner's permits in the year prior to the changes and in the subsequent year were constructed with demographic data, dates of transition to the driving phases, dates of crashes, and dates and types of traffic offenses. Both cohorts comprised around 100,000 individuals. Crash rates per 100 years of person-time under observation post P1 with their standard errors were calculated. Using a survival-analytic approach the proportion of crashes of all types were graphed in three month periods post P1. Sexes were treated separately as were initial learner ages of 16, 17, 18-21, and 22-24 years. The distribution of traffic offense types during P1 and P2 phases were also compared. With such large numbers formal statistical testing was avoided. RESULTS: No meaningful differences in the crash or offense experiences of the two cohorts in either sex or at any age were observed. Delaying progress to unsupervised driving has road safety benefits. CONCLUSIONS: At least in conditions similar to those in NSW, requiring more than 50 h of supervised driving seems to have few road safety benefits. Practical applications: Licensing authorities should be cautious in extending the mandated number of supervised driving hours beyond 50.


Assuntos
Acidentes de Trânsito/estatística & dados numéricos , Condução de Veículo/educação , Criminosos/educação , Licenciamento/estatística & dados numéricos , Gestão da Segurança/legislação & jurisprudência , Acidentes de Trânsito/prevenção & controle , Adolescente , Adulto , Exame para Habilitação de Motoristas/legislação & jurisprudência , Condução de Veículo/legislação & jurisprudência , Condução de Veículo/psicologia , Criminosos/estatística & dados numéricos , Feminino , Inquéritos Epidemiológicos , Humanos , Masculino , New South Wales , Adulto Jovem
15.
BMC Health Serv Res ; 19(1): 435, 2019 Jun 28.
Artigo em Inglês | MEDLINE | ID: mdl-31253161

RESUMO

BACKGROUND: Since the 2013 Rana Plaza incident in Bangladesh, the government of Bangladesh has been under pressure to improve health and safety conditions for workers in the ready-made garment industry. Its efforts have focused heavily on structural safety of the buildings but have largely ignored broader occupational health system issues. This qualitative study explores contextual factors and system challenges that create barriers for ensuring a healthy and safe workplace in the ready-made garment industry in Bangladesh. METHODS: Data were collected through key informant interviews (n = 14) with government officials from the Department of Inspection for Factories and Establishments (DIFE), factory employers, factory doctors and representatives from the Bangladesh Garment Manufacturers and Exporters Association (BGMEA). A thematic analysis was conducted using Atlas-ti v 5.2. RESULTS: A thematic analysis suggests that the capacity of the DIFE to provide adequate occupational health services remains a problem. There is a shortage of both appropriately trained staff and equipment to monitor occupational health and safety in factories and to gather useful data for evidence-based decision-making. Another barrier to effective occupational health and safety of workers is the lack of cooperation by employers in recording data on workers' health and safety problems. Finally, government officials have limited resources and power to enforce compliance with regulations. Such deficiencies threaten the health and safety of this important, largely female, working population. CONCLUSION: This case example focused on the valuable ready-made garment industry sector of Bangladesh's economy. It identifies the critical need for occupational health system strengthening. Specifically system capacity needs to be improved by both increasing human resources for in-factory hazards and health monitoring, regulatory inspection, enforcement, and improved training of government officials around monitoring and reporting.


Assuntos
Saúde Ocupacional/legislação & jurisprudência , Saúde Ocupacional/normas , Gestão da Segurança/legislação & jurisprudência , Indústria Têxtil/legislação & jurisprudência , Local de Trabalho/legislação & jurisprudência , Bangladesh , Humanos , Avaliação das Necessidades , Ocupações , Formulação de Políticas , Pesquisa Qualitativa , Gestão da Segurança/organização & administração , Indústria Têxtil/normas , Tolerância ao Trabalho Programado , Local de Trabalho/organização & administração , Local de Trabalho/normas
16.
Rev Gaucha Enferm ; 40(spe): e20180347, 2019.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31038608

RESUMO

OBJECTIVE: To identify what risks and incidents related to the drug therapy process are presented in an Emergency Care Unit (UPA) and to present proposals for management actions and safe practices, in the perception of the nursing team. METHOD: Qualitative research, in the research-action modality, developed in the scenario of UPA, located in the interior of São Paulo. Data collection was done through interviews and focus groups with 33 professionals, between June 2015 and April 2016. For the data treatment, the Content Analysis Technique was used. RESULTS AND DISCUSSION: From the participants' reports, thematic categories were organized, with the risks and incidents related to the drug therapy process being one of the listed categories, as well as proposals for actions. CONCLUSION: The study allowed the implementation of patient safety actions related to the administration of drugs in a PAU, offering a higher quality of care.


Assuntos
Prescrições de Medicamentos , Tratamento Farmacológico , Serviços Médicos de Emergência/organização & administração , Erros de Medicação/prevenção & controle , Sistemas de Medicação/organização & administração , Segurança do Paciente , Preparações Farmacêuticas/administração & dosagem , Gestão da Segurança/organização & administração , Adulto , Brasil , Tratamento Farmacológico/enfermagem , Tratamento Farmacológico/normas , Prescrição Eletrônica , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/psicologia , Assistentes de Enfermagem/psicologia , Equipe de Enfermagem , Pesquisa Qualitativa , Gestão de Riscos , Gestão da Segurança/legislação & jurisprudência
17.
Br J Surg ; 106(11): 1433-1441, 2019 10.
Artigo em Inglês | MEDLINE | ID: mdl-31112294

RESUMO

BACKGROUND: A video and medical data recorder in the operating theatre is possible, but concerns over privacy, data use and litigation have limited widespread implementation. The literature on legal considerations and challenges to overcome, and guidelines related to use of data recording in the surgical environment, are presented in this narrative review. METHODS: A review of PubMed and Embase databases and Cochrane Library was undertaken. International jurisprudence on the topic was searched. Practice recommendations and legal perspectives were acquired based on experience with implementation and use of a video and medical data recorder in the operating theatre. RESULTS: After removing duplicates, 116 citations were retrieved and abstracts screened; 31 articles were assessed for eligibility and 20 papers were finally included. According to the European General Data Protection Regulation and US Health Insurance Portability and Accountability Act, researchers are required to make sure that personal data collected from patients and healthcare professionals are used fairly and lawfully, for limited and specifically stated purposes, in an adequate and relevant manner, kept safe and secure, and stored for no longer than is absolutely necessary. Data collected for the sole purpose of healthcare quality improvement are not required to be added to the patient's medical record. CONCLUSION: Transparency on the use and purpose of recorded data should be ensured to both staff and patients. The recorded video data do not need to be used as evidence in court if patient medical records are well maintained. Clear legislation on data responsibility is needed to use the medical recorder optimally for quality improvement initiatives.


ANTECEDENTES: Es posible instalar un sistema de video y grabación de datos médicos en el quirófano, pero su implementación se ha visto limitada por las dudas relativas a la privacidad, uso de datos y aspectos de litigio. Estas dudas deberían superarse, motivo por el que en este trabajo se proponen unas guías sobre el uso de sistemas de registro en el ambiente quirúrgico. MÉTODOS: Se realizó una revisión en las bases de datos Pubmed y Embase y de la Biblioteca Cochrane. Se buscó la jurisprudencia internacional sobre el tema. Se establecieron unas recomendaciones prácticas y de las perspectivas legales adquiridas a través de la experiencia de la implementación y el uso de sistemas de video y registro de datos médicos en el quirófano. RESULTADOS: Se obtuvieron 116 referencias, de las que una vez eliminadas las duplicadas (n = 5) y revisados los resumenes, 31 artículos cumplían los criterios de eligibilidad. En el estudio final se incluyeron 20 artículos. De acuerdo con la Ley Orgánica de Protección de Datos (General Data Protection Regulation, GDRP) y la Ley de Transferencia y Responsabilidad de Seguro Médico (Health Insurance Portability and Accountability Act, HIPAA), los investigadores deben asegurar que los datos personales recopilados pertenecientes a los pacientes y profesionales de la salud se utilicen de manera justa y legal, con fines definidos y bien establecidos, de manera adecuada y relevante, y mantenidos a resguardo y almacenados no más tiempo del estrictamente necesario. No es necesario que los datos recopilados con el único propósito de mejorar la calidad de la atención médica se agreguen a la historia clínica del paciente. CONCLUSIÓN: Se debe asegurar por parte del personal sanitario como del paciente, la transparencia tanto en la utilización como en el objetivo de los datos almacenados. Los datos registrados en video no es necesario que sean usados como evidencia en procesos judiciales si la historia clínica de los pacientes cumple los estandares establecidos. Se precisa una legislación clara sobre la responsabilidad de los datos para la utilización óptima de los registros médicos en las iniciativas de mejora de la calidad.


Assuntos
Salas Cirúrgicas/legislação & jurisprudência , Procedimentos Cirúrgicos Operatórios/legislação & jurisprudência , Humanos , Erros Médicos/legislação & jurisprudência , Segurança do Paciente/legislação & jurisprudência , Privacidade , Gestão da Segurança/legislação & jurisprudência , Gravação em Vídeo/legislação & jurisprudência
18.
Transgenic Res ; 28(2): 267-286, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30838488

RESUMO

The European Court of Justice's recent ruling that the new techniques for crop development are to be considered as genetically modified organisms under the European Union's regulations exacerbates the need for a critical evaluation of those regulations. The paper analyzes the regulation from the perspective of moral and political philosophy. It considers whether influential arguments for restrictions of genetically modified organisms provide cogent justifications for the policies that are in place, in particular a pre-release authorization requirement, mandatory labelling, and de facto bans (in the form of withholding or opting out of authorizations). It is argued that arguments pertaining to risk can justify some form of pre-release authorization scheme, although not necessarily the current one, but that neither de facto bans nor mandatory labelling can be justified by reference to common arguments concerning naturalness, agricultural policy (in particular the promotion of organic farming), socio-economic effects, or consumers' right to choose.


Assuntos
Qualidade de Produtos para o Consumidor/legislação & jurisprudência , Produtos Agrícolas/genética , Alimentos Geneticamente Modificados , Engenharia Genética/legislação & jurisprudência , Plantas Geneticamente Modificadas , Medição de Risco/legislação & jurisprudência , Gestão da Segurança/legislação & jurisprudência , União Europeia , Engenharia Genética/métodos , Engenharia Genética/normas , Humanos , Legislação sobre Alimentos , Medição de Risco/métodos , Medição de Risco/normas , Gestão da Segurança/métodos , Gestão da Segurança/normas
19.
Health Syst Reform ; 5(2): 121-133, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30848990

RESUMO

Traffic injuries remain a leading health concern in most low- and middle-income countries (LMICs). However, most LMICs have not established institutions that have the legislative mandate and financial resources necessary to coordinate large-scale interventions. Argentina provides a counterexample. Argentina is a federal country where the decentralization of authority to provincial governments was a key barrier to effective national interventions. In 2008, Argentina passed a law establishing a national road safety agency and subsequently received a World Bank loan to build the agency's capacity to coordinate actions. Although traffic injuries in Argentina have not yet begun to decline, these developments raise important questions:Why did Argentina come to view road safety as aproblem?Why was institutional reform the chosen solution? What was the political process for achieving reform? What are the broader implications for institutional reform in LMICs?We explore these questions using a descriptive case study (single-case, holistic design) of Argentina. The case illustrates that focusing events, like the Santa Fe tragedy that killed nine children, and advocacy groups are important for raising political attention and creating an opportunity for legislative reform. It highlights the importance of policy entrepreneurs who used the opportunity to push through new legislation. Though the political dynamic was predominantly local, international actors worked with local advocates to build demand for safety and develop solutions that could be deployed when the opportunity arose. Most important, the case emphasizes the importance of developing institutions with the resources and authority necessary for managing national road safety programs.


Assuntos
Acidentes de Trânsito/prevenção & controle , Ferimentos e Lesões/prevenção & controle , Acidentes de Trânsito/mortalidade , Argentina/epidemiologia , Países em Desenvolvimento , Planejamento Ambiental/economia , Planejamento Ambiental/legislação & jurisprudência , Humanos , Política , Gestão da Segurança/economia , Gestão da Segurança/legislação & jurisprudência , Ferimentos e Lesões/mortalidade
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