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Failure of hospitals to promote the use of child restraint devices

M D Decker1, G A Bolton, M J Dewey

  • 1Department of Preventive Medicine, Vanderbilt University School of Medicine, Nashville, TN 37232.

American Journal of Diseases of Children (1960)
|June 1, 1988
PubMed

Insights

Child restraint device (CRD) laws are not consistently enforced in Tennessee hospitals. Few hospitals have policies requiring newborns to leave in CRDs, highlighting a gap in child passenger safety efforts.

Area of Science:

  • Pediatrics
  • Public Health
  • Trauma Prevention

Background:

  • Motor vehicle accidents are a leading cause of death in children.
  • Tennessee pioneered child restraint device (CRD) laws in 1977.
  • Despite laws, many young children remain unrestrained during travel.

Purpose of the Study:

  • To assess hospital policies regarding CRD use for discharged infants and children.
  • To identify the extent of CRD policy adoption in Tennessee acute-care hospitals.

Main Methods:

  • A survey was conducted of all acute-care hospitals in Tennessee.
  • Policies concerning CRD use for newborns and pediatric patients were examined.

Main Results:

  • Only 26% of hospitals with obstetric services had a policy for discharging newborns in CRDs.
  • A mere 5% of hospitals with pediatric services had a similar CRD discharge policy.
  • A significant disparity exists in CRD policy implementation between obstetric and pediatric units.

Conclusions:

  • Hospitals and professional organizations must implement consistent CRD policies.
  • Education on CRD laws and ensuring parental compliance are crucial.
  • Pediatricians should integrate "discharge in child restraint device" into routine orders to enhance child safety.

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