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Examinee Nondisclosure of Relevant Medical Information During Transportation-Related Regulatory Examinations: A Case
Kristopher D Minsinger1, Judith M Graber, Hasan Nezam
1From the Rutgers University, Environmental and Occupational Health Sciences Institute, Piscataway, New Jersey (K.D.M., J.M.G., H.N., J.C., I.U.); Rutgers, The State University of New Jersey, School of Public Health, Environmental and Occupational Health and Justice, Piscataway, New Jersey (K.D.M., H.N., J.C., I.U.); Naval Nuclear Laboratory, Naval Reactor Facility, Idaho Falls, Idaho (K.D.M.); Rutgers School of Public Health, Department of Biostatistics and Epidemiology, Piscataway, New Jersey (J.M.G.); and University of Pennsylvania Health System, Philadelphia, Pennsylvania (H.N.).
Objective:
In the past decade, US transport accidents have resulted in over 370,000 fatalities. Research on medical history nondisclosure during mandatory regulatory exams has been limited. This study used the National Transportation Safety Board's (NTSB) Case Analysis and Reporting Online (CAROL) database to: (1) identify nondisclosure, (2) Assess nondisclosure patterns, and (3) evaluate CAROL's research potential.
Methods:
The CAROL database was searched for US cases (01/01/2010-01/29/2024) involving fatalities and medically related causes. Nondisclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.
Results:
Of 3012 accidents, 258 met our criteria; 80 (31%) indicated examinee nondisclosure in the NTSB investigation.
Conclusions:
Operator nondisclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks nondisclosure poses to US transportation safety.
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