Kristopher D Minsinger, Judith M Graber, Hasan Nezam, Julie Caruth, Iris Udasin
{"title":"Examinee non-disclosure of relevant medical information during transportation related regulatory examinations: a case-series.","authors":"Kristopher D Minsinger, Judith M Graber, Hasan Nezam, Julie Caruth, Iris Udasin","doi":"10.1097/JOM.0000000000003346","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure 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 non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential.</p><p><strong>Methods: </strong>The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.</p><p><strong>Results: </strong>Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation.</p><p><strong>Conclusion: </strong>Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety.</p>","PeriodicalId":94100,"journal":{"name":"Journal of occupational and environmental medicine","volume":" ","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of occupational and environmental medicine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/JOM.0000000000003346","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: In the past decade, U.S. transport accidents have resulted in over 370,000 fatalities. Research on medical history non-disclosure 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 non-disclosure, (2) Assess non-disclosure patterns, (3) Evaluate CAROL's research potential.
Methods: The CAROL database was searched for U.S. cases (01/01/2010-01/29/2024) involving fatalities and medically-related causes. Non-disclosure was defined as operators with undisclosed preexisting conditions or medications in NTSB reports. Twelve cases with recurring themes were described in detail.
Results: Of 3,012 accidents, 258 met our criteria; 80 (31%) indicated examinee non-disclosure in the NTSB investigation.
Conclusion: Operator non-disclosure in NTSB cases underscores CAROL's value for further investigations and highlights the risks non-disclosure poses to U.S. transportation safety.