Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme

Details

• Personal Author:
  Boden LI ; Dennerlein, Jack T. ; Hashimoto D ; Kenwood C ; Mulloy DF ; O'Day ET ; Somervillle J ; Sorensen, Glorian ; Stoddard AM ; Teeple E
• Description:
  Objective: With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. We completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospitalwide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans. Methods: Baseline and 12-month follow-up surveys of 1832 direct patient care workers assessed work practices and self-reported pain while an integrated employee payroll and injury database provided recordable injury rates collected concurrently at 2 hospitals: the study hospital with the programme and a comparison hospital. Results: Safe and unsafe patient handling practice scales at the study hospital improved significantly (p<0.0001 and p=0.0031, respectively), with no differences observed at the comparison hospital. We observed significant decreases in recordable neck and shoulder (Relative Risk (RR)=0.68, 95% CI 0.46 to 1.00), lifting and exertion (RR=0.73, 95% CI 0.60 to 0.89) and pain and inflammation (RR=0.78, 95% CI 0.62 to 1.00) injury rates at the study hospital. Changes in rates at the comparison hospital were not statistically significant. Conclusions: Within the context of a patient mobilisation initiative, a safe patient handling and mobilisation programme was associated with improved work practices and a reduction in recordable worker injuries. This study demonstrates the potential impact of utilising a systems approach based on recommended best practices, including integration of these practices into the patient's plan for care. [Description provided by NIOSH]
• Subjects:
  Health Care Facilities Workforce And Services Health Personnel Musculoskeletal Diseases Musculoskeletal System Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Exposure Limits Health Care Health Care Facilities Health Care Personnel Injuries Lifting Manual Lifting Medical Equipment Medical Personnel MSD Musculoskeletal System Musculoskeletal System Disorders Neck Injuries Patient Handling Physiological Effects Physiological Stress Physiology Risk Factors Total Worker Health TWH Workers

  More +
• ISSN:
  1351-0711
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  336-343
• Volume:
  74
• Issue:
  5
• NIOSHTIC Number:
  nn:20048850
• Citation:
  Occup Environ Med 2017 May; 74(5):336-343
• Contact Point Address:
  Dr Jack T Dennerlein, Department of Physical Therapy, Movement, and Rehabilitation Sciences, Bouvé College of Health Sciences, Northeastern University, Robinson Hall 301, 360 Huntington Avenue, Boston, MA 02215, USA
• Email:
  j.dennerlein@neu.edu
• Federal Fiscal Year:
  2017
• NORA Priority Area:
  Construction ; Healthcare and Social Assistance
• Performing Organization:
  Harvard University, Boston, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  20070901
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20260831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:3456c8825621c723cd56e1d3d233bb9aa366380e5de87268c480e31806448aa48042c70694843d1d4f33b23872db6a26734883275f9ffd0a6eea4fb1fa033313
• Download URL:
  https://stacks.cdc.gov/view/cdc/203478/cdc_203478_DS1.pdf
• File Type:
  [PDF - 507.20 KB ]