Effectiveness of patient lift equipment
Principal Investigator: H J Lipscomb
Affiliation: Duke University Medical Center
Abstract: We propose to evaluate the effectiveness of lift equipment in the prevention of patient-handling injuries at a large tertiary care medical center. The placement of the equipment represents an institutional policy shift to a minimal manual-lift environment supported by training of inpatient nursing staff, including nurses and nurse's aides, in the appropriate use of equipment and reinforcement through nurse trainers and occupational safety and health ergonomics staff. The institution is supporting the collection of data for process evaluation and surveillance of unintended patient-related incidents such as falls or skin tears, as well as monitoring the adoption of the equipment on each unit as it is introduced. By combining surveillance data we are able to identify the dynamic cohort of nursing staff at this medical center over a 12-year period (1997-2008), their hours worked, their workers' compensation claims, and their health care claims through their private employer-provided health insurance; all are linked on an individual basis. These data provide the opportunity to evaluate the effectiveness of lift equipment placed on all in- patient units through changes in injury rates, lost work days, and workers' compensation costs taking into account temporal trends. We also have the ability to evaluate changes in private health care utilization for selected conditions that may fail to be appropriately attributed to work conditions. The placement of the equipment institution-wide will allow us to compare the relative effectiveness among units with patients that place different levels of physical demand on staff such as orthopaedics, general medicine and intensive care, for example. In addition, through collection of questionnaire data from staff at the time of equipment training and at several points in follow-up, we will be able to explore high risk groups for musculoskeletal symptoms and work-related injuries related to patient handling based on time in the profession, age, job, work unit characteristics, and elements of job control, demand, and satisfaction. The information collected prospectively combined with the retrospective data will allow a very comprehensive evaluation of the effectiveness of this equipment designed to decrease injuries among nursing staff at high risk of occupational injury from patient handling. The proposed work addresses several NIOSH priority areas including health care workers, back injuries, and intervention effectiveness research.
Funding Period: 2005-08-01 - 2009-07-31
more information: NIH RePORT
- Musculoskeletal injuries resulting from patient handling tasks among hospital workersLisa A Pompeii
Division of Environmental and Occupational Health Sciences, School of Public Health, The University of Texas, Houston, Texas 77030, USA
Am J Ind Med 52:571-8. 2009..We sought to define the circumstances surrounding patient handling injuries and to identify potential preventive measures...
- Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipmentAshley L Schoenfisch
Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, NC 27705, USA
Scand J Work Environ Health 39:27-36. 2013....
- Job characteristics and work organization factors associated with patient-handling injury among nursing personnelAshley L Schoenfisch
Duke University Medical Center, Division of Occupational and Environmental Medicine, Durham, NC 27705, USA
Work 33:117-28. 2009..These findings add to a growing body of literature on the highly contextual nature of work organization factors...
- Occupational injuries among aides and nurses in acute careR L Rodríguez-Acosta
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
Am J Ind Med 52:953-64. 2009..Our objective was to assess risk of work-related injuries in an acute care setting while contrasting injuries of aides and nurses...
- Physical assault among nursing staff employed in acute careR L Rodríguez-Acosta
Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA
Work 35:191-200. 2010..63, 95% CI: 1.51-8.71) units. Interventions targeting Psychiatry, Neurology, and Rehabilitation units, and younger and newly hired staff are warranted. More detailed data are needed to develop targeted interventions...