Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme
ObjectiveWith 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...
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| Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2017-05, Vol.74 (5), p.336-343 |
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| creator | Dennerlein, Jack T O'Day, Elizabeth (Tucker) Mulloy, Deborah F Somerville, Jackie Stoddard, Anne M Kenwood, Christopher Teeple, Erin Boden, Leslie I Sorensen, Glorian Hashimoto, Dean |
| description | ObjectiveWith 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 hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.MethodsBaseline 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.ResultsSafe and unsafe patient handling practice scales at the study hospital improved significantly (p |
| doi_str_mv | 10.1136/oemed-2015-103507 |
| format | Article |
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We completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.MethodsBaseline 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.ResultsSafe 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.ConclusionsWithin 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><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2015-103507</identifier><identifier>PMID: 27919058</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adult ; Analysis of Variance ; Appointments & personnel changes ; Boston - epidemiology ; Collaboration ; Committees ; Databases, Factual ; Female ; Handling ; Health Personnel ; Health Promotion - methods ; Hoisting ; Hospitals ; Humans ; Initiatives ; Injuries ; Leadership ; Male ; Middle Aged ; Moving and Lifting Patients - methods ; Musculoskeletal Pain - epidemiology ; Musculoskeletal Pain - prevention & control ; Musculoskeletal System - injuries ; Occupational Diseases - epidemiology ; Occupational Diseases - prevention & control ; Occupational health ; Occupational Injuries - epidemiology ; Occupational Injuries - prevention & control ; Pain ; Patient handling ; Patients ; Personnel management ; Physical Exertion ; Program Evaluation ; Quality ; Quality Improvement ; Safety Management - methods ; Trends ; Workers ; Workplace</subject><ispartof>Occupational and environmental medicine (London, England), 2017-05, Vol.74 (5), p.336-343</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>2017 BMJ Publishing Group</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b497t-cfc62eeed010136dce61f7a76614f4a80ca9d72585ce982a9fb2c074f8cfa94e3</citedby><cites>FETCH-LOGICAL-b497t-cfc62eeed010136dce61f7a76614f4a80ca9d72585ce982a9fb2c074f8cfa94e3</cites><orcidid>0000-0002-9779-207X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/26158364$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/26158364$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27919058$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dennerlein, Jack T</creatorcontrib><creatorcontrib>O'Day, Elizabeth (Tucker)</creatorcontrib><creatorcontrib>Mulloy, Deborah F</creatorcontrib><creatorcontrib>Somerville, Jackie</creatorcontrib><creatorcontrib>Stoddard, Anne M</creatorcontrib><creatorcontrib>Kenwood, Christopher</creatorcontrib><creatorcontrib>Teeple, Erin</creatorcontrib><creatorcontrib>Boden, Leslie I</creatorcontrib><creatorcontrib>Sorensen, Glorian</creatorcontrib><creatorcontrib>Hashimoto, Dean</creatorcontrib><title>Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectiveWith 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 hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.MethodsBaseline 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.ResultsSafe 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.ConclusionsWithin 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><subject>Adult</subject><subject>Analysis of Variance</subject><subject>Appointments & personnel changes</subject><subject>Boston - epidemiology</subject><subject>Collaboration</subject><subject>Committees</subject><subject>Databases, Factual</subject><subject>Female</subject><subject>Handling</subject><subject>Health Personnel</subject><subject>Health Promotion - methods</subject><subject>Hoisting</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Initiatives</subject><subject>Injuries</subject><subject>Leadership</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Moving and Lifting Patients - methods</subject><subject>Musculoskeletal Pain - epidemiology</subject><subject>Musculoskeletal Pain - prevention & control</subject><subject>Musculoskeletal System - injuries</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - prevention & control</subject><subject>Occupational health</subject><subject>Occupational Injuries - epidemiology</subject><subject>Occupational Injuries - prevention & control</subject><subject>Pain</subject><subject>Patient handling</subject><subject>Patients</subject><subject>Personnel management</subject><subject>Physical Exertion</subject><subject>Program Evaluation</subject><subject>Quality</subject><subject>Quality Improvement</subject><subject>Safety Management - methods</subject><subject>Trends</subject><subject>Workers</subject><subject>Workplace</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkc2K1jAYhYsozjh6AS6UgBsXVvOmaX6WMvgHH7jRdUnTNzMpbVOTfIxegzdtOp0PwY2zSuA85xySU1XPgb4FaMS7gDMONaPQ1kCblsoH1TlwSWupmXhY7k0LNZUAZ9WTlEZKoZENe1ydMalB01adV78P3mW_XBGzDAR_Ysw-LMQv4zF6TGRAG9EkJMZljMTP61Q6l2xuseCKrcAZr6LJOJDrkFafzVTf-AFJMg7JWtBiINelYDoVzaH3k097yhpDsc8zPq0eOTMlfHZ3XlTfP374dvm5Pnz99OXy_aHuuZa5ts4KhogDhfIgMVgU4KSRQgB33ChqjR4ka1VrUStmtOuZpZI7ZZ3RHJuL6vWeW5p_HDHlbvbJ4jSZBcMxdeVrOAPVQPN_VGlQbasYvQfKRSOE1Lqgr_5Bx3CMS3nzFsgVE4pugbBTNoaUIrpujX428VcHtNv2727377b9u33_4nl5l3zsN-3kOA1egBc7MKYc4l9dQBEFL_qbXe_n8R59fwC4dcYB</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>Dennerlein, Jack T</creator><creator>O'Day, Elizabeth (Tucker)</creator><creator>Mulloy, Deborah F</creator><creator>Somerville, Jackie</creator><creator>Stoddard, Anne M</creator><creator>Kenwood, Christopher</creator><creator>Teeple, Erin</creator><creator>Boden, Leslie I</creator><creator>Sorensen, Glorian</creator><creator>Hashimoto, Dean</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>7T2</scope><scope>7U2</scope><scope>C1K</scope><scope>7QQ</scope><scope>7TA</scope><scope>7TB</scope><scope>8FD</scope><scope>FR3</scope><scope>JG9</scope><scope>KR7</scope><orcidid>https://orcid.org/0000-0002-9779-207X</orcidid></search><sort><creationdate>20170501</creationdate><title>Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme</title><author>Dennerlein, Jack T ; O'Day, Elizabeth (Tucker) ; Mulloy, Deborah F ; Somerville, Jackie ; Stoddard, Anne M ; Kenwood, Christopher ; Teeple, Erin ; Boden, Leslie I ; Sorensen, Glorian ; Hashimoto, Dean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b497t-cfc62eeed010136dce61f7a76614f4a80ca9d72585ce982a9fb2c074f8cfa94e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Analysis of Variance</topic><topic>Appointments & personnel changes</topic><topic>Boston - epidemiology</topic><topic>Collaboration</topic><topic>Committees</topic><topic>Databases, Factual</topic><topic>Female</topic><topic>Handling</topic><topic>Health Personnel</topic><topic>Health Promotion - methods</topic><topic>Hoisting</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Initiatives</topic><topic>Injuries</topic><topic>Leadership</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Moving and Lifting Patients - methods</topic><topic>Musculoskeletal Pain - epidemiology</topic><topic>Musculoskeletal Pain - prevention & control</topic><topic>Musculoskeletal System - injuries</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - prevention & control</topic><topic>Occupational health</topic><topic>Occupational Injuries - epidemiology</topic><topic>Occupational Injuries - prevention & control</topic><topic>Pain</topic><topic>Patient handling</topic><topic>Patients</topic><topic>Personnel management</topic><topic>Physical Exertion</topic><topic>Program Evaluation</topic><topic>Quality</topic><topic>Quality Improvement</topic><topic>Safety Management - methods</topic><topic>Trends</topic><topic>Workers</topic><topic>Workplace</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dennerlein, Jack T</creatorcontrib><creatorcontrib>O'Day, Elizabeth (Tucker)</creatorcontrib><creatorcontrib>Mulloy, Deborah F</creatorcontrib><creatorcontrib>Somerville, Jackie</creatorcontrib><creatorcontrib>Stoddard, Anne M</creatorcontrib><creatorcontrib>Kenwood, Christopher</creatorcontrib><creatorcontrib>Teeple, Erin</creatorcontrib><creatorcontrib>Boden, Leslie I</creatorcontrib><creatorcontrib>Sorensen, Glorian</creatorcontrib><creatorcontrib>Hashimoto, Dean</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Ceramic Abstracts</collection><collection>Materials Business File</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Materials Research Database</collection><collection>Civil Engineering Abstracts</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dennerlein, Jack T</au><au>O'Day, Elizabeth (Tucker)</au><au>Mulloy, Deborah F</au><au>Somerville, Jackie</au><au>Stoddard, Anne M</au><au>Kenwood, Christopher</au><au>Teeple, Erin</au><au>Boden, Leslie I</au><au>Sorensen, Glorian</au><au>Hashimoto, Dean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>74</volume><issue>5</issue><spage>336</spage><epage>343</epage><pages>336-343</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>ObjectiveWith 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 hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.MethodsBaseline 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.ResultsSafe 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.ConclusionsWithin 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.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>27919058</pmid><doi>10.1136/oemed-2015-103507</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9779-207X</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Occupational and environmental medicine (London, England), 2017-05, Vol.74 (5), p.336-343 |
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| source | Jstor Complete Legacy; MEDLINE |
| subjects | Adult Analysis of Variance Appointments & personnel changes Boston - epidemiology Collaboration Committees Databases, Factual Female Handling Health Personnel Health Promotion - methods Hoisting Hospitals Humans Initiatives Injuries Leadership Male Middle Aged Moving and Lifting Patients - methods Musculoskeletal Pain - epidemiology Musculoskeletal Pain - prevention & control Musculoskeletal System - injuries Occupational Diseases - epidemiology Occupational Diseases - prevention & control Occupational health Occupational Injuries - epidemiology Occupational Injuries - prevention & control Pain Patient handling Patients Personnel management Physical Exertion Program Evaluation Quality Quality Improvement Safety Management - methods Trends Workers Workplace |
| title | Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme |
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