Musculoskeletal Injuries among Hospital Patient Care Staff before and after Implementation of Patient Lift and Transfer Equipment

Objective Using an observational research design and robust surveillance data, we evaluated rates of musculoskeletal (MS) injuries, days away from work, and restricted work days among patient care staff at a medical center and community hospital in the United States over 13 years, during which time...

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Vydáno v:	Scandinavian Journal of Work, Environment ＆ Health Ročník 39; číslo 1; s. 27 - 36
Hlavní autoři:	Schoenfisch, Ashley L, Lipscomb, Hester J, Pompeii, Lisa A, Myers, Douglas J, Dement, John M
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	Helsinki Scandinavian Journal of Work, Environment ＆ Health 01.01.2013 Finnish Institute of Occupational Health National Institute of Occupational Health National Research Centre for the Working Environment Scandinavian journal of work, environment & health Scandinavian Journal of Work, Environment & Health Nordic Association of Occupational Safety and Health (NOROSH)
Témata:	Absenteeism Adolescent Adult Aged Biological and medical sciences Caregivers Community hospitals Compensation Data Diseases of the osteoarticular system Elevators Female Health care industry healthcare worker hospital hospital staff Hospitals Human resources Humans Injuries Intervention intervention evaluation Job titles lift Male Medical equipment Medical personnel Medical sciences Middle Aged Miscellaneous. Osteoarticular involvement in other diseases Moving and Lifting Patients - adverse effects Musculoskeletal Diseases - etiology Musculoskeletal Diseases - prevention & control musculoskeletal injury Nurses Nursing Observational studies observational study Occupational Diseases - etiology Occupational Exposure - adverse effects Occupational Health Patient care Patient handling patient lift patient lift equipment patient transfer equipment patient-handling injury Patients Personnel, Hospital - statistics & numerical data Physical trauma Psychoeducational intervention Research design Surveillance Time Work Workers compensation Workers' Compensation - statistics & numerical data Young Adult United States North America America United States > US USA patient-handling injury intervention evaluation workers' compensation healthcare worker observational study Injury Health care staff Operation Occupational exposure Indemnization Implementation Compensation Worker Human Biomedical equipment Evaluation Observational study Health staff Indemnity Patient Trauma Striated muscle disease Musculoskeletal disorder Transfer Occupational medicine Handling
ISSN:	0355-3140, 1795-990X, 1795-990X
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Shrnutí:	Objective Using an observational research design and robust surveillance data, we evaluated rates of musculoskeletal (MS) injuries, days away from work, and restricted work days among patient care staff at a medical center and community hospital in the United States over 13 years, during which time a "minimal manual lift" policy and mechanical lift equipment were implemented. Methods Workers' compensation claims data were linked to human resources data to define outcomes of interest and person-time at risk to calculate rates. Poisson and negative binomial regression with lagging were used to compare outcome rates in different windows of time surrounding the intervention. Patterns of MS injuries associated with patient-handling were contrasted to patterns of other MS injuries that would not be affected by the use of mechanical lift equipment. Results At the medical center, no change in the patient-handling MS injury rate followed the intervention. A 44% decrease was observed at the community hospital. At both hospitals, the rate of days away declined immediately — before it was reasonable for the intervention to have been adopted. Conclusions Institutional-level changes at the time of the intervention likely influenced observed results with findings only partially consistent with an intervention effect. Observational studies can be useful in assessing effectiveness of safety interventions in complex work environments. Such studies should consider the process of intervention implementation, the time needed for intervention adoption, and the dynamic nature of work environments.
Bibliografie:	ObjectType-Article-2 SourceType-Scholarly Journals-1 ObjectType-General Information-1 content type line 14 ObjectType-Feature-3 ObjectType-Article-1 ObjectType-Feature-2 content type line 23 ObjectType-Feature-1
ISSN:	0355-3140 1795-990X 1795-990X
DOI:	10.5271/sjweh.3288