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Evaluation of a comprehensive slip, trip and fall prevention programme for hospital employees.

Authors
Bell-JL; Collins-JW; Wolf-L; Gronqvist-R; Chiou-S; Chang-WR; Sorock-GS; Courtney-TK; Lombardi-DA; Evanoff-B
Source
Ergonomics 2008 Dec; 51(12):1906-1925
NIOSHTIC No.
20034734
Abstract
In 2007, the Bureau of Labor Statistics reported that the incidence rate of lost workday injuries from slips, trips and falls (STFs) on the same level in hospitals was 35.2 per 10,000 full-time equivalents (FTE), which was 75% greater than the average rate for all other private industries combined (20.2 per 10,000 FTEs). The objectives of this 10-year (1996-2005) longitudinal study were to: 1) describe occupational STF injury events in hospitals; 2) evaluate the effectiveness of a comprehensive programme for reducing STF incidents among hospital employees. The comprehensive prevention programme included analysis of injury records to identify common causes of STFs, on-site hazard assessments, changes to housekeeping procedures and products, introduction of STF preventive products and procedures, general awareness campaigns, programmes for external ice and snow removal, flooring changes and slip-resistant footwear for certain employee subgroups. The hospitals' total STF workers' compensation claims rate declined by 58% from the pre-intervention (1996-1999) rate of 1.66 claims per 100 FTE to the post-intervention (2003-2005) time period rate of 0.76 claims per 100 FTE (adjusted rate ratio = 0.42, 95% CI: 0.33-0.54). STFs due to liquid contamination (water, fluid, slippery, greasy and slick spots) were the most common cause (24%) of STF claims for the entire study period 1996-2005. Food services, transport/emergency medical service and housekeeping staff were at highest risk of a STF claim in the hospital environment. Nursing and office administrative staff generated the largest numbers of STF claims. STF injury events in hospitals have a myriad of causes and the work conditions in hospitals are diverse. This research provides evidence that implementation of a broad-scale prevention programme can significantly reduce STF injury claims.
Keywords
Health-care-facilities; Health-care-personnel; Injury-prevention; Accident-prevention; Floors; Education; Surveillance
CODEN
ERGOAX
Publication Date
20081201
Document Type
Journal Article
Fiscal Year
2009
NTIS Accession No.
NTIS Price
Issue of Publication
12
ISSN
0014-0139
NIOSH Division
DSR
Source Name
Ergonomics
State
WV; MO; MA; MD
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