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Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment.

Authors
Schoenfisch-AL; Lipscomb-HJ; Pompeii-LA; Myers-DJ; Dement-JM
Source
Scand J Work, Environ & Health 2013 Jan-Feb; 39(1):27-36
NIOSHTIC No.
20040827
Abstract
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.
Keywords
Medical-equipment; Health-care-personnel; Medical-personnel; Manual-lifting; Mechanical-properties; Musculoskeletal-system-disorders; Injuries; Injury-prevention; Surveillance-programs; Lost-work-days; Disabled-workers; Hospital-equipment; Hoisting-equipment; Author Keywords: healthcare worker; intervention evaluation; observational study; patient-handling injury; workers' compensation
Contact
Ashley L Schoenfisch, Division of Occupational and Environmental Medicine, 2200 West Main Street, Suite 400, Durham, NC 27705, USA
CODEN
SWEHDO
Publication Date
20130101
Document Type
Journal Article
Email Address
ashley.schoenfisch@duke.edu
Funding Type
Grant
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008375; B06062012
Issue of Publication
1
ISSN
0355-3140
Source Name
Scandinavian Journal of Work, Environment and Health
State
NC; TX
Performing Organization
University of Texas
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