Musculoskeletal Injuries Resulting From Patient Handling Tasks Among Hospital Workers
Musculoskeletal Injuries Resulting From Patient Handling Tasks Among Hospital Workers
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DOI：
10.1002/ajim.20704
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发表时间：
2009-07-01
影响因子：
3.5
通讯作者：
Dement, John M.
中科院分区：
文献类型：
--
作者：
Pompeii, Lisa A.;Lipscomb, Hester J.;Dement, John M.
背景-本研究的目的是评估肌肉骨骼损伤和疾病导致的病人处理之前，实施“最小手动升降机”的政策，在一个大型三级医疗中心，我们试图定义周围的情况下，病人处理伤害，并确定潜在的预防措施。工人的赔偿记录（1997-2003年）被用来确定与工作有关的肌肉骨骼索赔，而工人的伤害描述被用来确定那些由于病人处理。调整后的比率，使用Poisson regression.Results三分之一（n = 876）的所有肌肉骨骼损伤导致病人处理活动。大部分（83%）的伤害负担是由住院护士、护士助理和放射技术人员造成的，而护士助理的伤害率最高（8.8/100全时当量，FTE）和较小的工作组，包括紧急医疗技术员（10.3/100 FTE）、患者转运员（4.3/100 FTE）、手术室技术员（3.1/100 FTE）和太平间技术员（2.2/100 FTE）。40%的受伤（轻度）可以通过使用机械移位设备来防止，而32%的受伤是由于重新定位/翻转患者、在床上拉扯患者或接住摔倒的患者造成的;结论使用机械移位设备可以显著降低一些患者操作损伤的风险，需要考虑解决其他患者处理任务的额外干预。在预防工作中不应忽视小型高风险工作组。Am. J. Ind. Med. 52：571-578，2009. (C)2009威利-利斯公司
Background The purpose of this study was to evaluate musculoskeletal injuries and disorders resulting from patient handling prior to the implementation of a "minimal manual lift" policy at a large tertiary care medical center We sought to define the circumstances surrounding patient handling injuries and to identify potential preventive measures.Methods Human resources data were used to define the cohort and their time (it work. Workers' compensation records (1997-2003) were utilized to identify work-related musculoskeletal claims, while the workers' description of injury was used to identify those that resulted from patient handling. Adjusted rate ratios were generated using Poisson regression.Results One-third (n = 876) of all musculoskeletal injuries resulted from patient handling activities. Most (83%) of the injury burden was incurred by inpatient nurses, nurses' aides and radiology technicians, while injury rates were highest for nurses' aides (8.8/100 full-time equivalent, FTEs) and smaller work-groups including emergency medical technicians (10.3/100 FTEs), patient transporters (4.3/100 FTEs), operating room technicians (3.1/100 FTEs), and morgue technicians (2.2/100 FTEs). Forty percent of injuries (lite to lifting/transferring patients may have been prevented through the use of mechanical lift equipment, while 32% of injuries resulting from repositioning/turning patients, pulling patients tip in bed, or catching falling patients may not have been prevented by; the use of lift equipment.Conclusions The use of mechanical lift equipment could significantly reduce the risk of some patient handling injuries but additional interventions need to be considered that address other patient handling tasks. Smaller high-risk workgroups should not be neglected in prevention efforts. Am. J. Ind. Med. 52:571-578, 2009. (C) 2009 Wiley-Liss, Inc.