An Inspection Tool and Process to Identify Modifiable Aspects of Acute Care Hospital Patient Care Units to Prevent Work-Related Musculoskeletal Disorders
An Inspection Tool and Process to Identify Modifiable Aspects of Acute Care Hospital Patient Care Units to Prevent Work-Related Musculoskeletal Disorders
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DOI：
10.1177/2165079917718852
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发表时间：
2018-03-01
影响因子：
2.6
通讯作者：
Dennerlein, Jack T.
中科院分区：
文献类型：
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作者：
Grant, Michael P.;Okechukwu, Cassandra A.;Dennerlein, Jack T.
缺乏实用的资源，可用于评估人体工程学的危险因素，在动态的医疗保健工作环境。特别需要的是用于检查患者护理环境的危险的工具。本研究的目的是描述一种检查工具的开发和应用，以及识别物理环境中可修改方面固有危害的过程，以降低医院工作人员的受伤风险。通过一个反复和参与性的过程，工具和检查程序的制定考虑到三个目的：（a）建立一个框架，用于检查与伤害风险（危险）有关的实际工作环境和实际工作条件;（B）记录实际条件;（c）向决策者提供反馈。该工具和过程被人体工程学研究人员用于四个病人护理单位，作为Be Well，Work Well Total Worker Health（R）干预的一部分。由此产生的检查过程提供了一种结构化的方法，用于识别动态可变物理工作环境中的危险，并向决策者报告意见和建议。检查工具的开发和实施为通过实施人体工程学解决方案来改善实际工作环境提供了指导。该工具使该组织能够规划和优先考虑人机工程学的危害消除（例如资源分配和跟踪趋势）。在总体工人健康（R）框架内，该工具可以测量工作实践，然后可以用于通知医疗保健环境中的组织计划和政策。
A dearth of practical resources is available for evaluating ergonomic risk factors in dynamic health care work environments. Of particular need are tools for inspecting patient care environments for hazards. The goal of this study was to describe the development and application of an inspection tool and a process for identifying hazards inherent in the modifiable aspects of the physical environment to reduce injury risk to hospital workers. Through an iterative and participatory process, the tool and inspection process were developed with three purposes in mind: (a) create a framework for the inspection of physical work environments and physical conditions of work associated with injury risk (hazards), (b) document the physical conditions, and (c) provide feedback to decision makers. The tool and process were used by an ergonomics researcher on four patient care units as part of the Be Well, Work Well Total Worker Health (R) intervention. The resulting inspection process provided a structured method for recognizing hazards in the dynamic modifiable physical work environment and reporting both observations and recommendations to decision makers. The development and implementation of the inspection tool provided guidance to modify the physical work environment by implementing ergonomic solutions. The tool allowed the organization to plan and prioritize ergonomic hazard abatement (e.g. resource allocation and tracking trends). Within a Total Worker Health (R) framework, this tool can measure work practices which can then be used to inform organizational programs and policies within a health care setting.