Safe Patient Handling Legislation and MSDs in California Healthcare Workers

描述（由申请人提供）：众所周知，卫生保健工作者（HCWs）是与工作相关的肌肉骨骼疾病（MSDs）的高风险人群。不安全的病人处理是卫生保健工作者中MSDs的主要原因，占所有肌肉骨骼损伤的31-72%，占卫生保健工作者工人赔偿费用的27-53%。自2006年以来，为了预防卫生保健工作者的msd， 10个州颁布了安全病人处理立法。2011年，加州通过了《医院病人和卫生保健工作者伤害保护法》（AB 1136），要求普通急症护理医院实施安全的病人处理政策和计划。有有限的研究评估安全病人处理立法对卫生保健工作者的MSDs的影响。此外，关于加州卫生保健工作者中MSDs的规模和成本的数据也缺乏。本研究的长期目标是评估加州安全病人处理立法对卫生保健工作者中MSD发生率和成本结果的影响，并确定该法律是否有效减少MSD。本研究是了解加州卫生保健工作者中MSDs现状的第一步。我们将分析加州过去五年（2007-2011）的工人赔偿索赔数据，以实现以下具体目标：(1)描述2007-2011年加州卫生保健工作者中MSD索赔的规模和特征，(2)按年估计加州卫生保健工作者中每种MSD的发病率，并检查这5年期间的模式或趋势，(3)描述5年期间加州卫生保健工作者中MSD的成本，以及(4)确定与MSD高发病率相关的设施特征。这项拟议的研究将解决目前的数据差距，并为未来的评价研究提供基线信息。

DESCRIPTION (provided by applicant): Healthcare workers (HCWs) are well known to be at high risk of work-related musculoskeletal disorders (MSDs). Unsafe patient handling is the major cause of MSDs among HCWs, accounting for 31-72% of all musculoskeletal injuries and 27-53% of workers' compensation costs among HCWs. To prevent MSDs among HCWs, 10 states have enacted safe patient handling legislation since 2006. In 2011, California passed the Hospital Patient and Health Care Worker Injury Protection Act (AB 1136) requiring general acute care hospitals to implement safe patient handling policies and programs. There is limited research evaluating the impact of safe patient handling legislation on MSDs among HCWs. Also, data are lacking on the magnitude and cost of MSDs among California HCWs. The long-term goal of this study is to assess the impact of California's safe patient handling legislation o MSD incidence and cost outcomes among HCWs and to determine whether the law is effective in reducing MSDs. This proposed study is the first step in understanding the current status of MSDs among HCWs in California. We will analyze workers' compensation claims data in California for the last five years (2007-2011) to accomplish the following specific aims: (1) describe the magnitude and characteristics of MSD claims among California HCWs for 2007-2011, (2) estimate incidence rates for each type of MSD among California HCWs by year and examine patterns or trends during this 5-year period, (3) describe the cost of MSDs among California HCWs over the 5-year period, and (4) identify facility characteristics associated with higher MSD incidence rates. This proposed research will address the current data gap and provide baseline information for future evaluation research.