The Effect of a Safe Patient Handling and Movement Program on Rehabilitation Outc

描述(由申请人提供)：这项研究将检验安全的患者搬运和移动(SPHM)计划对康复患者的影响。这项研究的直接目标是确定康复医院综合SPHM计划对功能性患者预后的影响。这项研究的长期目标是确定SPHM计划是促进还是抑制康复中的患者康复。这一发现将对SPHM在临床实践和相关文献中产生重大影响。 拟议的项目与医疗保健研究和质量机构的比较有效性组合是一致的。比较有效性组合的任务是向医疗决策者提供有关治疗方案的最新证据。 目前，在美国各地，大多数住院医疗机构都面临着是否实施SPHM计划的决定。众所周知，这些计划可以减少医疗专业人员的伤害，降低成本。然而，如果不探讨SPHM对患者的影响，SPHM计划的证据是不完整的。拥有最新信息意味着，医疗机构和系统的决策者在花费数千美元(如果不是数百万美元)购买患者处理设备之前，应该知道他们正在考虑的计划不会阻碍患者的康复。 方法： 这项研究将采用电子病历数据的回溯性队列设计。功能独立性测量(FIM)的活动部分将在一家大型康复医院的两组患者中进行比较。第一组是在实施SPHM方案之前康复的。第二组在实施SPHM方案后康复。将比较活动FIM评分的变化和活动FIM评分的放电级别(根据基线进行调整)。 与公共健康相关：在美国各地，医疗机构正在实施安全的病人处理和移动计划，以保护医疗专业人员免受伤害。该项目将确定这些计划对康复患者结果的影响。这些发现将显示这些计划是促进还是抑制康复中的患者康复。

DESCRIPTION (provided by applicant): This study will examine the effect of a safe patient handling and movement (SPHM) program on rehabilitation patients. The immediate objective of this study is to determine the effect of a comprehensive SPHM program on functional patient outcomes at a rehabilitation hospital. The long-term objective of this research is to determine whether SPHM programs enhance or inhibit patient recovery in rehabilitation. The findings will have a substantial impact on SPHM in clinical practice and in the related literature. The proposed project is consistent with the Agency for Healthcare Research and Quality's comparative effectiveness portfolio. The mission of the comparative effectiveness portfolio is to provide healthcare decision makers with up to date evidence about treatment options. Currently, across the United States, the majority of inpatient healthcare facilities are facing a decision about whether to implement a SPHM program. It is widely known that these programs can reduce injuries for healthcare professionals and reduce costs. However, the evidence for SPHM programs is incomplete without exploration of the effect on patients. Having "up to date information" implies that decision makers in healthcare facilities and systems would know, prior to spending thousands, if not millions of dollars on patient handling equipment, that the programs they are considering will not inhibit patient recovery. Methods: This study will employ a retrospective cohort design with data from electronic medical records. The mobility portion of the Functional Independence Measure (FIM) will be compared for two groups of patients at a large rehabilitation hospital. The first group was rehabilitated prior to the implementation of a SPHM program. The second group was rehabilitated after the implementation of a SPHM program. Both the changes in mobility FIM scores and the discharge levels of mobility FIM scores (adjusted for baseline) will be compared. PUBLIC HEALTH RELEVANCE: Across the United States, healthcare facilities are implementing safe patient handling and movement programs to protect healthcare professionals from injuries. This project will determine the effect of these programs on patient outcomes in rehabilitation. The findings will show whether these programs enhance or inhibit patient recovery in rehabilitation.