Parcourir par tags

Tous les tags » Manutention manuelle » Secteur des services de santé (RSS)
Participatory organizational intervention for improved use of assistive devices in patient transfer
A single-blinded cluster randomized controlled trial Objectives: This randomized controlled trial (RCT) evaluated the effect of a participatory organizational intervention for improved use of assistive devices (AD) in patient transfer. Methods: We randomly allocated 27 departments from five hospitals in Denmark to a participatory intervention (14 clusters, 316 healthcare workers) or a control group (13 clusters, 309 healthcare workers). The intervention consisted of 2×2 hour workshops with managers, the hospital's health and safety staff, and 2–5 healthcare workers from each department...
Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations
Few studies have quantified the risk of musculoskeletal disorders during patient transfers in total assistance mode in real-life prehospital emergency care situations. An index to assess the overall risk of patient transfers was created; it makes it possible to quantify risk based on the patient's position and the height of the patient's location. An analysis of 71 transfers executed by paramedics in actual work situations showed that moving a patient from the ground was characterized by acute sagittal flexions and axial rotations, respectively, 42% and 12% of the time. When the patient...
Overall risk index for patient transfers in total assistance mode executed by emergency medical technician-paramedics in real work situations
Few studies have quantified the risk of musculoskeletal disorders during patient transfers in total assistance mode in real-life prehospital emergency care situations. An index to assess the overall risk of patient transfers was created; it makes it possible to quantify risk based on the patient's position and the height of the patient's location. An analysis of 71 transfers executed by paramedics in actual work situations showed that moving a patient from the ground was characterized by acute sagittal flexions and axial rotations, respectively, 42% and 12% of the time. When the patient...
Aide et soin à la personne - Dossier
En France, plus de 3,5 millions de professionnels travaillent dans l'aide et le soin à la personne. Ce secteur, qui emploie majoritairement du personnel féminin, est toujours en pleine croissance et marqué par une grande diversité d'acteurs. Certains exercent en établissement, d'autres au domicile d'un bénéficiaire avec, d'un lieu à l'autre, des conditions d'intervention et des moyens extrêmement variables. Source: (2018). Travail & sécurité (794). http://www.travail-et-securite.fr/ts/dossier...
Impact of a Safe Resident Handling Program in Nursing Homes on Return-to-Work and Re-injury Outcomes Following Work Injury
Purpose: This study examined the impact of a Safe Resident Handling Program (SRHP) on length of disability and re-injury, following work-related injuries of nursing home workers. Resident handling-related injuries and back injuries were of particular interest. Methods: A large national nursing home corporation introduced a SRHP followed by three years of training for 136 centers. Lost-time workers' compensation claims (3 years pre-SRHP and 6 years post-SRHP) were evaluated. For each claim, length of first episode of disability and recurrence of disabling injury were evaluated over time. Differences...
Manual handling risks to midwives associated with birthing pools literature review and incident analysis
This report describes research into the manual handling related risks to midwives associated with providing care to women choosing to use a birthing pool for labour and/or birth at home and in hospital. The research comprised: a review of incidents reported to the Health and Safety Executive, a literature review and familiarisation visits to include discussions with midwives to identify current practices and procedures. The manual handling risks are likely to result from the position of the mother in the pool, as well as from the position of the midwife whilst undertaking tasks at the birthing...
Barriers to the Use of Assistive Devices in Patient Handling
Work-related musculoskeletal disorders (WMSD) are a major safety concern in today’s health care environment due to the manual lifting of patients with higher acuity levels and obesity. Nurses move patients multiple times each day, incurring cumulative stress and trauma resulting in chronic pain and potential injury. The purpose of this study was to assess barriers to the use of assistive devices in safe patient handling and mobility (SPHM) that contribute to WMSD in health care workers. Interpersonal, situational, organizational, and environmental influences have both direct and indirect...
Intégrer la prévention des risques professionnels dès la conception des équipements d'aide à la manutention des personnes
Les risques professionnels encourus par les utilisateurs d'équipements d'aide à la manutention des personnes ne sont pas toujours bien pris en compte lors de leur conception. À travers l'exemple du Milo, un équipement d'aide au transfert de personnes et à la toilette, l'INRS a élaboré des recommandations pour intégrer la prévention de ces risques dès la conception des aides techniques et limiter ainsi les efforts liés à leur utilisation. Source: Gille, S., Kerangueven, L. (2017). Hygiène...
Identifying the critical physical demanding tasks of paramedic work
Towards the development of a physical employment standard Public safety related occupations including police, fire and military commonly apply physical employment standard (PES) to facilitate job matching, an approach to evaluate if candidates demonstrate acceptable physical capabilities as required to perform the job safely and effectively. In Canada, paramedics remain as one of the few public safety occupations without an evidence-based, validated PES. The purpose of this study was to document and describe the physical demands of paramedic work and to identify the most physically demanding tasks...
Designing, prototype making and evaluating a mechanical aid device for patient transfer between bed and stretcher
Introduction: The present study aimed at designing, prototype making and evaluating a new assistive device to improve patient transfer conditions. Methods: A new aid device for patient transfer was designed and its prototype was made. Comfort and perceived physical exertion of users and stability and applicability of the device were examined. The test subjects included 37 healthcare workers from a hospital with patient transfer experience. The data collection tools consisted of visual analog scales (VAS) and Borg's rating physical effort scale. The rapid entire body assessment (REBA) method...
Initial Results of an Evidence-Based Safe Patient Handling and Mobility Program to Decrease Hospital Worker Injuries
The rate for musculoskeletal injuries among health care workers is one of the highest for all industrial sectors in the United States; these injuries often occur during manual handling (i.e., lifting, moving, transferring, and repositioning) of patients. The following article describes the process used to complete a comprehensive assessment, as well as the planning, implementation, and initial evaluation of a quality improvement program to reduce work-related musculoskeletal disorders (WMSD) among health care workers employed by a rural Midwest hospital. Key elements for WMSD injury reduction were...
A multi-component patient-handling intervention improves attitudes and behaviors for safe patient handling and reduces aggression experienced by nursing staff
A controlled before-after study This study evaluated an intervention for patient-handling equipment aimed to improve nursing staffs' use of patient handling equipment and improve their general health, reduce musculoskeletal problems, aggressive episodes, days of absence and work-related accidents. As a controlled before-after study, questionnaire data were collected at baseline and 12-month follow-up among nursing staff at intervention and control wards at two hospitals. At 12-month follow-up, the intervention group had more positive attitudes towards patient-handling equipment and increased...
Injury rates before and after the implementation of a safe resident handling program in the long-term care sector
Manual resident handling (RH) tasks increase risk of musculoskeletal disorders (MSDs) for clinical staff in nursing homes. To reduce the incidence and cost of MSDs, a large healthcare corporation instituted a Safe Resident Handling Program (SRHP) comprising purchase of mechanical lifting equipment, worker training, and detailed usage/maintenance protocols. The program was initially administered by a third-party company; after three years, program responsibility shifted to individual centers. Workers' compensation claim rates were compared before and after SRHP implementation. Claims and FTEs...
Musculoskeletal Injury Prevention for New Nurses
Nurses continue to sustain musculoskeletal injuries even with increased emphasis on safe patient handling and mobility (SPHM) and organizational cultures of safety to protect health care workers. Analysis of data from 2011-2014 registered nurse graduates explored hospital safety culture, SPHM education/training, and incidence of new-nurse musculoskeletal injury. Results indicated hospitals provided some type of SPHM education and training, but 46% of study participants were not informed or aware of national SPHM standards or guidelines. Merely 13.9% of participants stated a written “no manual...
Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings
A systematic review Objectives: To explore the safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings. Design: Seven-stage framework from the PRISMA statement for research question, eligibility (definition), search, identification of relevant papers from title and abstract, selection and retrieval of papers, appraisal and synthesis. Review methods: The included references (n = 42) were critically appraised using a modified version of Downs and Black checklist and the Mixed Methods Appraisal Tool. Results: The risk...
Biomechanical risk assessment during field loading of hydraulic stretchers into ambulances
The process of loading a stretcher into an ambulance is known to cause a high incidence of back injuries among paramedics. This study aimed to assess the forces at L5/S1 during real-life stretcher loading activities and to determine the variables that contribute significantly to these forces. Analyses involved 58 paramedics (111 shifts) and 175 stretcher loading activities. Estimates of compression and shear forces at L5/S1 were calculated using the 3DSSPP program. Seventy-one percent of loading activities exceeded the safe loading level of 3.4 kN compression force at L5/S1 (mean: 3.9 kN, min–max...
Manual handling: differences in perceived effort, success rate and kinematics between three different pushing techniques
This study examined the perceived effort, success rates and kinematics for three push strategies in a simulated lateral patient transfer (horizontal slide). Thirteen healthy subjects (four males) completed three repetition pushing loads of 6, 10 and 14 kg in random order; with a spontaneous push strategy, then with a straight-back bent-knees (squat) strategy and the preparatory pelvic movement (‘rockback') strategy in random order. Perceived effort and kinematic parameters measured at the onset of movement and at maximum push excursion were compared between strategies and between loads...
Patient transfers and assistive devices
Prospective cohort study on the risk for occupational back injury among healthcare workers Objectives : This prospective cohort study investigates work-related risk factors for occupational back injury among healthcare workers. Methods : The study comprised 5017 female healthcare workers in eldercare from 36 municipalities in Denmark who responded to a baseline and follow-up questionnaire in 2005 and 2006, respectively. Using logistic regression, the odds for occupational back injury (ie, sudden onset episodes) in 2006 from patient transfers in 2005 was modeled. Results : In the total study population...
Paramedics on the job
Dynamic trunk motion assessment at the workplace Many paramedics' work accidents are related to physical aspects of the job, and the most affected body part is the low back. This study documents the trunk motion exposure of paramedics on the job. Nine paramedics were observed over 12 shifts (120 h). Trunk postures were recorded with the computer-assisted CUELA measurement system worn on the back like a knapsack. Average duration of an emergency call was 23.5 min. Sagittal trunk flexion of >40° and twisting rotation of >24° were observed in 21% and 17% of time-sampled postures...
Ceiling Lifts: Why Aren't They Being Used?
Using ceiling lifts to transfer, reposition, and turn clients reduces injuries. Sometimes though, even when lifts are available, they're not always used. This video challenges the seven most common reasons health care workers give for not using ceiling lifts. Source : http://www2.worksafebc.com/Publications/Multimedia/Videos.asp?ReportID=37077
Long-Term Efficacy of an Ergonomics Program That Includes Patient-Handling Devices on Reducing Musculoskeletal Injuries to Nursing Personnel
Objective: The aim of this study was to evaluate long-term efficacy of an ergonomics program that included patient-handling devices in six long-term care facilities (LTC) and one chronic care hospital (CCH). Background: Patient handling is recognized as a major source of musculoskeletal disorders (MSDs) among nursing personnel, and several studies have demonstrated effectiveness of patient-handling devices in reducing those MSDs. However, most studies have been conducted in a single facility, for a short period, and/or without a comprehensive ergonomics program. Method: Patient-handling devices...
Musculoskeletal injuries among hospital patient care staff before and after implementation of patient lift and transfer equipment
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...
Un DVD pour prévenir les risques chez les soignants
Le DVD « Soignants » nouvellement conçu par l'INRS s'adresse principalement aux décideurs en établissements de soins et aux soignants. A travers fictions courtes et reportages sont présentées les principales maladies professionnelles auxquelles sont confrontés les soignants. L'outil propose également des retours d'expérience de certaines structures. Les nouvelles conditions de travail et les méthodes de gestion davantage orientées vers les gains de productivité du secteur médical ont...
Analyse coût-bénéfice des actions de prévention. Exemple du risque de manutention pour le personnel soignant
TRONTIN C., GLOMOT L., SABATHÉ J.P. Cet article, publié par l'INRS, présente les résultats d'une évaluation coût-bénéfice réalisée dans deux hôpitaux ayant mis en place des programmes de prévention du risque de manutention manuelle. Dans un cas, l'évaluation montre, avec l'hypothèse d'une réduction de 60 % des accidents du travail, que les investissements en prévention sont rentabilisés au terme de 3,3 années. Pour le second cas, les bénéfices...

Abonnement courriel

Messages récents

Catégories

Mots-Clés (Tags)

Blogoliste

Archives