Guideline Implementation: Safe Patient Handling and Movement

AORN Journal ◽  
2018 ◽  
Vol 108 (6) ◽  
pp. 663-674 ◽  
Author(s):  
Terri Link
Keyword(s):  
Guideline Implementation ◽  
Patient Handling ◽  
Safe Patient Handling

Impact of California Safe Patient Handling Legislation: Health Care Workers’ Perspectives

2021 ◽  
Vol 69 (3) ◽  
pp. 124-133
Author(s):  
Soo-Jeong Lee ◽  
Laura Stock ◽  
Victoria Michalchuk ◽  
Kelsie Adesoye ◽  
Kathleen Mullen
Keyword(s):  
Health Care ◽  
San Francisco ◽  
Health Care Workers ◽  
Qualitative Content Analysis ◽  
Management Support ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Care Workers ◽  
Policies And Programs ◽  
Safe Practices

Background: Musculoskeletal injuries from patient handling are significant problems among health care workers. In California, legislation requiring hospitals to implement safe patient handling (SPH) programs was enacted in 2011. This qualitative study explored workers’ experiences and perceptions about the law, their hospital’s SPH policies and programs, patient handling practices, and work environment. Methods: Three focus groups were conducted with 21 participants (19 nurses and 2 patient handling specialists) recruited from 12 hospitals located in the San Francisco Bay Area and San Joaquin Valley. Qualitative content analysis was used for data analysis. Results: Multiple themes emerged from diverse experiences and perceptions. Positive perceptions included empowerment to advocate for safety, increased awareness of SPH policies and programs, increased provision of patient handling equipment and training, increased lift use, and improvement in safety culture. Perceived concerns included continuing barriers to safe practices and lift use such as difficulty securing assistance, limited availability of lift teams, understaffing, limited nursing employee input in the safety committee, blaming of individuals for injury, increased workload, and continuing injury concerns. Participants indicated the need for effective training, sufficient staffing, and management support for injured workers. Conclusions/Application to Practice: This study identified improvements in hospitals’ SPH programs and practices since the passage of California’s SPH law, as well as continuing challenges and barriers to safe practices and injury prevention. The findings provide useful information to understanding the positive impacts of the SPH law but also notes the potential limitations of this legislation in the view of health care workers.

Differential effectiveness of the Minnesota Safe Patient Handling Act by health care setting: An exploratory study

2021 ◽  
Author(s):  
Christina E. Rosebush ◽  
Katherine E. Schofield ◽  
Marizen Ramirez ◽  
Brian Zaidman ◽  
Darin J. Erickson ◽  
...  
Keyword(s):  
Health Care ◽  
Exploratory Study ◽  
Care Setting ◽  
Health Care Setting ◽  
Patient Handling ◽  
Differential Effectiveness ◽  
Safe Patient Handling

Abstract WP461: Stop in the Name of Falls

Stroke ◽  
2020 ◽  
Vol 51 (Suppl_1) ◽  
Author(s):  
Kimberly Marstrell ◽  
Jillynn Gundelfinger
Keyword(s):  
Patient Safety ◽  
Fall Prevention ◽  
Fall Risk ◽  
Multidisciplinary Approach ◽  
Activity Level ◽  
Care Team ◽  
Patient Handling ◽  
Safe Patient Handling ◽  
Prevention Interventions ◽  
The Right

Background and Purpose: One of OhioHealth’s strategic priorities includes improving patient safety by eliminating preventable patient harm. The Integrated Stroke Unit (ISU) at Riverside Methodist Hospital worked to achieve this goal by reducing falls by 20%. The ISU consistently experienced a higher fall rate compared to like units across the nation. The ISU averaged over 7 falls per month with injury falls steadily increasing. The ISU experienced inconsistencies related to fall risk assessment and fall prevention interventions. As a result, a Fall Risk Scorecard was created to streamline interdisciplinary team work, increase patient safety, and improve safe patient handling and mobility. Methods: A multidisciplinary approach was used to improve patient safety and determine the root cause for patient falls. A team of nurses, rehab therapist, and patient support assistants was established. Inconsistencies were identified related to recognition of patients at risk for falls, types of fall interventions in place, and bed alarm knowledge and utilization. A need for visual management to standardize practice was seen. A Fall Risk Scorecard was created to help identify fall risk patients, standardize fall prevention interventions, and provide knowledge to staff regarding the patient’s activity level. The PDSA cycle was used to create standard work for the care team. Educational materials were developed and one-on-one training was provided to staff. The multidisciplinary approach helped to create a standardized process for each therapist coming to the ISU. The Fall Risk Scorecard was piloted for 3 months. Results: During the pilot, the unit saw a 57% reduction in falls. Current state, the ISU has continued to utilize the Fall Risk Scorecards and has sustained a 57% reduction in falls. With the utilization of lean methodology, members of the care team were able to ensure the right patient received the right intervention at the right time. With these results, the pilot has been selected for a system-wide roll-out over 11 different care sites. Conclusion: By taking a collaborative approach, utilizing lean methodology, and real-time problem solving, the ISU has successfully reached their goal to increase patient safety and improve safe patient handling and mobility.

Safe patient handling in Taiwan

10.4017/2286 ◽  
2015 ◽  
Vol 13 (4) ◽  
Author(s):  
J. Chang
Keyword(s):  
Patient Handling ◽  
Safe Patient Handling
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