Improving Patient Safety and Nursing Care Utilizing Safe Patient Handling Devices

2021 ◽  
Author(s):  
Ellena A. Evans
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Patient Handling ◽  
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.

Preventing our Caregivers from Becoming Patients – Challenges, Successes, and Trends Faced by Hospital Risk Managers and Ergonomists

2016 ◽  
Vol 60 (1) ◽  
pp. 965-969
Author(s):  
Neal Wiggermann ◽  
Susan Hallbeck ◽  
Tamara James ◽  
Dee Kumpar ◽  
Robert Williamson ◽  
...  
Keyword(s):  
Patient Safety ◽  
Administrative Support ◽  
Medical Systems ◽  
Patient Handling ◽  
Healthcare Facilities ◽  
Success Stories ◽  
Safe Patient Handling ◽  
Successful Change ◽  
Risk Managers ◽  
Discussion Panel

Healthcare workers suffer musculoskeletal disorders at rates that exceed most other industries. Despite this, many healthcare facilities do not follow best practices that are proven to reduce risk of injury. This discussion panel will explore the reasons for why the healthcare industry struggles to prevent injuries and will outline successful strategies for protecting workers. The panelists are leaders and advisors for large medical systems and their specialties include ergonomics, safe patient handling, and patient safety. The panelists relate the critical challenges faced when preventing caregiver injuries. Such challenges include underreporting of staff injuries, lack of funding or administrative support, and inability to sell the connections among caregiver safety, caregiver productivity, and patient safety. The panelists also share success stories of when they have achieved positive change and explain the strategies that were effective. Practitioners should gain new insights for implementing successful change, and researchers will be exposed to new and important research questions.

Implications for patient safety in the use of safe patient handling equipment: A national survey

2014 ◽  
Vol 51 (12) ◽  
pp. 1624-1633 ◽  
Author(s):  
Christine A. Elnitsky ◽  
Jason D. Lind ◽  
Deborah Rugs ◽  
Gail Powell-Cope
Keyword(s):  
Patient Safety ◽  
National Survey ◽  
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.

Understanding Patient Safety and Quality Outcome Data

2018 ◽  
Vol 38 (6) ◽  
pp. 58-66 ◽  
Author(s):  
Kathy Easter ◽  
Linda M. Tamburri
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Nursing Care ◽  
Outcome Data ◽  
Regulatory Agencies ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Data Transparency

The need for nurses to understand patient safety and quality outcome data is pressing in the current era of data transparency. Health care outcomes data are now publicly reported and readily accessible to consumers, are necessary for performance-based reimbursement, and are required by government and regulatory agencies. In order for nurses at all levels of practice to own their outcomes and be accountable for making improvements, they must possess skills in collecting, analyzing, evaluating, and acting on outcome data. This article provides basic tools and clinical examples for nurses to use in a focused application of outcome data and a structured process for improving nursing care outcomes.

scholarly journals Implantação da Comissão de Prevenção e Tratamento de Lesões na Pele em um Hospital Público

2018 ◽  
Vol 86 (24) ◽  
Author(s):  
Roberta Carozo Torres ◽  
Sacha Jamille de Oliveira ◽  
Ana Cristina Freire Abud ◽  
Rita Maria Viana Rego
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Public Hospital ◽  
Wounds And Injuries ◽  
Descriptive Study ◽  
Skin Lesions ◽  
Care Patient ◽  
Skin Injuries ◽  
Individualized Care ◽  
Prevention And Treatment

O cuidado aos indivíduos com lesões na pele é um desafio multiprofissional, porém com maiorresponsabilidade para a equipe de enfermagem, por ter a responsabilidade da execução dos curativos. Esteestudo objetivou relatar a experiência de implantação da Comissão de Prevenção e Tratamento de Lesões naPele (CPTLP) em um hospital público do estado de Sergipe. Trata-se de um estudo descritivo, do tipo relato deexperiência, realizado a partir da vivência profissional na CPTLP de um hospital público de Sergipe. Com ointuito de sistematizar a assistência aos portadores de feridas e aqueles com risco de desenvolvê-las, a equipeda CPTLP foi criada e organizada com a finalidade de prevenir e tratar lesões na pele dos pacientes internados.A CPTLP tem o enfermeiro como profissional de referência para esses cuidados tendo em vista o protagonismodesse profissional nesse cenário. Assim, a equipe da CPTLP tem conseguido minimizar o surgimento de lesõescomplexas, além de tratar de forma efetiva as existentes através do atendimento individualizado e educaçãodas equipes assistenciais.Palavras-chave: Ferimentos e lesões; Cuidados de Enfermagem; Segurança do Paciente. AbstractCare for individuals with skin lesions is a multiprofessional challenge, but with greater responsibility for thenursing team, for having responsibility for the dressings execution. This study aimed to report the experienceof the Commission for the Prevention and Treatment of Skin Injuries (CPTLP) implementation in a publichospital in the state of Sergipe. This is a descriptive study, of the experience report type, carried out from theprofessional experience in the CPTLP of a public hospital in Sergipe. To systematize assistance to woundpatients and those at risk of developing them, the CPTLP team was created and organized to prevent and treatinjuries to the patients' skin. The CPTLP has the nurse as a reference professional for such care in view of thisprofessional role in this scenario. Thus, the CPTLP team has managed to minimize the complex lesionsoccurrence, in addition to effectively treating existing ones through the individualized care and the care teams’education.Keywords: Wounds and Injuries; Nursing Care; Patient Safety.

scholarly journals A Review the Development of Infection Prevention and Control Program in Nursing Care During Covid-19 Pandemic

2021 ◽  
Vol 3 (3) ◽  
pp. 379-386
Author(s):  
Candra Dewi Rahayu ◽  
Diah Fitri Purwaningsih ◽  
Ika Silvitasari
Keyword(s):  
Patient Safety ◽  
Nursing Care ◽  
Prevention And Control ◽  
Care Management ◽  
Infection Prevention ◽  
Control Program ◽  
Assessment Process ◽  
Infection Prevention And Control ◽  
Inclusive Leadership ◽  
And Control

The hospital is the health service structure that plays the most prominent role with the Covid-19 pandemic.The nursing profession is still required to provide quality nursing care to Covid-19 patients, as well as to other patients so that the provision of nursing care must be in accordance with the procedures and management of patients with infectious diseases accurately and correctly and use Personal Protection Equipment in accordance with standard. Infection prevention and control during the pandemic is very important for patients and health workers to minimize the occurrence of nosocomial infections during hospital care. This review aims to determine the development of infection prevention and control program in the provision of nursing care during the Covid-19 pandemic. The research method with a review was carried out by searching for articles related to patient safety in providing Covid-19 nursing care. Literatures search were carried out in December 2020 - January 2021 through PubMed, Sciencedirec, google scholar, government policy then entered the online database list by entering keywords, namely patient safety, nursing care, Covid-19. Selected journals were based on inclusion and exclusion criteria through a critical assessment process with CASP to assess the quality of articles. The results of the critical appraisal obtained six articles that match the inclusion criteria with a minimum appraisal score of 85 in good categories which are then carried out by analysts. The results of the research by reviewing 6 articles show that prevention and control of patients safety in providing nursing care during a pandemic can be developed through nursing care management by using summarized checklists, patient safety-based nursing care service system, infection prevention and control during the pandemic and inclusive leadership. Nursing care management, patient safety, infection prevention and control and an inclusive leadership style are the development methods that can be used for the prevention and control of Covid-19.

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