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Safe Patient Handling & Movement in High Risk Units. Audrey Nelson, Ph.D., RN, FAAN [email protected] Director Patient Safety Research Center VAMC Tampa, FL Web: www.visn8.va.gov/patientsafetycenter/. Study Goals. - PowerPoint PPT Presentation
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Audrey Nelson, Ph.D., RN, [email protected]
DirectorPatient Safety Research Center
VAMC Tampa, FLWeb: www.visn8.va.gov/patientsafetycenter/
Safe Patient Handling & Safe Patient Handling & Movement in High Risk Units Movement in High Risk Units
Study Goals
Reduce the incidence and severity of musculoskeletal injuries in nursing staff.
Create a culture of safety and empower nurses to create safe working environments
Overview
Study Design: Prospective Study over 2
years Pre and Post Test Design Qualitative and Quantitative
Data
Study Sites: 23 High Risk Units at 6 VA
Hospitals
Program Elements
1. Ergonomic Assessment Protocol
2. Patient Assessment Criteria
3. Algorithms
4. Back Injury Resource Nurses
5. State-of-the-art equipment
6. No-Lift Policy
Results: Incidence of Injuries
0
20
40
60
80
100
120
140
160
PRE POST
• Decreased 31%
•From 144 injuries to 99 injuries
• Significant at 0.003 level
Results: Modified Duty Days
0
500
1000
1500
2000
2500
PRE POST
•Decreased 88%, from 2061 days to 256 days
• Significant at 0.01 level
Results: Lost Work Days
0
50
100
150
200
250
300
PRE POST
•Decreased 18%, from 256 to 209 days
Results: Self-Reported Unsafe Patient Handling
2.9
3
3.1
3.2
3.3
3.4
3.5
3.6
3.7
PRE POST
• The # times/day nurses handled or moved patient in unsafe manner decreased from 3.63 to 3.18.
•Significant at the 0.1 level
Results: Job Satisfaction
3.55
3.6
3.65
3.7
3.75
3.8
PRE POST
•Pay
•Professional Status**
•Task Requirements**•Autonomy
•Organization Policy
•Interaction
•Overall**
Cost Comparison Pre to Post
POST
$46,464
$35,201
$18,657
$21,948
$202,971
PRE
$93,531
$173,763
$24,048
$84,281
$480,797
Treatment Worker’s Comp Lost Work Days Restricted DaysTotal
Cost Benefit (Pre to Post) Year 1 only
Savings in medical costs and lost or restricted days: $277,826
Minus annualized costs of equipment ($140,417.46) and training ($9,596.75)
Total Savings Year 1: $127,812
COST/BENEFIT
Over a 10 year period this translates to over $1.25 million dollars in cost savings, excluding the effect of inflation.
Conclusions
Significant reduction in incidence and severity of injuries.
Job satisfaction was significant increased. There were significant monetary benefits,
associated with decrease in lost/modified work days and lower medical and cash payments due to injuries.
Next Steps
Apply research to moderate risk units Conduct ergonomic assessment in acute care
settings Identify high risk tasks in ICU, ER, OR, PACU Identify technological solutions Apply solutions deemed effective in high risk
units (BIRN, algorithms, etc)
