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Objective measures of adoption of patient lift and transfer devices to reduce nursing staff injuries in the hospital setting

Authors

  • Ashley L. Schoenfisch MSPH,

    Corresponding author
    1. Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina
    • Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, 2200 West Main Street, Suite 400, Durham, NC 27705, USA.
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  • Lisa A. Pompeii PhD,

    1. Division of Epidemiology, Human Genetics & Environmental Sciences, University of Texas, Houston, Texas
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  • Douglas J. Myers ScD,

    1. Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina
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  • Tamara James MA, CIE, CPE,

    1. Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina
    2. Ergonomics Division, Occupational and Environmental Safety Office, Duke University Medical Center, Durham, North Carolina
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  • Yeu-Li Yeung MS, OT/L,

    1. Ergonomics Division, Occupational and Environmental Safety Office, Duke University Medical Center, Durham, North Carolina
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  • Ethan Fricklas MSE, ATP,

    1. Ergonomics Division, Occupational and Environmental Safety Office, Duke University Medical Center, Durham, North Carolina
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  • Marissa Pentico MS, OT/L,

    1. Ergonomics Division, Occupational and Environmental Safety Office, Duke University Medical Center, Durham, North Carolina
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  • Hester J. Lipscomb PhD

    1. Department of Community and Family Medicine, Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, North Carolina
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  • Disclosure Statement: The authors report no conflicts of interests.

Abstract

Background

Interventions to reduce patient-handling injuries in the hospital setting are often evaluated based on their effect on outcomes such as injury rates. Measuring intervention adoption could address how and why observed trends in the outcome occurred.

Methods

Unit-level data related to adoption of patient lift equipment were systematically collected at several points in time over 5 years on nursing units at two hospitals, including hours of lift equipment use, equipment accessibility, and supply purchases and availability.

Results

Various measures of adoption highlighted the adoption process' gradual nature and variability by hospital and between units. No single measure adequately assessed adoption. Certain measures appear well-correlated.

Conclusion

Future evaluation of primary preventive efforts designed to prevent patient-handling injuries would be strengthened by objective data on intermediate measures that reflect intervention implementation and adoption. Am. J. Ind. Med. 54:935–945, 2011. © 2011 Wiley Periodicals, Inc.

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