Presentation on theme: "Patient Care Ergonomics"— Presentation transcript:
1Patient Care Ergonomics Remember…Through ErgonomicsJob can be redesignedJobs can be improved to be within reasonable limits of human capabilitiesHowever, ergonomics is not a magical solution…To be effective, a well thought out system of implementation must be developed
2Here’s A Successful Solution using Patient Care Ergonomics…
3Successful Solution using Patient Care Ergonomics… VISN 8 Patient Safety Center Research Project:VISN-Wide Deployment of a Back Injury Prevention Program for Nurses:Safe Patient Handling and Movement( )
4Results: Incidence (#) of Injuries Decreased 31% (144 to 99 injuries)
5Results: Injury Rates* Decreased from 24 to 16.9Difference was significant at level*Defined as # reported injuries per 100 workers per year
6Results: Light Duty Days Decreased 70% (1777 to 539 days) Significant at 0.05 level
7Results: Lost Work Days Decreased 18%, from 256 to 209 days
9Overview of a Safe Patient Handling & Movement Program Successful SolutionsOverview of a Safe Patient Handling & Movement Program
10Safe Patient Handling & Movement Program For success, required infrastructure MUST be in place prior to implementing SPHM ProgramEquipmentKnowledge Transfer MechanismsTechnical SupportManagement SupportChampionSPHM TeamProgram Elements
12SPHM Team Responsibilities Implements ProgramWrites PolicyReviews/Trends DataEnsures incidents/injuries are investigatedFacilitates Equipment Purchases
13SPHM Team Members Nurse Educator Therapy Staff (OT, PT, ST) Purchasing Nursing AdministratorNursing Staff (CNA, LPN, RN)Nursing Service Safety RepPeer Leader (BIRN)Risk ManagerResident/PatientUnionNurse EducatorTherapy Staff (OT, PT, ST)PurchasingEngineeringEmployee Health/SafetyOthers…
14Safe Patient Handling & Movement Program GoalsReduce the incidence of musculoskeletal injuriesReduce the severity of musculoskeletal injuriesReduce costs from these injuries
15Safe Patient Handling & Movement Program GoalsCreate a safer environment & improve the quality of life for patients/residentsEncourage reporting of incidents/injuriesCreate a Culture of Safety and empower nurses to create safe working environments
16SPHM Key Objectives Reduce manual transfers by ___% Reduce direct costs by ___%Decrease nursing turnover by __%Decrease musculoskeletal discomfort in nursing staff by ___%
17SPHM Key ObjectivesReduce # of lost workdays due to patient handling tasks by ___%Reduce # of light duty days due to patient handling tasks by ___%Note: Best to NOT measure success by # of reported injuries…
18Safe Patient Handling & Movement Program What goals do you want to achieve for yourself, your co-workers, and your unit?What specific Program Objectives do you want to attain?(Complete “A” & “B” of Handout A-1, Developing a Safe Patient Handling & Movement Action Plan)
19Safe Patient Handling & Movement Program SPHM Program ElementsPeer Leaders – BIRNS/Ergo RangersAfter Action Review ProcessPatient Assessment, Care Plan, Algorithms for Safe Patient Handling & MovementSPHM PolicyErgonomic & Hazard Assessment of Patient Care EnvironmentEquipment
20Safe Patient Handling & Movement Program Elements Back Injury Resource NursesChapter 7
21Safe Patient Handling & Movement Program BIRNS are the Key to Program Success…Implement ProgramContinue Program
23Back Injury Resource Nurses Roles/ResponsibilitiesImplement/Continue SPHM ProgramAct as Resource, Coach, and Team Leader for Peers, NM, FacilityShare/Transfer KnowledgePerform Continual Hazard/Risk MonitoringMonitor and Evaluate ProgramMonitoring & Risk Assessment -Complete ONGOING Risk AssessmentsAssist in collecting Injury Data/InformationComplete Checklists for Safe Use of equipmentShare Knowledge -Bi-weekly conference callsBIRN Process logCommunity of Practice web siteResource/Coach etc -Share expertise in use of Program elementsListen to ideas & concernsDemonstrate Care & concern for staff well-beingSupport & promote a Culture Of SafetyCheer on safety successes
24BIRNS Roles & Responsibilities 1. Implement/Continue SPHM Program BIRNS activities and involvement depend on what program elements are included in your Program.
25Cheer on Safety Successes!! BIRNS Roles & Responsibilities 2. Act as Resource, Coach, and Team LeaderShare expertise in use of Program elementsMotivate use of Program elementsListen to Ideas & ConcernsDemonstrate Care & Concern for Staff Well-BeingSupport and promote a “Culture of Safety”Cheer on Safety Successes!!
29BIRNS Roles & Responsibilities 5. Monitor and Evaluate Program Assist in Collecting/Analyzing Injury DataComplete Checklists for Safe Use of Lifting EquipmentEvaluate Ability to use Algorithms & Complete Care Plan
30BIRNS Roles & Responsibilities 5. Monitor and Evaluate Program Weekly BIRN Process Log (p.89)BIRNS Activity LevelBIRNS and Program StatusEffectivenessAdherenceSupportMonitoring & Risk Assessment -Complete ONGOING Risk AssessmentsAssist in collecting Injury Data/InformationComplete Checklists for Safe Use of equipmentShare Knowledge -Bi-weekly conference callsBIRN Process logCommunity of Practice web siteResource/Coach etc -Share expertise in use of Program elementsListen to ideas & concernsDemonstrate Care & concern for staff well-beingSupport & promote a Culture Of SafetyCheer on safety successes
31What Helps Make a BIRNS Successful? PersonalityNatural LeaderPositive OutlookTeam PlayerProactiveCooperation & Support
32What Helps Make a BIRNS Successful? Cooperation & SupportNurse ManagerNursing AdministrationFacility ManagementFacility Safety ChampionEngineering & Housekeeping
33What Helps Make a BIRNS Successful? Management SupportTIME to fulfill BIRNS role (especially during implementation phase)Coverage during meeting times, staff in-services & BIRNS trainingLighter case-loadTIME for Staff to attend In-Services
34Back Injury Resource Nurses Outcomes for StaffStaff are empoweredChannel to voice ideas/suggestionsOpportunity to have input in making work environment saferIncreased competence in performing jobIncreased sharing of knowledge/best practicesFosters Culture of SafetyMonitoring & Risk Assessment -Complete ONGOING Risk AssessmentsAssist in collecting Injury Data/InformationComplete Checklists for Safe Use of equipmentShare Knowledge -Bi-weekly conference callsBIRN Process logCommunity of Practice web siteResource/Coach etc -Share expertise in use of Program elementsListen to ideas & concernsDemonstrate Care & concern for staff well-beingSupport & promote a Culture Of SafetyCheer on safety successes
35Back Injury Resource Nurses Examples of Problems IdentifiedLifts not being used on night shifts.Why? Batteries were being charged on night shifts because no back-up batteries.Solution: Buy extra battery packs so lifts can be used 24 hours per day.Monitoring & Risk Assessment -Complete ONGOING Risk AssessmentsAssist in collecting Injury Data/InformationComplete Checklists for Safe Use of equipmentShare Knowledge -Bi-weekly conference callsBIRN Process logCommunity of Practice web siteResource/Coach etc -Share expertise in use of Program elementsListen to ideas & concernsDemonstrate Care & concern for staff well-beingSupport & promote a Culture Of SafetyCheer on safety successes
36Safe Patient Handling & Movement Program BIRNS are the Key to…Implement SPHM ProgramContinue SPHM Program
37Safe Patient Handling & Movement Program Elements After Action Review Process Chapter 9
38After Action ReviewAn After Action Review is for transferring knowledge a team has learned from doing a task in one setting, to the next time that team does the task in different setting. (Dixon, 2000)
39AAR and Risk ReductionProvides mechanism for whole team to learn from the experiences of one individualInvolves front line staff in identifying problems and SOLUTIONS
40Guidelines for AAR Use Used for injuries AND “near-misses” After an incident has occurred bring staff together to discuss the incidentNo notes are takenInvolve as many staff as possibleHold AAR in location of incident, if possibleNon-punitive approach with no fault-finding/blaming
41Guidelines for AAR Use Keep meetings brief - less than 15 minutes Staff-drivenAssign one or two persons to ensure corrective actions are takenAt next AAR, follow-up if needed
42Guidelines for AAR Use The AAR group asks (1) What happened? (2) What was supposed to happen?(3) What accounts for the difference?(4) How could the same outcome be avoided the next time?(5) What is the follow-up plan?
43Training Staff on AAR Minimal Training required Staff In-service – review purpose, need for trust, benefits, etc.Training ToolsHandout A-2, AAR BrochureMy AAR slides
44AAR Case StudyA nurse manager of a long term care unit decides to implement after action reviews after she notices an increase in musculoskeletal injuries among the staff.
45AAR Case StudyAfter hearing an explanation of the process, staff decide to schedule AAR meetings on Monday, Wednesday, and Friday at 11 AM.This time was selected because most of the morning care is completed by 11:00 and it is before lunch time.
46AAR Case StudyDuring the first meeting, group members ask staff to think about what happened during the morning.Did anything happen (near-miss or injury) that could have put them or their co-workers at risk of injury that everyone could learn from?
47What Happened? Sue, an LPN, begins. I had to get Mr. Walker up because he was lying in a wet bed.... I was late with my meds and I knew I needed to get to the in-service. Then, I couldn’t find a sling, so I just got him up myself. While I was lifting him I kept thinking… ‘Don’t’ hurt yourself…’ I guess I was lucky I didn’t!So.. What happened was that I lifted Mr. Walker without help, without using a lift.
48What Was Supposed to Happen? Nancy: OK.. So, what should have happened?Sue: I should have found the sling and used the lift, but I was in such a hurry.Nancy: I know… It’s so frustrating to have all of these new lifts but not have the slings where you need them. I know I’ve had trouble finding slings, too.Others discuss their experiences related to the lifts and slings.
49What Accounts for the Difference? Nancy: Let’s see… What accounts for the difference? Well... The sling wasn’t available. For starters, the sling should have been in the room and on the bed side stand, where we agreed to keep them.
50What Accounts for the Difference? Ron: You’re right, but there's not always room to put them there… That’s where patients place their things too… Because of that a lot of times I put slings places where ‘I’ can find them when ‘I’ come back in the room, but I guess that makes it hard for you guys to find them when I’m not around….
51What Accounts for the Difference? After more discussion, the group decides that the problems of ‘inaccessible slings’ is caused by no good location for the slings in patient rooms.
52How can the same outcome be avoided the next time?? Nancy: OK… We’re always running around looking for slings. What do you think about placing a sling ‘hook’ in every patient room, right at the door, so you can easily pick the sling up on entering and put it back on leaving?Fred: That’s a good idea! I also think it would help if we had more slings… How many more do you think we need?
53How can the same outcome be avoided the next time?? Brad: I’ll request a work order to install the hooks and after they’re installed I’ll make sure everyone gets the message on the new procedure.Ron: I’ll add the process to the new employee orientation packet.Fred: I’ll put in a request to order 6 slings.
54What’s the Follow-up Plan? Sue: Let’s see if I have all of our recommendations… Put in a work order for installation of the hooks, buy more slings, spread the word, and the add process to the unit orientation packet for new employees.Brad: Since this has been a continual problem, let’s see how we’re doing on the sling issue at an AAR in one month.
55After Action Review Case Study AAR Case StudyBIRN noticed friction reducing devices (FRDs) weren’t being used on her UnitHeld staff AARDetermined FRD’s too narrowSolution: BIRN contacted manufacturer who made new, wider FRD’s.Outcome: New, wider FRD’s used on UnitMonitoring & Risk Assessment -Complete ONGOING Risk AssessmentsAssist in collecting Injury Data/InformationComplete Checklists for Safe Use of equipmentShare Knowledge -Bi-weekly conference callsBIRN Process logCommunity of Practice web siteResource/Coach etc -Share expertise in use of Program elementsListen to ideas & concernsDemonstrate Care & concern for staff well-beingSupport & promote a Culture Of SafetyCheer on safety successes
56AAR Practice Break into groups Think of a problem common to your group Perform an AAR using the AAR questions.
57Safe Patient Handling & Movement Program Elements Patient Assessment, Care Plan, & Algorithms for Safe Patient Handling & Movement Chapter 5
58Patient Assessment, Care Plan, & Algorithms for Safe Patient Handling & Movement The Assessment, Algorithms , & Care Plan go hand in hand...Assess the PatientDetermine what handling activities you must performFollow the algorithms to determine what equipment and # of staff are neededComplete the Care PlanFile for future use
59What Tasks Do the Care Plan & Algorithms Cover? Transfer To and From: Bed to Chair, Chair to Toilet, Chair to Chair, or Car to ChairLateral Transfer To and From: Bed to Stretcher, TrolleyTransfer To and From: Chair to Stretcher, Chair to Chair, or Chair to Exam TableReposition in Bed: Side to Side, Up in BedReposition in Chair: Wheelchair or Dependency ChairTransfer a Patient Up from the Floor
60What Tasks Do the Bariatric Care Plan & Algorithms Cover? Transfer To and From: Bed to Chair, Chair to Toilet, Chair to Chair, or Car to ChairLateral Transfer To and From: Bed to Stretcher, TrolleyReposition in Bed: Side to Side, Up in BedReposition in Chair: Wheelchair or Dependency ChairTasks Requiring Sustained Holding of Limb/s or Access to Body PartsTransporting (stretcher, w/c, walker)ToiletingTransfer Patient Up from Floor
61Patient Assessment & Care Plan – Page 71 Completed on all patientsTakes into consideration:Patient CharacteristicsPatient Handling TaskEquipmentUses Algorithms
62Algorithms - Page 73Based on Specific Patient Characteristics (from Assessment)Assists nurses in selectingSafest EquipmentSafest Patient Handling TechniqueAdvises # of staff needed
63How were these Algorithms Developed? Developed by a group of nursing expertsTested with different patient populations in a variety of settings
64When Should The Algorithms be Used? Use the Algorithms for every patient/resident who needs help movingRemember….The Algorithms provide general directionCaregiver must use their professional judgment in applying Algorithms
66Let’s assess NH resident: Fred Veteran 80 year old resident of a VA Nursing Home.Weight: 156 lbs. Height: 5’ 9”Has dementia and a history of falls.Some days he is cooperative. Other days he is combative and fearful.When he is cooperative, he can bear weight. Otherwise, he resists standing.He is to be out of bed every day in a chair.
67Assessing Fred V.Take a few minutes and complete a Patient Handling Care Plan for Fred Veteran.(Use Handout A-3, Patient Assessment & Care Plan)
68Assessing Fred V. Level of Assistance Dependent Can the resident bear weight?No, because the resident is not cooperativeDoes resident have upper extremity strength needed to support weight during transfers?No, because resident is unreliable for using his upper extremity strength
69Assessing Fred V. Resident’s level of cooperation and comprehension UnpredictableWeight: 156 lbs.Height: 5’ 9”Special circumstances?History of Falls
70Finishing Fred V.’s Care Plan Although the resident can sometimes bear weight, he can be uncooperative.The “No” answer to “Is the Resident cooperative?” leads you to: “Use full body sling lift and 2 caregivers”Answer: Use full body sling lift and 2 caregivers
71Patient Assessment, Care Plan, & Algorithms for Safe Patient Handling & Movement The Assessment, Algorithms , & Care Plan go hand in hand...Assess the PatientDetermine what handling activities you must performFollow the algorithms to determine what equipment and # of staff are neededComplete the Care PlanFile for future use
72Algorithms Practice Break into groups Have one person give a clinical description of a recent patient requiring moving/handlingDevelop a patient handling Care Plan using the assessment tool and algorithms.
73Safe Patient Handling & Movement Program Elements Safe Patient Handling & Movement PolicyChapter 6
74Safe Patient Handling & Movement Policy SPHM Policy Ties all Program Elements Together…Based on UK PolicyImplemented in high-risk unitsFocus on creating a safe workplace for caregivers rather than on punitive action for mistakes
75Safe Patient Handling & Movement Policy SPHM Policy Ties all Program Elements Together…Says to avoid hazardous Patient handling tasks.If can’t avoid, carefully assess hazard, & if possible, always use Patient handling equipment
76Safe Patient Handling & Movement Program BUT….Patient Handling Equipment/Aids MUST be in place first, before implementing a SPHM Program.So, a systematic process is needed to ensure the right equipment is in place…
77Safe Patient Handling & Movement Program Elements 9 Step Ergonomic Workplace Assessment of Nursing EnvironmentsChapter 3
78Patient Care Ergonomic Hazard/Risk Evaluation Two Levels of Hazard/Risk EvaluationsFormal Ergonomic Hazard Evaluation – Ch. 3Ongoing Workplace Hazard EvaluationsOf the EnvironmentOf Patients/ResidentsOf Patient Handling Tasks
79Patient Care Ergonomic Evaluation Process Studies show ergonomic approachesReduced staff injuries from %Significantly reduced workers compensation costsReduced lost time due to injuriesBruening, 1996; Empowering Workers, 1993; Fragala, 1993; Fragala, 1995; Fragala, 1996; Fragala & Santamaria, 1997; Logan, 1996; Perrault, 1995; Sacrifical Lamb Stance, 1999; Stensaas, 1992; Villaneuve, 1998; Werner, 1992)
80Patient Care Ergonomic Evaluation Process 1. Collect Baseline Injury Data2. Identify High Risk Units3. Obtain Pre-Site Visit Data4. Identify High-Risk Tasks5. Conduct Team Site Visit at each High-Risk Unit6. Risk Analysis7. Formulate Recommendations8. Implement Recommendations (Involve End Users)9. Monitor Results/Evaluate Program/Continuously Improve Safety
81Step 1. Collect Baseline Injury Data *Be sure to note which source is used on your Injury Log
82Step 1. Collect Baseline Injury Data Cause: Patient Handling TasksTarget Population/s: Nursing Staff (Radiology, Therapy Staff – PT,OT,ST, Others?)Type: Strains/Sprains (Struck, Fall..?) (Best to include all types of injuries, then analyze those of interest.)Duration: Minimum of 1 year of data
83Step 1. Collect Baseline Injury Data Collect by Unit (will also use later during risk analysis)Sources:Risk Manager/Safety/Human ResourcesFacility Injury Logs/Statistics, Unit Records, OSHA 200/300 LogsPatient Care Incident/Injury ProfileNote which source is used on your Injury Log
84Step 2. Identify High-Risk Units What units have theMost Patient handling injuries/ incidents?Most severe injuries/incidents? (by lost time or modified duty days)Highest concentration of staff on modified duty?
85Step 2. Identify High-Risk Units Common Characteristics:High proportion of dependent patients/residentsHigh frequency of patients/residents getting in & out of bedHigh frequency of transfers from one surface to another, e.g. w/c to toilet or bed
86Step 4. Identify High-Risk Tasks ‘Tool for Prioritizing High Risk Tasks’ – p. 30Rank Tasks from 1 to 101 = highest risk = lowest riskWhen ranking, consider:Frequency & Musculoskeletal StressDelete Tasks not usually performed on UnitCompleted byEach Staff memberCollectively by Shift
87Step 4. Identify High-Risk Tasks High Risk Task Ranking ExerciseThink of a high-risk unit Complete Tools for Prioritizing High-Risk Patient Handling Tasks(Complete Handout A-4, Prioritizing High Risk Tasks)
88Step 4. Identify High-Risk Tasks Let’s compare high risk tasks identified by you and others…If there were differences…Why??What factors play a role in ranking tasks?
89Step 4. Identify High-Risk Tasks High Risk Task Ranking UNIT Exercise1. Have staff complete2. Compare their perceptions to yours3. Compare their and your perceptions to Baseline Injury data
903. Obtain Pre-Site Visit Data on High-Risk Units Use ‘Pre site Visit Unit Profile’ – p. 24Space issuesStorage availabilityMaintenance/repair issuesPatient populationStaffing characteristicsEquipment inventory/issuesWill use when performing site visit and for making recommendations
91Step 3. Obtain Pre-Site Visit Data Remember…Involve as many staff as possible and as much as possible…
92Step 3. Obtain Pre-Site Visit Data Now… think of one of your high-risk units from your facility and complete a cursory “Unit Data Collection Tool” for that unit.* Complete Unit Data Collection Tool Profile (Handout A-5)
93Step 5. Conduct Site Visit Site Visit Walk-throughPatient room sizes/configurationsCeiling Characteristics/AC vents/TVsShowering/bathing facilitiesToileting process
94Step 5. Conduct Site Visit Site Visit Walk-throughEquipmentAvailability AccessibilityUse ConditionStorageStaff attitudes
95Step 5. Conduct Site Visit After Site Visit…Organize data by entering into Site Visit Summary Data Sheet(p. 34 and Handout A-6)Use during Risk Analysis in order to make Recommendations
97Step 6. Perform Risk Analysis Risk Identification/BreakdownHigh Risk DEPARTMENT/AREAHigh Risk JOBS (RN, CNA, LPN, etc.)Specific TASKS of High Risk Jobs (p. 30)Specific ‘ELEMENTS’ of High Risk Job TASKS
98Step 6. Perform Risk Analysis What do we need to look at to identify Specific RISKS of ‘ELEMENTS’ of High Risk Job TASKS?
99Step 6. Perform Risk Analysis Element/Task Risk IdentificationTask IntensityTask DurationWork PostureGeneral Design of EquipmentSpace CharacteristicsWhere do you think problem exists?
100Step 6. Perform Risk Analysis Methods to Gather Risk DataGeneral ObservationStaff DiscussionsStaff QuestionnairesReview of Medical DataSymptoms SurveysQuantitative EvaluationsPrevious StudiesJob Consistency & FatigueBrainstorming & Group ActivitiesJob Safety Analyses
101Step 6. Perform Risk Analysis Job Safety Analysis (JSA)Break down job into stepsIdentify hazards associated with each stepDetermine actions necessary to eliminate or minimize hazards
103Step 6. Perform Risk Analysis Risk Analysis is used to find Risk Factors that may cause injury.There are three categories of Risk Factors in a Patient Care Environment...What do you think they are??
104Step 6. Perform Risk Analysis Risk can come from:Patient Handling TasksHealth Care EnvironmentPatientOnce risks are identified, steps can be taken to protect Staff and Patients!
105Step 6. Perform Risk Analysis What Risk Factors are related to the Health Care Environment?
106Step 6. Perform Risk Analysis Health Care Environment Risk FactorsSlip, trip, and fall hazardsUneven work surfaces (stretchers, beds, chairs, toilets at different heights)Uneven Floor Surfaces (thresholds)Narrow DoorwaysPoor bathing area design
107Step 6. Perform Risk Analysis Health Care Environment Risk FactorsSpace limitationsSmall roomsLots of equipmentClutterCramped working spacePoor placement of room furnishings
108Step 6. Perform Risk Analysis Health Care Environment Risk FactorsBroken EquipmentInefficient Equipment (non-electric, slow-moving, bed rails)Not enough or Inconvenient Storage SpaceStaff who don’t help each other or don’t communicate
110Step 6. Perform Risk Analysis What Risk Factors are related to Patients?
111Step 6. Perform Risk Analysis Patient Risk FactorsWeak/unable to help with transfersUnpredictableVision or hearing lossHit or biteResistive BehaviorUnable to follow simple directions
112Step 6. Perform Risk Analysis Patient Risk FactorsOverweightExperiencing PainHearing or vision lossNo/little communication between staff about Patient or with Patient
113Step 6. Perform Risk Analysis What Risk Factors are found in Patient Handling Tasks?
114Step 6. Perform Risk Analysis Patient Handling Tasks Risk FactorsReaching and lifting with loads far from the bodyLifting heavy loadsTwisting while liftingUnexpected changes in load demand during liftReachingLong Duration
115Step 6. Perform Risk Analysis Patient Handling Tasks Risk FactorsMoving or carrying a load a significant distanceAwkward PosturePushing/PullingCompleting activity with bed at wrong heightFrequent/repeated lifting & moving
116Step 6. Perform Risk Analysis Now, it’s time to tie…Patient Handling Task RisksHealth Care Environment RisksPatient RiskstoSite Visit DataThis will show us what to consider in making recommendations.
117Step 6. Perform Risk Analysis Risk Analysis includes review of…Unit Baseline Injury DataPatient Care Incident/Injury Profile (p. 21)Pre-Site Visit DataPre-Site Visit Unit Profile (p. 24)High-Risk TasksTool for Prioritizing High-Risk Patient Handling Tasks (p. 30)
118Step 6. Perform Risk Analysis Risk Analysis includes review of…Site Visit InformationSite Visit Summary Data Sheet (p. 34)Observations & Additional Information from Site Visit
119Step 6. Perform Risk Analysis Analyzing Unit Baseline Injury DataWill provide direction when making ergonomic recommendationsDetermine:#1 & 2 Causes of Injuries#1 & 2 Activities being performed when staff are injuredWhat’s going on? What trends are seen?
120Step 6. Perform Risk Analysis Analyzing Unit Baseline Injury Data ActivityLet’s try it…Use Injury Incidence Profile (Handout A-8)1. For the NHCU, what are the:#1 & 2 Causes of injuries?#1 & 2 Activities involved in the injuries?2. What trends do you see?
121Step 6. Perform Risk Analysis Analyzing Unit Baseline Injury DataWhat does the unit injury data tell you?
122Step 6. Perform Risk Analysis Data to Direct RecommendationsIncidence (# injuries per unit)Severity (defined by # of lost and modified duty days)1 - 2 Primary task/s involved in injuries1 - 2 Primary cause/s of injuries on unitPatient Dependency LevelsNumber/configuration of roomsWhatever is significant to your needs
123Step 6. Perform Risk Analysis Information from the Risk Analysis drives formation of Recommendations…
129Step 7. Formulate Recommendations Administrative ControlsChanges in SchedulingMinimizing # times transfers are requiredJob RotationRedistribution of Workload Based on AcuityLifting TeamsProcedures for repair/maintenanceAllot Storage Space to make equipment more accessible
131Step 7. Formulate Recommendations Engineering ControlsResult: Caregivers conduct their job in a new wayPhysical Change to the way a job/task is conductedUtilization of an aid/equipment to reduce the hazardModifications to the Workplace
132Step 7. Formulate Recommendations Engineering Controls are the keys to improving safety in a health care environment….Let’s see some examples.