Comparison of Provider Experience with Two Patient Examination Tables
|
|
- Kimberly Wilkerson
- 7 years ago
- Views:
Transcription
1 Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting 593 Comparison of Provider Experience with Two Patient Examination Tables Amro Abdelrahman 1, Denny Yu 1, 2, Tara Cohen 3, Susan Hallbeck 1, Sandra Woolley 4 1 Department of Health Sciences Research, Mayo Clinic, Rochester, MN, USA 2 School of Industrial Engineering, Purdue University, West Lafayette, IN, USA 3 Human Factors Department, Embry-Riddle Aeronautical University, Daytona Beach, FL, USA 4 Occupational Safety, Systems Quality Office, Mayo Clinic, Rochester, MN, USA Medical care providers recognize nonadjustable examination tables in clinics as a barrier to comprehensively and safely providing routine healthcare for disabled, elderly and obese patients. The aim of this study was to understand how the availability of the adjustable examination table may affect the medical care provider s perception of the quality of care provided to patients who need physical assistance. Fifty providers answered questionnaires to report their perceptions of two different examination tables usability. The first one is a mid-century industrial designed table and the other adjustable and ADA compliant, as used in a community health clinic. Before implementation of the new adjustable examination table, 34 medical care providers provided feedback on their experiences with nonadjustable examination tables. A second survey was administered approximately six months after implementation of the new adjustable examination tables to 16 medical care providers (with 2 indicating participation in the prior-toimplementation survey) for their feedback on experiences with the new adjustable examination tables. Providers reported significantly (p<0.05) more comfort in getting typical patients (27%), bariatric patients (50%), and geriatric patients (30%) into a sitting position when they used the adjustable examination table compared to the nonadjustable examination table. Providers considered the adjustable examination tables to have a more ideal width (60%) and length (64%) to accommodate a wider variety of patients than the nonadjustable examination tables. Providers also considered the adjustable table (33%) easier to use and preferable to the nonadjustable table. This research showed how the adjustable examination table improves healthcare provider experience to provide access to healthcare for patients with disabilities with better ergonomics and greater safety for both patients and providers. Copyright 2016 by Human Factors and Ergonomics Society. DOI / INTRODUCTION Nonadjustable-height examination tables are one of the health care barriers for disabled, elderly, and obese patients in health care settings (Amy, Aalborg, Lyons, & Keranen, 2006; Tara Lagu, Iezzoni, & Lindenauer, 2014; Mudrick & Schwartz, 2010; Rosen & Schneider, 2004; Stillman, Frost, Smalley, Bertocci, & Williams, 2014). During site assessments on a sample of healthcare clinics in one state, Frost et al reported that 64%-80% of the clinics were not equipped with adjustable-height examination tables. A similar study reported that less than 10% of outpatient practices have adjustable-height examination tables. Although federal regulatory laws (the Americans with Disabilities Act [ADA] of 1990 and Section 504 of the Rehabilitation Act of 1973) have been implemented to ensure that health care settings must be accessible to patients with disabilities, physical barriers like nonadjustable examination tables persist in many healthcare settings and can impact both patient and provider safety (T. Lagu, Griffin, & Lindenauer, 2015). Patients with disabilities not only perceived the nonadjustable examination table as a barrier to equal health care access but also as an unsafe and scary experience, limiting their willingness to go to healthcare clinics (Story, Schwier, & Kailes, 2009). Although patient apprehensions about height adjustability of examination tables as a barrier and major safety concern has been demonstrated in the literature, provider perception regarding the usability of different examination tables has not been studied yet. Patient handling has been identified as a significant contributor to musculoskeletal injuries. Musculoskeletal injuries have been significantly reported among healthcare workers mainly due to patient handling without ergonomic medical equipment. The consequences can be devastating on the provider health and career (Pompeii, Lipscomb, Schoenfisch, & Dement, 2009). Typically, only one provider is placed in a given examination room and is responsible for caring for the patient. This includes tasks such as assisting patients onto/off the examination table. Without accessible examination tables, providers are not able to assist patients with accessing the examination table, particularly those patients who need physical assistance (e.g., disabled, elderly, and/or obese patients). Inaccessible examination tables may put patients at a high risk of falling and providers at high risk of back or other musculoskeletal injuries (Engkvist, Hjelm, Hagberg, Menckel, & Ekenvall, 2000; Fragala, 2016; Smedley, Inskip, et al., 2003). Those risks may limit providers in their ability to provide adequate healthcare to patients who required physical assistance.
2 Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting The purpose of this study was to evaluate provider perception regarding the usability of two different patient examination tables, in an effort to determine the impact of adjustable examination tables on medical care provider safety and healthcare delivery. Understanding the usability of medical equipment can help us to design a better ergonomic work environment for the successful treatment/triage of patients. Provider opinions on the examination table will provide useful feedback to continuously improve the quality of the examination room equipment and ensure that patients always receive the highest standard of care regardless of their disability status. This approach will help a clinic s medical staff to work efficiently to treat the greatest number of patients on a given day, while maintaining the highest standard of patient and provider safety. METHODS A total of 50 providers from a community health clinic participated in the study to evaluate their perceptions of the usability of two different examination tables. The medical providers included physicians, physician assistants, nurse practitioners, nurses and medical assistants. Thirty-four providers provided feedback on their experiences with the nonadjustable examination tables and 16 providers responded to a survey based on the new adjustable examination tables. The nonadjustable-height examination table: The dimensions of the wooden nonadjustable-height examination table are 5 x2 x2 6" with 7" high footrest. Once on the half circle footrest (i.e., shallow footrest with radius of 1 and 0.6"), the patient must be able to turn around to sit down. Once the patient has turned around, the distance between the footrest and top surface of the table is 24.8" for nonadjustable-height examination table. When the patient is asked to step down from table, depending on the patient s height, there is a drop of between 3.3" to 9.7" for the 95th to the 5th percentile individual, respectively, for the wooden nonadjustable examination table. The table width is 24 inches and the table length is 59.6 inches (Figure 1). Figure 1: The industrial designed wooden nonadjustable examination table in clinic examination room. The adjustable examination table: The adjustable-height examination table used in this study was Midmark 623 Barrier-Free Power Examination Table (Midmark Corporation. Dayton, Ohio, U.S.A.). The dimensions of the adjustable examination table are: 28.38" x 59.5" with minimum and maximum heights equal 18" and 37", 594 respectively. The length with footrest extended: 77.5" with pelvic tilt of 7 degrees. There were hand and foot controls available to adjust the table height and to control the orientation of the table back rest. The back part of the table was pneumatically adjustable from zero to 90. (Figure 2) Figure 2: The industrial designed adjustable examination table in clinic examination room. Study procedure: In the years prior to the study, a community healthcare clinic was equipped with the old nonadjustable examination tables. Before installation of new adjustable tables, participants completed a questionnaire regarding their perceptions of the usability of the nonadjustable examination table. Specifically, the questions were focused on addressing the impact of the old table on providing health services to patients. After the implementation of the new adjustable examination table, training was provided to the medical care providers on the use of the new adjustable examination table. Six months after the implementation of the new adjustable examination table in the clinic, medical providers were asked follow-up questions. Follow-up questions were composed of the same questions from the original questionnaire used before implementation of the new adjustable examination table as well as additional questions aimed at getting feedback regarding the new adjustable examination table. Dependent variables Self-reported questionnaires were completed by medical providers. This questionnaire assessed the provider s perception of the usability of two different examination tables and was developed by a team of human factors and ergonomic experts. The questionnaire was designed using short visual analogue scales (VAS). Seven questions were common to the pre- and postimplementation of the new adjustable examination table as shown in Figure 2. Participants completed each question based on a subscale on a 20 point visual analogue scale (VAS) (from 0 as not comfortable, not ideal, or very hard to use; to 20 as very comfortable, ideal, or very easy to use, respectively).
3 Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting 595 your field would be when using this table to examine patients? 6 In comparison to other patients table I have worked with, this table is: (0 = not ideal, 20 = Ideal) Statistical analysis: Data were processed and analyzed using SPSS (v22, IBM Corp., Armonk, NY). All categorical independent variables, each question on the questionnaire, were expressed as percentages of the total number of providers, and the continuous independent variables were expressed as mean (M) ± standard deviation (SD). The differences in the dependent variables between the two provider groups (i.e., nonadjustable-height examination tables and adjustable-height examination tables) were tested using t-tests. The dependent variables which filled only by the providers after using the adjustable-height examination tables were expressed in mean ± SD. Alpha was set to Figure 2: Seven questions on provider perceptions of whether it is easier or harder to transfer and provide care for patients with examination table. This part has been filled by the providers of the two groups of clinics. The second part of the questionnaire was only asked after the implementation of the new adjustable examination table and contained six VAS questions (Table 1). Table 1: Additional questions on the post-implementation questionnaire Question Question stem No. 1 How comfortable do you feel with the amount of the time it takes to get a typical patient into sitting position on the table? 2 How comfortable do you feel with getting pediatric patients into setting position on the table? 3 In general, patients appear to be comfortable with getting into sitting position on the table: (0= disagree, 5= agree) 4 The patient exam table does everything I need it to do (moves appropriately, functions properly etc.): (0 = Never, 20 = Always) 5 How comfortable do you think other providers in RESULTS A total of 50 providers completed the questionnaires before and after the implementation of the new adjustable examination table. The demographic data from participants (i.e., medical care providers) in the clinics with the new adjustable examination table are summarized in Table 2. Regarding the data after implementation of the new adjustable examination table, most of the providers were nurses and most of their work was considered to be ambulatory (87%). Geriatric and bariatric patients together represented about 48% of their daily patient load. The mean percentage of the patients who needed physical assistance during their appointment represented 5% of the patient total (Table 2). Table 2: Descriptive statistics for 16 medical provider participants from the clinic equipped with the adjustable examination table. % Mean % Standard Deviation Count % Role Nurse Other Physician Pediatric Bariatric Geriatric Ambulatory Patients Per Day Patient Need to Assist 5 8 Self-reported questionnaire: part 1 Provider perception of the usability of each examination table was determined using unpaired t-tests and findings are summarized in Figure 3. Medical providers reported that the adjustable examination tables significantly (p<0.05) improved their comfort in getting patients into a
4 Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting 596 sitting position compared to the nonadjustable table (27% for typical patients, 50% for bariatric patients, and 30% for geriatric patients older than 65 years old). Providers reported the adjustable examination table were more comfortable (18% improvement) in getting patients in wheelchairs into sitting position than the nonadjustable examination table but this difference did not reach the statistical significance level (p=0.1). On a scale from 0 (not ideal) to 20 (ideal), providers considered the adjustable examination table significantly better in width (6-point difference) and length (7-point difference) than the nonadjustable examination table. Providers also reported that the adjustable examination table was significantly (33%) easier to use than the nonadjustable exam table (Figure 3). Figure 3: Comparison of the provider perception between the nonadjustable examination table and the adjustable examination table using unpaired t-test. A strike represents p- value < On a scale from 0 (disagree) to 5 (agree), providers agreed that patients felt more comfortable on the adjustable examination table. Additionally, on a scale from 0 (never) to 5 (always), providers rated the adjustable examination table 4 out of 5 in doing everything the provider needed with respect to its movement and functionality. On a scale from 0 (not comfortable at all) to 20 (very comfortable), providers rated the adjustable table 17 and 16, in other words very favorable, in the amount of the time it took to get typical patients and pediatric patients onto the table, respectively. When providers were asked how they consider the adjustable examination table in comparison to the nonadjustable examination table, on a scale from 0 (not ideal) to 20 (ideal ), on average, providers rated the adjustable examination table as a 17 out of 20 (Table 3) Table 3: Descriptive statistics for the second part of the questionnaire which had been filled by16 participants of the second group of the clinic with the adjustable examination table. Questions Mean Standard Deviation Missing Comfort with amount of Time Comfort getting pediatric Patient comfort with the adjustable Exam table functionality Comfort of other providers using the adjustable examination table Comparison of the adjustable examination table to the nonadjustable examination table DISCUSSION This study investigated medical providers perception with respect to the use of two examination tables in providing healthcare for a variety of patient categories (Table 2). Each provider who worked in clinics equipped with the adjustable examination tables were responsible for seeing about 10 patients per day. Patients older than 65 years represented more than a third of their daily patients, while bariatric patients (e.g., obese patients) represented 12%. Both geriatric and bariatric patients represent a vulnerable group who may need physical assistance in addition to disabled patients in wheelchair. While providers in the new clinic reported that only about 5% of patients were in need of physical assistance, this number was most likely underestimated, because of the implementation of the new examination table. Patienthandling activities have been significantly positively associated with risk for lower back pain. Specifically, literature has identified that providers with the highest risk of back pain were those who have to assist patients from the floor to seated positions on the table (Smedley, Trevelyan, et al., 2003). This study was limited in measuring this reduction in patient handling issues, and future studies are needed to quantify the reduction of patient-handling activity after the implementation of the new adjustable examination table in other clinics to quantify how this ergonomic intervention may reduce body parts discomfort and pain among medical staff providing medical care to disabled patients. In this study, providers reported that the adjustable examination table was more comfortable and easy to use for delivering standardized healthcare when treating different patient types compared to the nonadjustable examination table (Figure 3). The fixed height and the small footrest of the original examination table increased the difficulty of independent transfer and made it impossible for many people with mobility disabilities to become appropriately situated for examination. This situation required medical staff to help the patients get onto/off the table. The alternative is to be examined in their wheelchairs or on the exam room couch which lead to less than the optimal healthcare and represents one of the main reasons for back pain among healthcare workers (Fragala, 2016; Hignett, 2003). Providing an
5 Proceedings of the Human Factors and Ergonomics Society 2016 Annual Meeting 597 ergonomically adjustable table can lower the rate in which providers must physically handle patients without mechanical aids. The results of this study showed that providers were very satisfied with the adjustable examination table as it enabled timely, efficient, and practical treatment and examination of all patients (Table 2). Furthermore, the adjustable examination tables were found to increase patient comfort as perceived by the providers (Table 3). This notable improvement in comfort may help to mitigate fear or discomfort in patients visiting clinics for medical care (Story, et al., 2009). Results presented in the current study measured the medical staff perception in healthcare settings regarding the usability of an adjustable patient examination table. Overall findings indicated that the adjustable table was more userfriendly from a provider perspective than patient exam tables used in the past, however these findings are not without limitations. First, the sample size utilized in this study was small, unbalanced, and non-paired. Continuous implementations of the new adjustable examination table in various clinics with follow-up studies are needed. Doing this would increase sample size and allow for the inclusion of more providers with different specialties, creating more generalizable data. Further, participants were not matched between the two groups of the clinics, but this concern has been minimized because the providers in the second group with the new adjustable examination table had also previously practiced on the nonadjustable examination table and we were able to compare their perception in providing healthcare to different patients. During this study, we did not connect the provider perception with the patient risk outcomes like falls, pain, or inequality of healthcare delivery for patients with disabilities. However, the current study did identify an increase in provider perceived patient comfort, with respect to disabled patients after the implementation of the new adjustable patient examination table. In conclusion, the adjustable examination table had better dimensions and adjustability which improved medical staff experience (i.e., comfort and usability) in providing health services to different groups of patients, including those with disabilities. Both patient and provider perceptions and the risk outcome measures from using two types of examination tables in delivering healthcare are needed to address the critical ergonomic concerns. Longitudinal research to measure patient risk outcomes (i.e., fall risk; injury risk, worsen patient condition, pain, etc.) and provider musculoskeletal risk (i.e., body parts pain, discomfort or strain, injury, etc.) from the new adjustable examination table are also needed to comprehensively understand how applied ergonomics could improve both patients and provider safety. This approach of assessing the usability of the examination table could be also applied to other clinic medical equipment (e.g., patients lifts, radiologic equipment) to make clinics more accessible to patients with disabilities and more functional for practicing providers. White and African-American obese women. Int J Obes (Lond), 30(1), doi: /sj.ijo Engkvist, I. L., Hjelm, E. W., Hagberg, M., Menckel, E., & Ekenvall, L. (2000). Risk indicators for reported over-exertion back injuries among female nursing personnel. Epidemiology, 11(5), Fragala, Guy. (2016). Reducing Occupational Risk to Ambulatory Caregivers. Workplace Health & Safety. doi: / Hignett, S. (2003). Intervention strategies to reduce musculoskeletal injuries associated with handling patients: a systematic review. Occup Environ Med, 60(9), E6. Lagu, T., Griffin, C., & Lindenauer, P. K. (2015). ENsuring access to health care for patients with disabilities. JAMA Internal Medicine, 175(2), doi: /jamainternmed Lagu, Tara, Iezzoni, Lisa I., & Lindenauer, Peter K. (2014). The Axes of Access Improving Care for Patients with Disabilities. New England Journal of Medicine, 370(19), doi: doi: /nejmsb Mudrick, N. R., & Schwartz, M. A. (2010). Health care under the ADA: a vision or a mirage? Disabil Health J, 3(4), doi: /j.dhjo Pompeii, L. A., Lipscomb, H. J., Schoenfisch, A. L., & Dement, J. M. (2009). Musculoskeletal injuries resulting from patient handling tasks among hospital workers. Am J Ind Med, 52(7), doi: /ajim Rosen, A. B., & Schneider, E. C. (2004). Colorectal cancer screening disparities related to obesity and gender. J Gen Intern Med, 19(4), doi: /j x Smedley, J., Inskip, H., Trevelyan, F., Buckle, P., Cooper, C., & Coggon, D. (2003). Risk factors for incident neck and shoulder pain in hospital nurses. Occup Environ Med, 60(11), Smedley, J., Trevelyan, F., Inskip, H., Buckle, P., Cooper, C., & Coggon, D. (2003). Impact of ergonomic intervention on back pain among nurses. Scand J Work Environ Health, 29(2), Stillman, M. D., Frost, K. L., Smalley, C., Bertocci, G., & Williams, S. (2014). Health care utilization and barriers experienced by individuals with spinal cord injury. Arch Phys Med Rehabil, 95(6), doi: /j.apmr Story, Molly Follette, Schwier, Erin, & Kailes, June Isaacson. (2009). Perspectives of patients with disabilities on the accessibility of medical equipment: Examination tables, imaging equipment, medical chairs, and weight scales. Disability and Health Journal, 2(4), e161. doi: References: Amy, N. K., Aalborg, A., Lyons, P., & Keranen, L. (2006). Barriers to routine gynecological cancer screening for
Postgraduate Certificate in Moving and Handling at AUT
Postgraduate Certificate in Moving and Handling at AUT Fiona Trevelyan fiona.trevelyan@aut.ac.nz Health and Rehabilitation Research Centre Auckland University of Technology New Zealand Moving and handling
More informationEvaluation of Z-Slider for Lateral Patient Transfers, Repositioning, and Staff Musculoskeletal Injuries (Abstract) Laurie J. Bacastow RN, MSN, CNRN
Evaluation of Z-Slider 1 Evaluation of Z-Slider for Lateral Patient Transfers, Repositioning, and Staff Musculoskeletal Injuries (Abstract) Laurie J. Bacastow RN, MSN, CNRN Stanford Hospital and Clinics
More informationHow To Fit Out A Hospital Bed For A Patient
Hospital Emergency Room Ergonomic Evaluations & Recommendations Karleigh Burns Janna Burrows Chris Moe Lily Nirenberg Course taught by Professor Alan Hedge DEA 470, Spring 2004 Introduction Computers &
More informationGQ Medical School Graduation Questionnaire. All Schools Summary Report FINAL
2010 GQ Medical School Graduation Questionnaire All Schools Summary Report FINAL Prepared by Academic Affairs 202-828-0960 email: gq@aamc.org 2010, Association of American Medical Colleges. All rights
More informationSTANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP
STANDARD OPERATING PROCEDURES (SOP) FOR COMPUTER WORK, DESK TOP General Guidelines-Best Practices: The following guidelines are applicable to office workers who sit at a desk and/or work on computers.
More informationWorkplace Job Accommodations Solutions for Effective Return to Work
Workplace Job Accommodations Solutions for Effective Return to Work Workplace Job Accommodations Solutions for Effective Return to Work Published by 102 275 Broadway Winnipeg, MB R3C 4M6 www.mflohc.mb.ca
More informationERGONOMICS. University at Albany Office of Environmental Health and Safety 2010
ERGONOMICS University at Albany Office of Environmental Health and Safety 2010 WHAT IS ERGONOMICS? From the Greek: ergon work and nomoi natural laws Defined by Webster as: Biotechnology WHAT IS ERGONOMICS?
More informationThe Advantages of Ergonomics
The Advantages of Ergonomics Workers come in all different sizes. Ergonomics can help make the work more comfortable for the individual worker. What is ergonomics? Ergonomics is designing a job to fit
More informationTrends, Rules and tools for reducing injuries in the office based workplace
Trends, Rules and tools for reducing injuries in the office based workplace An Interactive Presentation for Safe Work Week 2014 Brayden Callander Jobfit Health Group Occupational Therapist A special thank
More informationElementary School Teachers' Working Comfort while Using Computers in School and at Home
Elementary School Teachers' Working Comfort while Using Computers in School and at Home Inger M. Williams, Ph. D. Cergos Consultant in Computer Ergonomics for Offices and Schools Adjunct Assistant Professor,
More informationBack Pain Musculoskeletal Disorder Updated October 2010
Back Pain Musculoskeletal Disorder Updated October 2010 According to the Health and Safety Executive back pain is the most common health problem for British workers. Approximately 80% of people experience
More informationUse of the HELiCS Resource in a Spinal Injury Rehabilitation Service
Case Study Three Use of the HELiCS Resource in a Spinal Injury Rehabilitation Service The purpose of this case study is to present an example of the use of the HELiCS Resource in a Spinal Injury Rehabilitation
More informationROTATOR CUFF HOME EXERCISE PROGRAM
ROTATOR CUFF HOME EXERCISE PROGRAM Contact us! Vanderbilt Sports Medicine Medical Center East, South Tower, Suite 3200 1215 21st Avenue South Nashville, TN 37232-8828 For more information on this and other
More informationSAFE PATIENT HANDLING PROGRAM AND FACILITY DESIGN
Department of Veterans Affairs VHA DIRECTIVE 2010-032 Veterans Health Administration Washington, DC 20420 SAFE PATIENT HANDLING PROGRAM AND FACILITY DESIGN 1. PURPOSE: This Veterans Health Administration
More information2015 National Nurse Practitioner Compensation Survey: An Overview June 2015
2015 National Nurse Practitioner Compensation Survey: An Overview June 2015 Contents Background... 1 Methods... 1 Results... 2 Demographic Characteristics... 2 Compensation... 2 Benefits... 2 Practice
More informationQ1 2015 HEALTHCARE JOBS SNAPSHOT. A quarterly report produced by Health ecareers
Q1 2015 HEALTHCARE JOBS SNAPSHOT A quarterly report produced by Health ecareers TABLE of CONTENTS Executive Summary 3 Key Findings General Findings 4 Physicians/Surgeons 5 Nurses, Nurse Practitioners &
More informationCompella Bariatric Bed Advancing bariatric care.
Compella Bariatric Bed Advancing bariatric care. Compella Bariatric Bed Overcoming barriers to efficient, safe and dignified bariatric care. Impact of obesity on health care providers: More than 34% of
More informationDental Health Survey
Dental Health Survey Humboldt Park-West Town communities July 2009 Greater Humboldt Park Community of Wellness Alejandra Valencia, DDS, MPH University of Iowa Dr. Sangeeta Wadhawan, BDS, MPH Chicago Community
More informationAuthors: Melissa Logsdon, M.P.H., Emily M. Godfrey, M.D., M.P.H., Arden Handler,
Authors: Melissa Logsdon, M.P.H., Emily M. Godfrey, M.D., M.P.H., Arden Handler, DrPH ABSTRACT Purpose: To determine women s preferences for the location of early abortion services. Description: Between
More informationPatient handling techniques to prevent MSDs in health care
28 Introduction Patient handling techniques Work-related musculoskeletal disorders (MSDs) are a serious problem among hospital personnel, and in particular the nursing staff. Of primary concern are back
More informationA Simple Guide to Health Risk Assessment Office Environment Series OE 5/2003
A Simple Guide to Health Risk Assessment Office Environment Series OE 5/2003 Occupational Safety and Health Branch Labour Department Occupational Safety and Health Council Contents Introduction 1 Office
More informationErgonomics for Grade School Students Using Laptop Computers
The Proceeding of the XVI Annual International Occupational Ergonomics and Safety Conference ʹ22 Ergonomics for Grade School Students Using Laptop Computers Margo FRASER* Ergonomics Consultant, Calgary,
More informationPolicy & Procedure. Safe Patient Handling (No Lift Policy)
Effective date signifies approval of this MHS policy by the Performance Improvement Leadership Oversight Team (PILOT) (see minutes). Policy. Policy & Procedure Safe Patient Handling ( Lift Policy) Effective
More informationLoss Prevention Reference Note. Adjusting the Computer Workstation. Glare Viewing Distance. Line of Sight Neck Posture Arm Posture Back Posture
Loss Prevention Reference Note Adjusting the Computer Workstation Line of Sight Neck Posture Arm Posture Back Posture Adjustability Glare Viewing Distance Work Surfaces Mouse Position Leg Space Leg Support
More informationBourassa and Associates Rehabilitation Centre Multidisciplinary Musculoskeletal Functional Rehabilitative Services
Slide 1 Bourassa and Associates Rehabilitation Centre Multidisciplinary Musculoskeletal Functional Rehabilitative Services Slide 2 Introduction To Rehabilitation Professionals Physical Therapy Occupational
More informationEsperienze di prevenzione nelle aziende sanitarie
Esperienze di prevenzione nelle aziende sanitarie Le aggressioni. I disturbi muscolo-scheletrici. Nicola Magnavita Istituto Medicina del Lavoro, UCSC, Roma Aggressions Aggression against nurses and ancillary
More informationWhite Paper. Ergotron Desk Stands DESIGN OF AN ERGONOMICALLY CORRECT DESK STAND FOR FLAT PANEL MONITORS
White Paper Ergotron Desk Stands DESIGN OF AN ERGONOMICALLY CORRECT DESK STAND FOR FLAT PANEL MONITORS DESIGN OF AN ERGONOMICALLY CORRECT DESK STAND FOR FLAT PANEL MONITORS Presented by Ergotron, Inc.
More informationPreventing Overuse Injuries at Work
Preventing Overuse Injuries at Work The Optimal Office Work Station Use an adjustable chair with good lumbar support. Keep your feet flat on a supportive surface (floor or foot rest). Your knees should
More informationRegence BluePoint 20/40 Plan Highlights For Groups of 51+ 1/1/2015
Plan Features Provider choice: Members have direct access to their choice of providers. Coinsurance levels are lowest for In Network providers. If a member chooses an Out of Network provider, the member
More informationPrepared by: Kaitlin MacDonald, MOT, OTR/L 1, Stephanie Ramey, MS, OTR/L 1, Rebecca Martin, OTR/L, OTD 1 and Glendaliz Bosques 1,2, MD
1 The Relationship between Power and Manual Wheelchair Mobility and Upper Extremity Pain in Youths with Low Level Cervical Spinal Cord Injury Prepared by: Kaitlin MacDonald, MOT, OTR/L 1, Stephanie Ramey,
More informationPatient and Family Education (PFE)
Patient and Family Education (PFE) Overview Patient and family education helps patients better participate in their care and make informed care decisions. Many different staff in the organization educate
More informationHow To Use The Safegait 360 Balance And Mobility Trainer
YOUR REHAB REINVENTED Gait and Balance Innovation Injecting innovation into traditional gait and balance therapy, the SafeGait 360 Balance and Mobility Trainer pairs a dynamic bodyweight support system
More informationUMN-Research Day - April 2004
Maintaining Elder Independence: The Independent LifeStyle Assistant I.L.S.A. Kathleen Krichbaum, PhD, RN University of Minnesota School of Nursing UMN-Research Day - April 2004 Liana Kiff Labs April 2004
More informationThe relationship between nurses' perceptions of empowerment and patient satisfaction
Available online at www.sciencedirect.com Applied Nursing Research 21 (2008) 2 7 Original Articles The relationship between nurses' perceptions of empowerment and patient satisfaction Moreen O. Donahue,
More informationWork Conditioning Natural Progressions By Nancy Botting, Judy Braun, Charlene Couture and Liz Scott
Work Conditioning Natural Progressions By Nancy Botting, Judy Braun, Charlene Couture and Liz Scott How a non-traditional, geared-to-work treatment is returning injured workers to full duties quickly,
More informationYes No Correction Date. Seated Position Do you know how to adjust your chair? Is your chair adjusted for support & comfort?
UC Davis Health System - Computer Workstation Self Evaluation Assessment Date: Employee Name: Employee ID#: Department: Supervisor: Union Affiliation: Date of Hire (if new hire) Reason for Assessment (circle
More informationSouth Australian Women s Health Policy
South Australian Women s Health Policy 1 2 South Australian Women s Health Policy To order copies of this publication, please contact: Department of Health PO Box 287 Rundle Mall Adelaide SA 5000 Telephone:
More informationAssessment of Needs SECTION 1 GENERAL Last Name First Name Middle Initial Date of Birth
Assessment of Needs SECTION 1 GENERAL Last Name First Name Middle Initial Date of Birth Street Address: Apartment # PA City Municipality State Zip Code Telephone # SECTION 11 MEDICAL ASSISTANCE ELIGIBILITY
More informationHUNTSVILLE POLICE OFFICER PHYSICAL AGILITY/ABILITY SELECTION EXAMINATION
HUNTSVILLE POLICE OFFICER PHYSICAL AGILITY/ABILITY SELECTION EXAMINATION Physical Agility/Ability Test Outline for New Applicants GENERAL INFORMATION As an applicant you are required to pass a test of
More informationCOMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS
COMPREHENSIVE PAIN REHABILITATION CENTER OUTPATIENT PROGRAMS Our comprehensive whole-person rehabilitative services help patients return to an active lifestyle. THE MAYO CLINIC COMPREHENSIVE PAIN REHABILITATION
More informationRelated Services: How Do Special Needs Education Relate to Your Child?
Related Services: How Do Special Needs Education Relate to Your Child? Family Driven Non-Profit 501(c)3 What makes FND unique is that the majority of our Board of Directors, all of our Management Staff
More informationErgonomic Evaluation Acute Care Nursing Health Center
Ergonomic Evaluation Acute Care Nursing Health Center Caroline Hegarty Jamie Rosenberg Rachel Stecker May 1, 2003 Most Injury Inducing Tasks (Owen & Garg, 1990) RESEARCH 1. Chair / toilet transfers 2.
More informationErgonomics for Schoolchildren and Young Workers
Ergonomics for Schoolchildren and Young Workers Schoolchildren and Backpacks Schoolchildren everywhere are being asked to carry more and more weight around on their backs. There are many reasons why children
More informationNATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Rehabilitation of Patients With Fragility-Related Fractures CE APPLICATION FORM
NATIONAL OSTEOPOROSIS FOUNDATION OSTEOPOROSIS CLINICAL UPDATES Rehabilitation of Patients With Fragility-Related Fractures CE APPLICATION FORM First Name: Last Name: Mailing Address: City: State: Zip/Postal
More informationSchoolbags. How heavy is too heavy? ** No one should carry more than 25 lb. Weight (lb.) 60 5 60-75 10 100 15 125 18 150 20 200 or more 25**
Schoolbags How heavy is too heavy? Person s Weight (lb.) Maximum Backpack Weight (lb.) 60 5 60-75 10 100 15 125 18 150 20 200 or more 25** ** No one should carry more than 25 lb. Ergonomics for Schoolchildren
More informationAV2800 Safe Patient Handling January 2014
1.0 PURPOSE AV2800 Safe Patient Handling January 2014 To promote safe patient handling procedures to minimize the risk of injury to staff and ensure safe quality of care for the patients. 2.0 DEFINITIONS
More informationX-Plain Neck Exercises Reference Summary
X-Plain Neck Exercises Reference Summary Introduction Exercising your neck can make it stronger, more flexible and reduce neck pain that is caused by stress and fatigue. This reference summary describes
More informationJournal of Asian Scientific Research LIFE IN THE MEDICAL CAREER: PERCEPTION OF PRE-UNIVERSITY STUDENTS
Journal of Asian Scientific Research journal homepage: http://aessweb.com/journal-detail.php?id=5003 LIFE IN THE MEDICAL CAREER: PERCEPTION OF PRE-UNIVERSITY STUDENTS Somsubhra De 1 Ankur Barua 2 Alpana
More informationBreast Cancer Survey. GfK HealthCare. A study conducted for Siemens Communication Sector, Erlangen. January 2011
.. Breast Cancer Survey GfK HealthCare A study conducted for Siemens Communication Sector, Erlangen January Agenda Study design Study results in detail Realization of sample Management summary Study design
More informationEvaluation of an Electronic Charting System in the BCIT Nursing Simulation Lab
Evaluation of an Electronic Charting System in the BCIT Nursing Simulation Lab Prepared by: Johanne Mattie Research Associate, Technology and Product Evaluation Group As part of the Stage 3 ehealth Go
More information1. What is your name? Last name First name Middle Initial Degree(s)
Version: 6122008 Rhode Island Health Care Quality Performance (HCQP) Program This survey asks about physicians' use of health information technology (HIT) and should take less than 10 minutes to complete.
More informationArjoHuntleigh Universal Medical Bed Platform
ArjoHuntleigh Universal Medical Bed Platform Designed for Value, for Choice, for Life. We believe a good hospital bed should: Clinical Focus Provide clinical benefits for patients Be easy and intuitive
More informationFalls Risk Assessment: A Literature Review. The purpose of this literature review is to determine falls risk among elderly individuals and
Falls Risk Assessment: A Literature Review Purpose The purpose of this literature review is to determine falls risk among elderly individuals and identify the most common causes of falls. Also included
More informationStocktake of access to general practice in England
Report by the Comptroller and Auditor General Department of Health and NHS England Stocktake of access to general practice in England HC 605 SESSION 2015-16 27 NOVEMBER 2015 4 Key facts Stocktake of access
More informationA RATIONALE FOR LEARNING PHYSIATRIC PRINCIPLES IN MEDICAL SCHOOL. Canadian Association of Physical Medicine and Rehabilitation Position Paper
A RATIONALE FOR LEARNING PHYSIATRIC PRINCIPLES IN MEDICAL SCHOOL Canadian Association of Physical Medicine and Rehabilitation Position Paper Education Committee (Undergraduate subcommittee): Joy Wee, Sue
More informationMaryland Cancer Plan Pain Management Committee
Maryland Cancer Plan Pain Management Committee IDEAL MODEL FOR CANCER CONTROL PROBLEM or ISSUE Lack of provider awareness regarding appropriate pain assessment and management and relevant policy Definition:
More informationSETTING UP THE COMPUTER WORKSTATION TO FIT YOU
SETTING UP THE COMPUTER WORKSTATION TO FIT YOU TABLE OF CONTENTS Adjusting Your Chair...1 Adjusting an Adjustable Working Surface...2 Adjusting a Non-adjustable Working Surface...3 Adjusting Your Keyboard...3
More informationApproachproach to Office Ergonomics
Office Ergonomics A Practical Approachproach to Office Ergonomics ErgoSystems Consulting Group, Inc. Minneapolis, MN Voice: 952-401-9296 Web: www.ergosystemsconsulting.com Welcome to ErgoSystems! Who sits
More information2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business
2015 HEDIS/CAHPS Effectiveness of Care Report for 2014 Service Measures Oregon, Idaho and Montana Commercial Business About HEDIS The Healthcare Effectiveness Data and Information Set (HEDIS 1 ) is a widely
More informationRegence Individual Direct Benefit Highlights
Plan Features Provider choice: For In Network benefits, members have direct access to their choice of providers within the Preferred network. Member coinsurance levels are lowest for In Network providers.
More informationErgonomics In The Laundry / Linen Industry
Ergonomics In The Laundry / Linen Industry Ergonomics is a key topic of discussion throughout industry today. With multiple changes announced, anticipated, and then withdrawn the Occupational Safety and
More informationIntegrated Quality and Safety Framework
Integrated Quality and Safety Framework Updated: Dec 2015 Developed by: Patient Experience and Quality Improvement Department Page 2 of 12 Contents Introduction 4 Background 4 Glossary of Key Terms 4 Purpose
More informationClinical. Guy Fragala
Bed care for patients in palliative settings: considering risks to caregivers and bed surfaces Guy Fragala Abstract Ensuring patients are comfortable in bed is key to effective palliative care, but when
More informationInjuries from lifting, loading, pulling or pushing can happen to anyone in any industry. It is important to be aware of the risks in your workplace.
Workplace safety: lifting One of the biggest concerns in the workplace is lifting and loading. When you lift something, the load on your spine increases and your spine can only bear so much before it is
More informationA Guide to Work with Computers
A Guide to Work with Computers This guide is prepared by the Occupational Safety and Health Branch, Labour Department This edition May 2010 This guide is issued free of charge and can be obtained from
More informationPatient Appointment Reservation System
Patient Appointment Reservation System Vilnius 2008 Contents Introduction... 3 PARS in Lithuania... 4 System operation principles... 5 Advantages for patients... 5 Advantages for specialists... 6 Advantages
More informationSolutions for Education, Business, and Healthcare. Computer Support Furniture and Accessories
Solutions for Education, Business, and Healthcare Computer Support Furniture and Accessories Since 1992, ISE has been a leading supplier of computer support furniture and accessories to the North American
More informationUNSOM Health Policy Report
Registered Nurse Workforce in Findings from the 2013 National Workforce Survey of Registered Nurses May 2014 Tabor Griswold, PhD, Laima Etchegoyhen, MPH, and John Packham, PhD Overview Registered Nurse
More informationManual Handling. Procedure
` Manual Handling Procedure *All Forth Valley College Health, Safety and Welfare Procedures are covered under the overarching Health, Safety and Welfare Policy. Status: Date of version: Review Date: Reviewed
More informationGuide to manual tasks high impact function (HIF) audit 2010 March 2010
Guide to manual tasks high impact function (HIF) audit 2010 March 2010 1 Adelaide Terrace, East Perth WA 6004 Postal address: Mineral House, 100 Plain Street, East Perth WA 6004 Telephone: (08) 9358 8002
More informationFact sheet Exercises for older adults undergoing rehabilitation
Fact sheet Exercises for older adults undergoing rehabilitation Flexibility refers to the amount of movement possible around a joint and is necessary for normal activities of daily living such as stretching,
More informationProduct Development News
Article from: Product Development News May 2006 Issue 65 Features Comfort Food for an Actuary: Cognitive Testing in Underwriting the Elderly 1 by Eric D. Golus, Laura Vecchione and Thomas Ashley Eric D.
More informationProper Workstation Setup
Proper Workstation Setup A Step by Step Guide to help you organize your workstation and reduce the risk of injury Step 1 Review Work Habits Working in a stationary position for long periods will increase
More informationPartners HealthCare Innovation in Service to the Mission. Gary L. Gottlieb, MD, MBA
Partners HealthCare Innovation in Service to the Mission Gary L. Gottlieb, MD, MBA The Mission Patient Care Discovery Teaching Community Our Clinical Objectives To provide the best health care to patients
More informationTrends in psychosocial working conditions 2001-2008: Evidence of narrowing inequalities?
Trends in psychosocial working conditions 2001-2008: Evidence of narrowing inequalities? Anthony LaMontagne, Lauren Krnjacki, Anne Kavanagh & Rebecca Bentley Centre for Women s Health, Gender & Society
More informationTips To Improve 5-Star Performance Ratings
Tips To Improve 5-Star Performance Ratings Two different patient surveys impact CMS Star ratings: 1. The Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey, typically mailed to plan
More informationAdministration of Emergency Medicine
doi:10.1016/j.jemermed.2005.07.008 The Journal of Emergency Medicine, Vol. 30, No. 4, pp. 455 460, 2006 Copyright 2006 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/06 $ see front matter
More informationDo Women in Saudi Arabia "Think Pink"?
Do Women in Saudi Arabia "Think Pink"? Sarah K. Hagi # *, Mawya A. Khafaji # # Assistant Professor, Medical Physics Department of Radiology, Faculty of Medicine King Abdulaziz University, Jeddah, Saudi
More informationTRADIES NATIONAL HEALTH MONTH HEALTH SNAPSHOT
TRADIES NATIONAL HEALTH month AUGUST 2016 TRADIES NATIONAL HEALTH MONTH HEALTH SNAPSHOT Prepared by the Australian Physiotherapy Association ABOUT THE TRADIES NATIONAL HEALTH MONTH SNAPSHOT Marcus Dripps,
More informationIntroduction to Statistics Used in Nursing Research
Introduction to Statistics Used in Nursing Research Laura P. Kimble, PhD, RN, FNP-C, FAAN Professor and Piedmont Healthcare Endowed Chair in Nursing Georgia Baptist College of Nursing Of Mercer University
More informationMedical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives
Medical College of Georgia Augusta, Georgia School of Medicine Competency based Objectives Medical Knowledge Goal Statement: Medical students are expected to master a foundation of clinical knowledge with
More informationMANUAL OF UNIVERSITY POLICIES PROCEDURES AND GUIDELINES. Applies to: faculty staff students student employees visitors contractors
Page 1 of 5 Title/Subject: CMU ERGONOMICS PROGRAM Applies to: faculty staff students student employees visitors contractors Effective Date of This Revision: May 1, 2012 Contact for More Information: Human
More informationCareer Service Authority. Unit Charge Nurse
Career Service Authority Unit Charge Nurse Page 1 of 5 GENERAL STATEMENT OF CLASS DUTIES Performs full performance professional nursing duties for a specific shift in the hospital by providing supervisory
More informationInjury Prevention for the Back and Neck
Injury Prevention for the Back and Neck www.csmr.org We have created this brochure to provide you with information regarding: Common Causes of Back and Neck Injuries and Pain Tips for Avoiding Neck and
More informationIRB Committee Meeting Wednesday, September 15, 2010 Outside General Meetings Activity Update
IRB Committee Meeting Wednesday, September 15, 2010 Outside General Meetings Activity Update Approvals Study: Peer Mentor Home Health Aide Clinical Outcomes Protocol Reference #s: JHH Protocol #: W2010-02;
More informationUsing the PRECEDE- PROCEED Planning Model PRECEDE-PROCEED P R E C E D E. Model for health promotion programming Best known among health scientists
Using the PRECEDE- PROCEED Planning Model Dr. McKinley Thomas Associate Professor Department of Community Medicine Mercer University PRECEDE-PROCEED Model for health promotion programming Best known among
More informationSubmitted online at www.regulations.gov
Disability Rights Education & Defense Fund DREDF Submitted online at www.regulations.gov Office of the National Coordinator for Health Information Technology U.S. Department of Health and Human Services
More informationTexas Department of Insurance. Office Ergonomics. Provided by. Division of Workers Compensation HS03-003C (03-09)
Texas Department of Insurance Office Ergonomics Provided by Division of Workers Compensation HS03-003C (03-09) Contents Introduction 1 The Ergonomic Checklist 1 Sharp Edge Hazards 1 Equipment Adjustability
More informationDermatology Associates of KY, PSC Job Description
Dermatology Associates of KY, PSC Job Description Job Title: Perioperative R.N. Department: Ambulatory Surgery Center Reports To: ASC Manager FLSA Status: Non-Exempt;Hourly; Full-Time Summary Responsible
More informationReturning to Work after Burn Injury: From Research to Vocational Rehabilitation Practice
Returning to Work after Burn Injury: From Research to Vocational Rehabilitation Practice A webcast of the Center on Knowledge Translation for Disability and Rehabilitation Research (KTDRR) Sponsored by
More informationElectronic Health Record Use: Health Care Providers Perception at a Community Health Center. Gina Robinson CentroMed San Antonio, TX
Electronic Health Record Use: Health Care Providers Perception at a Community Health Center Gina Robinson CentroMed San Antonio, TX Introduction The Health Information Technology for Economic and Clinical
More informationIn Maryland Long Term Care Facilities
In Maryland Long Term Care Facilities Pat Gucer., PhD Marc Oliver, RN, MPH, MBA Tracy Roth, BSN Melissa McDiarmid, MD, MPH, Director of the Occupational Health Program University of Maryland, School of
More informationBest Practice Guide 2007. Vehicle Ergonomics Best Practice Guide
Best Practice Guide 2007 Vehicle Ergonomics Best Practice Guide Introduction About 80% of us will experience back pain at some stage in our lives. A number of work and leisure activities can contribute
More informationImprovement of Reading Room Environment in Teleradiology Services: Prevention of Physical and Mental Disability by Interpretation
Improvement of Reading Room Environment in Teleradiology Services: Prevention of Physical and Mental Disability by Interpretation I Okuda, MD,PhD H Kawamura, NSE IRIMOTOMEDICAL Tokyo, JAPAN C Ishii, MD,PhD
More informationASPMN Advocacy Survey ASPMN Annual Meeting September 2008. ASPMN Research Committee Membership. Purpose of Survey
ASPMN Advocacy Survey ASPMN Annual Meeting September 2008 Laurie Jowers Ware, PhD, RN Patricia Bruckenthal, PhD, RN, ANP Gail C. Davis, EdD, RN Susan K. O'Conner-Von, PhD, RN ASPMN Research Committee Membership
More informationMemo. Open Source Development and Documentation Project English 420. instructor name taken out students names taken out OSDDP Proposal.
Memo Date: 11/3/2005 To: From: RE: instructor name taken out students names taken out OSDDP Proposal Description: The Wikipedia encyclopedia was introduced in 2001. It is a free encyclopedia that anyone
More informationEffective patient education is
JOURNAL FOR NURSES IN STAFF DEVELOPMENT Volume 18, Number 3, 157-161 2002 Lippincott Williams & Wilkins, Inc. A quasiexperimental study was conducted to ascertain what nurses know about teaching patients
More information2016 MEDICAL REHABILITATION PROGRAM DESCRIPTIONS
2016 MEDICAL REHABILITATION PROGRAM DESCRIPTIONS Contents Comprehensive Integrated Inpatient Rehabilitation Program... 2 Outpatient Medical Rehabilitation Program... 2 Home and Community Services... 3
More informationIBADAN STUDY OF AGEING (ISA): RATIONALE AND METHODS. Oye Gureje Professor of Psychiatry University of Ibadan Nigeria
IBADAN STUDY OF AGEING (ISA): RATIONALE AND METHODS Oye Gureje Professor of Psychiatry University of Ibadan Nigeria Introduction The Ibadan Study of Ageing consists of two components: Baseline cross sectional
More information