دورية أكاديمية

Outcomes of safe patient handling and mobilization programs: A meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Outcomes of safe patient handling and mobilization programs: A meta-analysis.
المؤلفون: Teeple, Erin, Collins, Jamie E., Shrestha, Swastina, Dennerlein, Jack T., Losina, Elena, Katz, Jeffrey N.
المصدر: Work; 2017, Vol. 58 Issue 2, p173-184, 12p, 1 Diagram, 2 Charts, 3 Graphs
مصطلحات موضوعية: INDUSTRIAL safety, INFORMATION storage & retrieval systems, MEDICAL databases, MEDICAL information storage & retrieval systems, MEDICAL personnel, MEDLINE, META-analysis, ONLINE information services, REGRESSION analysis, RESEARCH funding, SAFETY, SYSTEMATIC reviews, EVIDENCE-based medicine, PROFESSIONAL practice, TRANSPORTATION of patients, EVALUATION of human services programs
مستخلص: BACKGROUND: Variability in patient care settings and the range of patient handling tasks present challenges in developing and evaluating safe patient handling and mobilization (SPHM) programs. OBJECTIVE: We performed a systematic meta-analysis of SPHM program evaluations. METHODS: Systematic literature review identified published SPHM program evaluations. Injury Rate Ratios (IRR), pre-to post-intervention, were used to estimate intervention effects and to examine the influence of patient care level, program components, and follow-up time using meta-regression. RESULTS: 27 articles reported evaluations from 44 sites. Combined effect estimate for all SPHM programs was 0.44 (95% CI 0.36, 0.54), reflecting substantial injury reductions after program implementation. While specific program components were not associated with greater effectiveness, longer follow-up duration was associated with greater injury rate reduction (p = 0.01) and intervention effects varied by level of care (p = 0.01), with the greatest effect in intensive care unit interventions (IRR 0.14; 95% CI 0.07, 0.30). CONCLUSIONS: SPHM programs appear to be highly effective in reducing injuries. More research is needed to identify the most effective interventions for different patient care levels. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10519815
DOI:10.3233/WOR-172608