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MAPO index for risk assessment of patient manual lifting

机译:MAPO患者手动升降风险评估指数

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In 1996, EPM Research Unit started a study to assess risk from patient manual handling in hospital and geriatric institution wards. The aim was assessing risk from patient manual handling in a working sector with a high number of exposed subjects, mainly females, a high prevalence of lumbar spine disorders and an equally high number of subjects with reduced working capability (due to spine diseases), difficult to be managed for the negative impact on work organization. The MAPO method considers the following main factors which all together characterize occupational exposure: patient care load produced by the presence of disabled patients, type and degree of disability of the patients, structural aspects of the working environment and the wards, equipment installed and training of staff on the specific topic In 1999 and later in 2002 two multicentre cross-studies were conducted in 90 hospitals (for acute and chronic patients), 419 wards and approx 6,900 exposed subjects. The study of MAPO index and acute low back pain association allowed to set three exposure ranges following the well-known light traffic model: for MAPO index values in the 0.5 to 1.5 range, the risk can be considered to be absent or negligible, for values in the 1.51 to 5.00 range, the risk can be considered as moderate and for MAPO index values exceeding 5.00, the risk can be considered to be high. At present, the methodology is proposed for all hospital areas: wards. operating theatre, outpatient service, day hospital, etc, following ISO standards for risk assessment, and also risk estimate using a simplified screening procedure allowing to quickly identify critical points to be focused in view of a prioritized preventive plan.
机译:1996年,EPM研究单元开始研究患者手动处理在医院和老年机构病房中的风险。目的是评估患者手动处理在具有大量暴露受试者的工作部门的风险,主要是女性,腰椎疾病的高患病率,以及具有减少的工作能力(由于脊柱疾病)的同样大量的受试者(由于脊柱疾病)。困难要管理对工作组织的负面影响。 MAPO方法考虑以下各种主要因素,其中包括职业暴露:患者护理载荷通过残疾患者的存在,患者的类型和残疾程度,工作环境的结构方面和病房,装备和培训1999年的具体主题的工作人员于1999年和2002年晚些时候在90家医院(针对急性和慢性患者),419个病房和大约6,900个暴露的科目中进行了两项多期面跨学习。 Mapo指数和急性低背疼痛关联的研究允许在众所周知的轻型交通模型中设置三个曝光范围:对于0.5至1.5范围的Mapo指数值,风险可以被认为是不存在的或可以忽略的在1.51到5.00范围内,风险可以被视为中等和用于MAPO指数值超过5.00,风险可以被认为是高的。目前,为所有医院领域提出了方法:病房。操作剧院,门诊服务,日医院等,遵循ISO风险评估标准,以及使用简化筛选程序的风险估计,允许快速识别鉴于优先预防计划的关键点以焦点。

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