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首页> 外文期刊>Occupational and environmental medicine >Evaluation of direct workers' compensation costs for musculoskeletal injuries surrounding interventions to reduce patient lifting
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Evaluation of direct workers' compensation costs for musculoskeletal injuries surrounding interventions to reduce patient lifting

机译：评估为减少患者举重而进行的干预周围的肌肉骨骼损伤的直接工人补偿费用

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Objectives: We evaluated costs for workers' compensation (WC) injuries of a musculoskeletal (MS) nature in a large tertiary care hospital and an affiliated community hospital in the 13 years surrounding an institution-wide shift to a 'minimal manual patient-lifting environment' supported with inpatient mechanical lift equipment. Methods: Negative binomial regression was used to model adjusted and discounted payment rates based on full-time equivalents (FTEs), and payment ratios. The risk of higher cost was assessed based on type of injury (patient-handling vs non-patient-handling), hospital, job, age, gender, institutional tenure and time since the implementation of lift equipment. Lagging was used to evaluate the latency of the intervention effect. Results: Patient-handling injuries (n=1543) were responsible for 72% of MS injuries and 53% of compensation costs among patient care staff. Mean costs per claim were 5 times higher for those over age 45 than those <25 years of age. Physical and occupational therapy aides had the highest cost rates ($578/FTE) followed by nursing aides ($347/FTE) and patient transporters ($185/FTE). There was an immediate, marked decline in mean costs per claim and costs per FTE following the policy change and delivery of lift equipment. Conclusions: The observed patterns of changes in cost likely reflect the effects of activities other than use of lift equipment, including targeted efforts to close WC claims and an almost simultaneous policy that shifted cost responsibility to the budgets of managers on individual units. Inference was facilitated through the use of longitudinal data on the workgroups and an internal injury comparison.
机译：目标：我们评估了在整个机构范围内向“最小的手动抬举病人的环境”转变的13年中，一家大型三级护理医院和一家附属社区医院因肌肉骨骼（MS）造成的工伤赔偿（WC）的成本与住院机械升降设备配套。方法：使用负二项式回归模型基于全职当量（FTE）和支付比率对调整后的和贴现的支付率进行建模。根据受伤类型（患者处理与非患者处理），医院，工作，年龄，性别，机构任期和实施升降设备以来的时间，评估较高成本的风险。滞后用于评估干预效果的潜伏期。结果：在患者护理人员中，患者处理伤害（n = 1543）占MS伤害的72％，补偿费用的53％。 45岁以上的人的平均每项索赔成本比25岁以下的人高5倍。物理和职业治疗助手的费用率最高（$ 578 / FTE），其次是护理助手（$ 347 / FTE）和病人转运车（$ 185 / FTE）。随着政策的改变和电梯设备的交付，每项索赔的平均成本和每FTE的成本立即显着下降。结论：观察到的成本变化模式可能反映了使用升降机设备以外的活动的影响，包括针对关闭WC索赔的有针对性的努力，以及几乎同时实施的将成本责任转移到单个单位经理预算的政策。通过使用工作组上的纵向数据和内部伤害比较来促进推理。

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