Hill-Rom® Clinical Resource Center

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Hill-Rom® Clinical Resource Center

Supporting Evidence

Evidence-Based Solutions


  • Lumbar spine forces during manoeuvring of ceiling-based and floor-based patient transfer devices

    This article reviews an ergonomically-based study of the physica lloads placed on the lumbar spine of caregivers during the operation of floor-based and ceiling-based patient lifts. Ten subjects were studied in a biodynamic laboratory. Using biometric testing, the researchers found that the forces associated with operating a floor or ceiling mechanical lift were significantly reduced when compared to manually lifting of a patient. Further, the authors found that ceiling lifts were preferable to floor lifts due to the amount of anterior/posterior shear forces

  • 2010 AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons
    The American Geriatrics Society | 2010

    This multidisciplinary clinical practice guideline discusses barriers to and describes recommendations for the prevention of falls in the elderly in clinical practice

  • Best Practice for Falls Reduction: A Practical Guide

    This special supplement to American Nurse Today contains a collection of articles authored by clinicians and executives to enhance the efforts of Fall Prevention programs to create fall-safe environments

  • The three-year economic benefits of a ceiling lift intervention aimed to reduce healthcare worker injuries

    This article is a review of aresident lifting program that was implemented in an extended care facility. The facility installed ceiling lift systems for 125 beds and three tubs. A review of injury reports was conducted for a three year period prior to implementation and for three years post-implementation. Injuries were categorized according to the task being performed at the time of injury. Overall patient handling injuries decreased from 65 to 47, however lifting and transferring injury claims decreased from 30 to 10. Estimations were calculated for the cost savings from injury avoidance amounted to $1,257,605.

  • When Is It Safe to Manually Lift a Patient?

    This article describes the revised NIOSH (National Institute for Occupational Safety and Health) tool for calculating the recommended weight limit for manual lifting. In general, NIOSH recommends a 35-pound limit for patient handling tasks. Assisting devices should be used when weights to be lifted exceed 35 pounds. 

  • Fall and Injury Prevention

    This chapter of the handbook presents evidence-based guidelines for falls and injury prevention in the elderly.

  • Cost-Effectiveness of a Day Hospital Falls Prevention Programme for Screened Community-Dwelling Older People at High Risk of Falls

    This study evaluated the economic impact of a multidisciplinary falls prevention program on patients aged ≥70. Falls were self-reported and collected in 12 monthly diaries. Mean falls rates were 2.07 per person/year in the intervention arm and 2.24 per person/year in the control arm. There was a mean incremental cost reduction of 3,320 GBP per fall averted. 

  • Cost effectiveness of a multifaceted program for safe patient handling

    This article reviews a study that was completed at 23 high-risk VHA units that implemented a safe patient handling program. The units served as their own historical controls by comparing post-implementation data to the previous year's same nine-month period. 537 staff members were involved in the study from 19 nursing homes and 4 spinal cord injury units. A cost-benefit analysis was conducted to evaluate the effectiveness of the program. After taking account of the capital costs associated with the purchase of the equipment, the program resulted in an estimated cost savings of $155,719 for the nine-month period. Additionally, a statistically significant reduction in carevier injuries occurred, resulting in a decrease in lost work days and worker's compensation costs. 

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