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Hill-Rom® Clinical Resource Center

Helping you implement evidence-based programs with connected technologies

Hill-Rom® Clinical Resource Center

Safe Patient Handling

Safe Patient Handling

  • Patient Handling and Mobility Assessments

    The first edition of this white paper was written by members of the Specialty Subcommittee on Patient Movement of the 2010 Health Guidelines Revision Committee. In 2019 FGI published the second edition, with expanded information on Guidelines requirements, implementation of safe patient handling and mobility programs, and developing a business case.

  • Nurses' presenteeism and its effects on self-reported quality of care and costs.
    Letvak SA1, Ruhm CJ, Gupta SN. | The American Journal of Nursing | 2012


    Although research has been conducted on how nurse staffing levels affect outcomes, there has been little investigation into how the health-related productivity of nurses is related to quality of care. Two major causes of worker presenteeism (reduced on-the-job productivity as a result of health problems) are musculoskeletal pain and mental health issues, particularly depression. This study sought to investigate the extent to which musculoskeletal pain or depression (or both) in RNs affects their work productivity and self-reported quality of care and considered the associated costs.

  • Ergonomics: safe patient handling and mobility.
    Hallmark B1, Mechan P2, Shores L3. | Nursing Clinics of North America | 2014


    This article reviews and investigates the issues surrounding ergonomics, with a specific focus on safe patient handling and mobility. The health care worker of today faces many challenges, one of which is related to the safety of patientsSafe patient handling and mobility is on the forefront of the movement to improve patient safety. This article reviews the risks associated with patient handling and mobility, and informs the reader of current evidence-based practice relevant to this area of care.

  • Fall prevention and bathroom safety in the epilepsy monitoring unit
    Spritzer SD1, Riordan KC1, Berry J2, Corbett BM2, Gerke JK2, Hoerth MT1, Crepeau AZ1, Drazkowski JF1, Sirven JI1, Noe KH3. | Epilepsy & Behavior | 2015


    Falls are one of the most common adverse events occurring in the epilepsy monitoring unit (EMU) and can result in significant injury. Protocols and procedures to reduce falls vary significantly between institutions as it is not yet known what interventions are effective in the EMU setting. This study retrospectively examined the frequency of falls and the impact of serial changes in fall prevention strategies utilized in the EMU between 2001 and 2014 at a single institution. 

  • Current Topics in Safe Patient Handling and Mobility
    various | American Nurse Today | 2014

    To avoid injuring their patients and themselves, healthcare providers must get in the habit of using safe patient handling and mobility (SPHM) technology. In this supplement, national experts share their perspectives and best practices on topics ranging from dealing with bariatric patients, managing slings, and assessing a patient’s mobility to transforming the culture, building the business case for an SPHM, and developing a successful SPHM program.

  • Special Supplement to American Nurse Today – Best Practices for Falls Reduction: A Practical Guide
    American Nurse Today | 2011

    Introduction to Supplement – Meeting the challenge of falls reduction

    WATERS, THOMAS R. PHD | American Journal of Nursing | 2007

    In 1994 the National Institute for Occupational Safety and Health (NIOSH) released the Revised NIOSH Lifting Equation—an ergonomics assessment tool that can be used to calculate the recommended weight limit for two-handed manual-lifting tasks. However, NIOSH excluded assessment of patient-handling tasks from the uses of the revised equation, arguing that such tasks involve too many variables. The equation in fact can be used to calculate a recommended weight limit for a limited range of patient-handling tasks in which the patient is cooperative and unlikely to move suddenly during the task. In general, the revised equation yields a recommended 35-lb. maximum weight limit for use in patient-handling tasks. When weight to be lifted exceeds this limit, assistive devices should be used.

  • Long-term efficacy of an ergonomics program that includes patient-handling devices on reducing musculoskeletal injuries to nursing personnel.
    Garg A1, Kapellusch JM. | Human Factors | 2012

    The aim of this study was to evaluate long-term efficacy of an ergonomics program that included patient-handling devices in six long-term care facilities (LTC) and one chronic care hospital (CCH).

  • Nursing injury rates and negative patient outcomes--connecting the dots.
    Charney W1, Schirmer J. | American Association of Occupational Health Nurses | 2007


    The connection between nursing injury rates and patient outcomes has not been totally grasped in the health care occupational health setting. This article concludes that nursing injury rates are linked to the nursing shortage and less nursing time at the bedside, both of which have been scientifically linked to negative patient outcomes. Because nurses' working conditions affect patients' outcomes, more funding and changes are needed to improve these conditions.

  • Is your facility equipped for safe patient handling?
    Conti MT1, Johnsen V. | Nursing Management | 2011
  • Role of Bed Design and Head-of-Bed Articulation on Patient Migration
    Davis, Kermit G. PhD; Kotowski, Susan E. PhD | Journal of Nursing Care Quality | 2015


    The ramifications of patient migration toward the foot of the bed in intensive care units are not well understood. Migration may cause shear and friction between the patient and the mattress, reduce elevation of the patient's torso, and require frequent repositioning of the patient. This study assesses how bed design impacts both the amount of migration that patients undergo during head section articulation to 30° and 45° and the extent of torso compression following the articulation.

  • House-Wide Safe Patient Handling Program to Mobilize Patients Early and Often: One Organization’s Journey
    Dregne, R | Interdisciplinary Journal of Nursing and Critical Care | 2018

    Abstract Mobilizing patients early and often has been shown to improve patient outcomes. Becoming a facility that achieves this goal consistently house wide is difficult. This paper aims to share our facilities journey toward this goal and to share educational content and policies that enabled us to overcome many of our barriers. Ultimately, we have achieved excellent results in staff safety and early mobilization.

  • Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events
    Hessels, A, et al. | Journal of Nursing Care Quality


    A strong patient safety culture (PSC) may be associated with improved patient outcomes in hospitals. The mechanism that explains this relationship is underexplored; missed nursing care may be an important link.
  • Safe Patient Handling & Mobility Bariatric Care Case Study

    The United States has seen a dramatic increase in obesity rates
    over the past 20 years. The Centers for Disease Control and
    Prevention approximate 34% of adults and 17% of children
    and adolescents are obese.1 The number of hospital admissions
    related to obesity has tripled, reaching a record high of 2.8
    million in 2009. Of those patients admitted, an estimated 10%
    were considered morbidly obese.2 Nearly $117 billion is spent on
    health and health-related issues due to obesity.2
    The increase in obese patients became a reality for this facility
    that was under prepared to provide safe care and handling for
    a patient in the hospital’s intensive care unit. This case study
    illustrates the challenges of caring for obese patients and the
    need for solutions, which Hill-Rom helped them discover.

  • Movement Assessments: A White Paper
    Cohen, M. et al. | PHARMA The Facility Guidelines Institute | 2010

    The 2010 edition of the Facility Guidelines
    Institute Guidelines for Design and Construction
    of Health Care Facilities (the 2010 Guidelines or
    FGI Guidelines) introduces a requirement for
    project applicants to conduct a patient handling
    and movement assessment (PHAMA) as part of
    the sequence of predesign functional and space
    programming processes for new construction
    and renovation projects. Further, the 2010
    Guidelines requires applicants to revise that
    PHAMA as new information becomes available
    throughout project design, construction, and

  • Integrating a Standardized Mobility Program and Safe Patient Handling
    Dickinson, S. et al. | Critical Care Nursing Quarterly | 2018


    Early, routine mobilization of critically ill patients is safe and reduces hospital length of stay, shortens the duration of mechanical ventilation, and improves muscle strength and functional independence. At the University of Michigan, we have turned the tides by creating a structured process to get our patients moving while keeping them and our staff safe through the use of a standardized mobility protocol that incorporates the components of safe patient handling. Our protocol is simple and can easily be adapted for all patient populations by simply modifying some of the inclusion and exclusion criteria. The protocol incorporates safe patient handling and mobility preassessment guidelines, mobility standards, equipment guidelines, and documentation tools. The activities are grounded in the evidence and well thought out to prevent complications, promote mobilization, and prevent patient and staff injuries. This article will discuss a how a tertiary care facility incorporated a safe patient-handling initiative into an existing mobility program and operationalized it across a health care system to keep our patients and staff safe.

  • Patient Handling and Mobility Assessments

    The first edition of this white paper was written by members of the Specialty Subcommittee on Patient Movement of the 2010 Health Guidelines Revision Committee. In 2019 FGI published the second edition, with expanded information on Guidelines requirements, implementation of safe patient handling and mobility programs, and developing a business case.

    American Nurses Association | 2013

    These eight overarching standards and the brand new implementation guide provide the framework to establish a comprehensive safe patient handling and mobility program in any care setting.

  • Ergonomics — Manual handling of people in the healthcare sector
    ISO | ISO | 2012

    SO/TR 12296:2012 provides guidance for assessing the problems and risks associated with manual patient handling in the healthcare sector, and for identifying and applying ergonomic strategies and solutions to those problems and risks.

  • STAMP Education Courses
    Safe Patient Handling & Mobility Education


    Safe Transfers and Movement Program Education Courses (STAMP)

    Hill-Rom supports continuing professional education to advance awareness, skills, and to change behaviors of health care providers regarding the importance of safe patient handling. Through the courses offered, your staff will learn about the value of SPHM, the benefits of mobility for their patients and their role and responsibility to create and sustain a safe lifting environment in your facility.

  • Safe Transfers and Movement Toolkit Brochure
    Safe Transfers and Movement Program | 2016

    At Hill-Rom, we recognize each organization has individual missions, goals, value and service to the surrounding community. Each functions and implements change differently. As a result, we are offering you a resource designed to help you readily implement a Safe Patient Handling & Mobility (SPHM) Program. The tools can be customized to suit your organization’s goals. The Safe Transfers and Movement™ Program Online Toolkit is your 24 hour / 7 days a week-resource for implementing your SPHM program.

  • Safe Transfers and Movement Program Brochure
    Safe Transfers and Movement Program Brochure

    The Safe Transfers and Movement™ Program is a multifaceted, programmatic approach with flexible options to support implementing your Safe Patient Handling and Mobility (SPHM) practices. The goals of SPHM are to reduce caregiver injuries and improve patient care.

  • NPR Special Series: Injured Nurses

    NPR Special Series: Injured Nurses

  • Back Pain and Your Brain
    William S. Marras | TEDx Ohio State University | 2013

    Back Pain and Your Brain

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