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Journal of Occupational Rehabilitation

, Volume 29, Issue 2, pp 286–294 | Cite as

Impact of a Safe Resident Handling Program in Nursing Homes on Return-to-Work and Re-injury Outcomes Following Work Injury

  • Alicia KurowskiEmail author
  • Glenn Pransky
  • Laura Punnett
Article

Abstract

Purpose This study examined the impact of a Safe Resident Handling Program (SRHP) on length of disability and re-injury, following work-related injuries of nursing home workers. Resident handling-related injuries and back injuries were of particular interest. Methods A large national nursing home corporation introduced a SRHP followed by three years of training for 136 centers. Lost-time workers’ compensation claims (3 years pre-SRHP and 6 years post-SRHP) were evaluated. For each claim, length of first episode of disability and recurrence of disabling injury were evaluated over time. Differences were assessed using Chi square analyses and a generalized linear model, and “avoided” costs were projected. Results The SRHP had no impact on length of disability, but did appear to significantly reduce the rate of recurrence among resident handling-related injuries. As indemnity and medical costs were three times higher for claimants with recurrent disabling injuries, the SRHP resulted in significant “avoided” costs due to “avoided” recurrence. Conclusions In addition to reducing overall injury rates, SRHPs appear to improve long-term return-to-work success by reducing the rate of recurrent disabling injuries resulting in work disability. In this study, the impact was sustained over years, even after a formal training and implementation program ended. Since back pain is inherently a recurrent condition, results suggest that SRHPs help workers remain at work and return-to-work.

Keywords

Injury recurrence Return-to-work Nursing homes Safe resident handling 

Notes

Acknowledgements

This study was supported by Grant Number U19-OH008857 from the U.S. National Institute of Occupational Safety and Health (NIOSH). The contents of this manuscript are solely the responsibility of the authors and do not necessarily represent the official views of NIOSH. We thank YoonSun Choi for assistance with downloading the workers’ compensation dataset, Rebecca Gore for providing center identification information, and Manuel Cifuentes for advice on statistical analysis. We also thank Santosh Verma and Yulan Liang for review and comment on a preliminary version of this manuscript.

Compliance with Ethical Standards

Conflict of interest

Alicia Kurowski, Glenn Pransky, and Laura Punnett declare that they have no conflict of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

References

  1. 1.
    Franche RL, Cullen K, Clarke J, Irvin E, Sinclair S, Frank J. Workplace-based return-to-work interventions: a systematic review of the quantitative literature. J Occup Rehabil. 2005;15(4):607–631.CrossRefPubMedGoogle Scholar
  2. 2.
    Krause N, Dasinger LK, Neuhauser F. Modified work and return to work: a review of the literature. J Occup Rehabil. 1998;8(2):113–139.CrossRefGoogle Scholar
  3. 3.
    Hogelund J, Holm A, McIntosh J. Does graded return-to-work improve sick-listed workers’ chance of returning to regular working hours? J Health Econ. 2010;29(1):158–169.CrossRefPubMedGoogle Scholar
  4. 4.
    Odeen M, Magnussen LH, Maeland S, Larun L, Eriksen HR, Tveito TH. Systematic review of active workplace interventions to reduce sickness absence. Occup Med. 2013;63(1):7–16.CrossRefGoogle Scholar
  5. 5.
    Williams-Whitt K, White MI, Wagner SL, Schultz IZ, Koehn C, Dionne CE, et al. Job demand and control interventions: a stakeholder-centered best-evidence synthesis of systematic reviews on workplace disability. Int J Occup Environ Med. 2015;6(2):61–78.CrossRefPubMedGoogle Scholar
  6. 6.
    Wasiak R, Young AE, Dunn KM, Cote P, Gross DP, Heymans MW, et al. Back pain recurrence: an evaluation of existing indicators and direction for future research. Spine. 2009;34(9):970–977.CrossRefPubMedGoogle Scholar
  7. 7.
    Powell-Cope G, Toyinbo P, Patel N, Rugs D, Elnitsky C, Hahm B, et al. Effects of a national safe patient handling program on nursing injury incidence rates. J Nurs Adm. 2014;44(10):525–534.CrossRefPubMedGoogle Scholar
  8. 8.
    Pompeii LA, Lipscomb HJ, Schoenfisch AL, Dement JM. Musculoskeletal injuries resulting from patient handling tasks among hospital workers. Am J Ind Med. 2009;52(7):571–578.CrossRefPubMedGoogle Scholar
  9. 9.
    Collins J, Nelson A, Sublet V. Safe lifting and movement of nursing home residents. Cincinnati: National Institute for Occupational Safety and Health; 2006. Report No.: 2006-117.Google Scholar
  10. 10.
    Vieira E, Miller L. Facing the challenge of patient transfers: using ceiling lifts in healthcare facilities. HERD. 2008;2(1):6–16.CrossRefPubMedGoogle Scholar
  11. 11.
    Kurowski A, Boyer J, Fulmer S, Gore R, Punnett L. Changes in ergonomic exposures of nursing assistants after the introduction of a safe resident handling program in nursing homes. Int J Ind Ergon. 2012;42(6):525–532.CrossRefGoogle Scholar
  12. 12.
    Knibbe JJ, Knibbe NE, Waaijer E. Flying through the hospital: efficiency and safety of an ergonomic solution. Work. 2012;41(Suppl 1):5642–5643.PubMedGoogle Scholar
  13. 13.
    Collins JW, Wolf L, Bell J, Evanoff B. An evaluation of a “best practices” musculoskeletal injury prevention program in nursing homes. Inj Prev. 2004;10(4):206–211.CrossRefPubMedPubMedCentralGoogle Scholar
  14. 14.
    Burdorf A, Jansen JP. Predicting the long term course of low back pain and its consequences for sickness absence and associated work disability. Occup Environ Med. 2006;63(8):522–529.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Kurowski A, Gore R, Roberts Y, Kincaid KR, Punnett L. Injury rates before and after the implementation of a safe resident handling program in the long-term care sector. Saf Sci. 2017;92:217–224.CrossRefGoogle Scholar
  16. 16.
    Kurowski A, Buchholz B, Punnett L, ProCare Research T. A physical workload index to evaluate a safe resident handling program for nursing home personnel. Hum Factors. 2014;56(4):669–683.CrossRefPubMedGoogle Scholar
  17. 17.
    Gold JE, Punnett L, Gore RJ, ProCare Research Team. Predictors of low back pain in nursing home workers after implementation of a safe resident handling programme. Occup Environ Med. 2016;74(6):389–395.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Lahiri S, Latif S, Punnett L, the ProCare Research Team. An economic analysis of a safe resident handling program in nursing homes. AJIM. 2013;56(4):469–478.Google Scholar
  19. 19.
    Young A, Muhlner S, Kurowski A, Cifuentes M. The association between physical medicine and rehabilitation service utilization and disability duration following work-related fracture. Work. 2015;51(2):327–336.CrossRefPubMedGoogle Scholar
  20. 20.
    Wasiak R, Kim J, Pransky GS. The association between timing and duration of chiropractic care in work-related low back pain and work-disability outcomes. J Occup Environ Med. 2007;49(10):1124–1134.CrossRefPubMedGoogle Scholar
  21. 21.
    Hashemi L, Webster BS, Clancy EA, Volinn E. Length of disability and cost of workers’ compensation low back pain claims. J Occup Environ Med. 1997;39(10):937–945.CrossRefPubMedGoogle Scholar
  22. 22.
    Hawkins D. Biomeasurement. A student’s guide to biostatistics. Oxford: Oxford University Press; 2014.Google Scholar
  23. 23.
    Dunn KM, Hestbaek L, Cassidy JD. Low back pain across the life course. Best Pract Res Clin Rheumatol. 2013;27(5):591–600.CrossRefPubMedGoogle Scholar
  24. 24.
    Andersen LLCT, Persson R, Holtermann A. Perceived physical exertion health care work prognosis for recovery from long-term pain in different body regions: prospective cohort study. BMC Musculoskelet Disord. 2012;13(253):1–7.Google Scholar
  25. 25.
    Lambeek LC, Bosmans JE, Van Royen BJ, Van Tulder MW, Van Mechelen W, Anema JR. Effect of integrated care for sick listed patients with chronic low back pain: economic evaluation alongside a randomised controlled trial. BMJ. 2010;341:c6414.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Wahlin C, Ekberg K, Persson J, Bernfort L, Oberg B. Evaluation of self-reported work ability and usefulness of interventions among sick-listed patients. J Occup Rehabil. 2013;23(1):32–43.CrossRefPubMedGoogle Scholar
  27. 27.
    van Vilsteren M, van Oostrom SH, de Vet HC, Franche RL, Boot CR, Anema JR. Workplace interventions to pre-vent work disability in workers on sick leave. Cochrane Database Syst Rev. 2015.  https://doi.org/10.1002/14651858.CD006955.pub3 CrossRefPubMedGoogle Scholar
  28. 28.
    Lipscomb HJ, Cameron W, Silverstein B. Incident and recurrent back injuries among union carpenters. Occup Environ Med. 2008;65(12):827–834.CrossRefPubMedGoogle Scholar
  29. 29.
    Lipscomb HJ, Schoenfisch AL, Myers DJ, Pompeii LA, Dement JM. Evaluation of direct workers’ compensation costs for musculoskeletal injuries surrounding interventions to reduce patient lifting. Occup Environ Med. 2012;69(5):367–372.CrossRefPubMedGoogle Scholar
  30. 30.
    Charney W, Simmons B, Lary M, Metz S. Zero lift programs in small rural hospitals in Washington state: reducing back injuries among health care workers. AAOHN. 2006;54(8):355–358.CrossRefGoogle Scholar
  31. 31.
    Evanoff B, Wolf L, Aton E, Canos J, Collins J. Reduction in injury rates in nursing personnel through introduction of mechanical lifts in the workplace. Am J Ind Med. 2003;44(5):451–457.CrossRefPubMedGoogle Scholar
  32. 32.
    Garg A, Kapellusch JM. Long-term efficacy of an ergonomics program that includes patient-handling devices on reducing musculoskeletal injuries to nursing personnel. Hum Factors. 2012;54(4):608–625.CrossRefPubMedGoogle Scholar
  33. 33.
    Nelson A, Matz M, Chen F, Siddharthan K, Lloyd J, Fragala G. Development and evaluation of a multifaceted ergonomics program to prevent injuries associated with patient handling tasks. Int J Nurs Stud. 2006;43(6):717–733.CrossRefPubMedGoogle Scholar
  34. 34.
    O’Reilly Brophy M, Achimore L, Moore-Dawson J. Reducing incidence of low back injuries reduces cost. AIHAJ. 2001;62(4):508–511.CrossRefGoogle Scholar
  35. 35.
    Spiegel J, Yassi A, Ronald LA, Tate RB, Hacking P, Colby T. Implementing a resident lifting system in an extended care hospital. Demonstrating cost-benefit. AAOHN. 2002;50(3):128–134.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Biomedical EngineeringUniversity of Massachusetts LowellLowellUSA
  2. 2.Department of Family Medicine and Community HealthUniversity of Massachusetts Medical SchoolWorcesterUSA

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