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            "title": "Sit-stand powered mechanical lifts in long-term care and resident quality indicators",
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                {
                    "creatorType": "author",
                    "firstName": "Patricia W.",
                    "lastName": "Gucer"
                },
                {
                    "creatorType": "author",
                    "firstName": "Joanna",
                    "lastName": "Gaitens"
                },
                {
                    "creatorType": "author",
                    "firstName": "Marc",
                    "lastName": "Oliver"
                },
                {
                    "creatorType": "author",
                    "firstName": "Melissa A.",
                    "lastName": "McDiarmid"
                }
            ],
            "abstractNote": "OBJECTIVE: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes.\nMETHODS: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators.\nRESULTS: Four of six Centers for Medicare & Medicaid Services-derived resident indicators improved with the PML number but were maximal for the sit-stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program.\nCONCLUSION: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.",
            "publicationTitle": "Journal of Occupational and Environmental Medicine / American College of Occupational and Environmental Medicine",
            "publisher": "",
            "place": "",
            "date": "Jan 2013",
            "volume": "55",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "36-44",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "J. Occup. Environ. Med.",
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            "extra": "PMID: 23138044",
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                    "tag": "Accidental Falls",
                    "type": 1
                },
                {
                    "tag": "Activities of Daily Living",
                    "type": 1
                },
                {
                    "tag": "Aged",
                    "type": 1
                },
                {
                    "tag": "Aged, 80 and over",
                    "type": 1
                },
                {
                    "tag": "Cross-Sectional Studies",
                    "type": 1
                },
                {
                    "tag": "Female",
                    "type": 1
                },
                {
                    "tag": "Fractures, Bone",
                    "type": 1
                },
                {
                    "tag": "Geriatric Assessment",
                    "type": 1
                },
                {
                    "tag": "Geriatric Nursing",
                    "type": 1
                },
                {
                    "tag": "Homes for the Aged",
                    "type": 1
                },
                {
                    "tag": "Humans",
                    "type": 1
                },
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                    "tag": "Long-Term Care",
                    "type": 1
                },
                {
                    "tag": "Male",
                    "type": 1
                },
                {
                    "tag": "Mobility Limitation",
                    "type": 1
                },
                {
                    "tag": "Moving and Lifting Patients",
                    "type": 1
                },
                {
                    "tag": "Nursing Homes",
                    "type": 1
                },
                {
                    "tag": "Patient Safety",
                    "type": 1
                },
                {
                    "tag": "Pressure Ulcer",
                    "type": 1
                },
                {
                    "tag": "Quality Indicators, Health Care",
                    "type": 1
                },
                {
                    "tag": "Quality of Life",
                    "type": 1
                },
                {
                    "tag": "Self-Help Devices",
                    "type": 1
                }
            ],
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            "dateAdded": "2014-10-23T15:04:57Z",
            "dateModified": "2017-08-11T22:11:50Z"
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            "itemType": "journalArticle",
            "title": "Work-related musculoskeletal disorders in physical therapists: a prospective cohort study with 1-year follow-up.",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Marc",
                    "lastName": "Campo"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sherri",
                    "lastName": "Weiser"
                },
                {
                    "creatorType": "author",
                    "firstName": "Karen L.",
                    "lastName": "Koenig"
                },
                {
                    "creatorType": "author",
                    "firstName": "Margareta",
                    "lastName": "Nordin"
                }
            ],
            "abstractNote": "Background: Work-related musculoskeletal disorders (WMSDs) have a significant impact on physical therapists, but few studies have addressed the issue. Research is needed to determine the scope of the problem and the effects of specific risk factors.\nObjectives: The objectives of this study were: (1) to determine the 1-year incidence rate of WMSDs in physical therapists and (2) to determine the effects of specific risk factors.\nDesign: This was a prospective cohort study with 1-year follow-up.\nMethods: Subjects were randomly selected American Physical Therapy Association members (N=882). Exposure assessment included demographic data, physical risk factors, job strain, and specific physical therapy tasks. The primary outcome was WMSDs, with a severity rating of at least 4/10 and present at least once a month or lasting longer than a week.\nResults: The response rate to the baseline questionnaire was 67%. Ninety-three percent of the subjects who responded to the baseline questionnaire responded to the follow-up questionnaire. The 1-year incidence rate of WMSDs was 20.7%. Factors that increased the risk for WMSDs included patient transfers, patient repositioning, bent or twisted postures, joint mobilization, soft tissue work, and job strain.\nLimitations: The primary limitation of this study was the number of therapists who had a change in their job situation during the follow-up year.\nConclusions: Work-related musculoskeletal disorders are prevalent in physical therapists. Physical therapy exposures, patient handling, and manual therapy, in particular, increase the risk for WMSDs.",
            "publicationTitle": "Physical Therapy",
            "publisher": "",
            "place": "",
            "date": "05/01/2008",
            "volume": "88",
            "issue": "5",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "608-619",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "PHYS THER",
            "DOI": "10.2522/ptj.20070127",
            "citationKey": "",
            "url": "http://ptjournal.apta.org/content/88/5/608",
            "accessDate": "2014-10-29T19:10:32Z",
            "PMID": "",
            "PMCID": "",
            "ISSN": "0031-9023, 1538-6724",
            "archive": "",
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            "shortTitle": "Work-Related Musculoskeletal Disorders in Physical Therapists",
            "language": "en",
            "libraryCatalog": "ptjournal.apta.org",
            "callNumber": "",
            "rights": "",
            "extra": "PMID: 18276935",
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            "relations": {},
            "dateAdded": "2014-10-29T19:10:32Z",
            "dateModified": "2017-08-11T21:59:18Z"
        }
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    {
        "key": "J62K367I",
        "version": 1031,
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            "creatorSummary": "Powell-Cope et al.",
            "parsedDate": "2003-04-02",
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        "data": {
            "key": "J62K367I",
            "version": 1031,
            "itemType": "journalArticle",
            "title": "Nurses' Working Conditions and the Nursing Shortage",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Gail",
                    "lastName": "Powell-Cope"
                },
                {
                    "creatorType": "author",
                    "firstName": "Audrey",
                    "lastName": "Nelson"
                },
                {
                    "creatorType": "author",
                    "firstName": "Hope",
                    "lastName": "Tiesman"
                }
            ],
            "abstractNote": "To the Editor: In their article on the nursing shortage, Drs Berliner and Ginzberg1 did not address the physical demands of nursing. The increased risk of musculoskeletal injuries is a significant reason for people not wanting to enter the profession, for nurses not wanting to work in nursing homes and hospitals, and for injured nurses to leave the profession. The authors did state that \" . . . answers to these problems seem to be to increase the number of assistive staff to help moderate some of the more strenuous physical demands of the job . . . .\" However, lifting even a small patient far exceeds the 51-pound weight load for ideal conditions recommended by the National Institute for Occupational Safety and Health.2 Our research3 and experience shows that introducing the right type and amount of patient care technology into clinical settings is far superior to increasing the numbers of staff to perform lifting. Lifting equipment can significantly decrease job-related stress, lost work, and light duty days due to musculoskeletal injuries, and direct costs associated with injuries,3 as well as decrease injury rates, self-reported musculoskeletal pain, and the frequency of unsafe patient-handling episodes (A. Nelson, M. Matz, G. Fragala, et al, unpublished data, 2003). Safer work environments for nurses translate into greater job satisfaction and improved retention rates. As the United Kingdom has found, no-lift policies with patient-handling technology are the critical answers to the heavy physical demands of bedside nursing.4",
            "publicationTitle": "JAMA",
            "publisher": "",
            "place": "",
            "date": "2003-04-02",
            "volume": "289",
            "issue": "13",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "1632",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "",
            "DOI": "10.1001/jama.289.13.1632-a",
            "citationKey": "",
            "url": "http://jama.jamanetwork.com/article.aspx?doi=10.1001/jama.289.13.1632-a",
            "accessDate": "2017-08-11T20:44:07Z",
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            "PMCID": "",
            "ISSN": "0098-7484",
            "archive": "",
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            "shortTitle": "",
            "language": "en",
            "libraryCatalog": "CrossRef",
            "callNumber": "",
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            "extra": "",
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            "dateAdded": "2017-08-11T20:44:07Z",
            "dateModified": "2017-08-11T20:48:53Z"
        }
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        "version": 1028,
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            },
            "creatorSummary": "Campo et al.",
            "parsedDate": "2013-01",
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        "data": {
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            "version": 1028,
            "itemType": "journalArticle",
            "title": "Effect of a safe patient handling program on rehabilitation outcomes [with online audio commentary]",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Marc",
                    "lastName": "Campo"
                },
                {
                    "creatorType": "author",
                    "firstName": "Mariya P.",
                    "lastName": "Shiyko"
                },
                {
                    "creatorType": "author",
                    "firstName": "Heather",
                    "lastName": "Margulis"
                },
                {
                    "creatorType": "author",
                    "firstName": "Amy R.",
                    "lastName": "Darragh"
                }
            ],
            "abstractNote": "Objective\nTo evaluate the effect of a safe patient handling (SPH) program on rehabilitation mobility outcomes.\nDesign\nRetrospective cohort study.\nSetting\nA rehabilitation unit in a hospital system.\nParticipants\nConsecutive patients (N=1291) over a 1-year period without an SPH program in place (n=507) and consecutive patients over a 1-year period with an SPH program in place (n=784).\nInterventions\nThe SPH program consisted of administrative policies and patient handling technologies. The policies limited manual patient handling. Equipment included ceiling- and floor-based dependent lifts, sit-to-stand assists, ambulation aides, friction-reducing devices, motorized hospital beds and shower chairs, and multihandled gait belts.\nMain Outcome Measures\nThe mobility subscale of the FIM.\nResults\nPatients rehabilitated in the group with SPH achieved similar outcomes to patients rehabilitated in the group without SPH. A significant difference between groups was noted for patients with initial mobility FIM scores of 15.1 and higher after controlling for initial mobility FIM score, age, length of stay, and diagnosis. Those patients performed better with SPH.\nConclusions\nSPH programs do not appear to inhibit recovery. Fears among therapists that the use of equipment may lead to dependence may be unfounded.",
            "publicationTitle": "Archives of Physical Medicine and Rehabilitation",
            "publisher": "",
            "place": "",
            "date": "January 2013",
            "volume": "94",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "17-22",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Archives of Physical Medicine and Rehabilitation",
            "DOI": "10.1016/j.apmr.2012.08.213",
            "citationKey": "",
            "url": "http://www.archives-pmr.org/article/S0003-9993(12)00899-4/fulltext",
            "accessDate": "2014-10-30T11:30:29Z",
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            "archive": "",
            "archiveLocation": "",
            "shortTitle": "",
            "language": "",
            "libraryCatalog": "ScienceDirect",
            "callNumber": "",
            "rights": "",
            "extra": "",
            "tags": [
                {
                    "tag": "Moving and Lifting Patients",
                    "type": 1
                },
                {
                    "tag": "Occupational Therapy",
                    "type": 1
                },
                {
                    "tag": "Physical therapy techniques",
                    "type": 1
                },
                {
                    "tag": "Rehabilitation",
                    "type": 1
                }
            ],
            "collections": [],
            "relations": {},
            "dateAdded": "2014-10-30T11:30:29Z",
            "dateModified": "2017-08-11T20:28:53Z"
        }
    },
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            "creatorSummary": "Powell-Cope et al.",
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        "data": {
            "key": "Q75C637X",
            "version": 1023,
            "itemType": "journalArticle",
            "title": "Modification of bed systems and use of accessories to reduce the risk of hospital-bed entrapment",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Gail",
                    "lastName": "Powell-Cope"
                },
                {
                    "creatorType": "author",
                    "firstName": "Andrea S.",
                    "lastName": "Baptiste"
                },
                {
                    "creatorType": "author",
                    "firstName": "Audrey",
                    "lastName": "Nelson"
                }
            ],
            "abstractNote": "Despite the long history of hospital-bed use, only in the past decade have bed-related patient-safety hazards, including falls and life-threatening entrapment, been discussed publicly. Entrapment is an event in which a patient is caught, trapped, or entangled in hospital-bed components, including the bed rail, mattress, or hospital-bed frame. Since 1995, the Food and Drug Administration and the Joint Commission on Accreditation of Healthcare Organizations have issued patient-safety alerts about entrapment. While new beds are being manufactured without large gaps that would allow an individual's head, neck, or chest to become entrapped, it is incumbent upon healthcare providers, including rehabilitation nurses, to ensure the safety of older beds in use. This article describes a facility-based approach for identifying and managing risk related to hospital bed-entrapment to be used in rehabilitation settings.",
            "publicationTitle": "Rehabilitation Nursing",
            "publisher": "",
            "place": "",
            "date": "2005 Jan-Feb",
            "volume": "30",
            "issue": "1",
            "section": "",
            "partNumber": "",
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            "pages": "9-17",
            "series": "",
            "seriesTitle": "",
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            "shortTitle": "",
            "language": "eng",
            "libraryCatalog": "NCBI PubMed",
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            "extra": "PMID: 15736614",
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                    "type": 1
                },
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                    "type": 1
                },
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                    "type": 1
                },
                {
                    "tag": "Equipment Safety",
                    "type": 1
                },
                {
                    "tag": "Humans",
                    "type": 1
                },
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                    "tag": "Rehabilitation Nursing",
                    "type": 1
                },
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                    "tag": "Risk Assessment",
                    "type": 1
                }
            ],
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            "dateAdded": "2014-12-11T14:19:49Z",
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            "title": "Lifting and exertion injuries decrease after implementation of an integrated hospital-wide safe patient handling and mobilisation programme",
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                    "creatorType": "author",
                    "firstName": "Jack T.",
                    "lastName": "Dennerlein"
                },
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                    "creatorType": "author",
                    "firstName": "Elizabeth Tucker",
                    "lastName": "O'Day"
                },
                {
                    "creatorType": "author",
                    "firstName": "Deborah F.",
                    "lastName": "Mulloy"
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                {
                    "creatorType": "author",
                    "firstName": "Jackie",
                    "lastName": "Somerville"
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                    "creatorType": "author",
                    "firstName": "Anne M.",
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                    "firstName": "Christopher",
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                {
                    "creatorType": "author",
                    "firstName": "Erin",
                    "lastName": "Teeple"
                },
                {
                    "creatorType": "author",
                    "firstName": "Leslie I.",
                    "lastName": "Boden"
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                    "firstName": "Dean",
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            "abstractNote": "OBJECTIVE: With increasing emphasis on early and frequent mobilisation of patients in acute care, safe patient handling and mobilisation practices need to be integrated into these quality initiatives. We completed a programme evaluation of a safe patient handling and mobilisation programme within the context of a hospital-wide patient care improvement initiative that utilised a systems approach and integrated safe patient equipment and practices into patient care plans.\nMETHODS: Baseline and 12-month follow-up surveys of 1832 direct patient care workers assessed work practices and self-reported pain while an integrated employee payroll and injury database provided recordable injury rates collected concurrently at 2 hospitals: the study hospital with the programme and a comparison hospital.\nRESULTS: Safe and unsafe patient handling practice scales at the study hospital improved significantly (p<0.0001 and p=0.0031, respectively), with no differences observed at the comparison hospital. We observed significant decreases in recordable neck and shoulder (Relative Risk (RR)=0.68, 95% CI 0.46 to 1.00), lifting and exertion (RR=0.73, 95% CI 0.60 to 0.89) and pain and inflammation (RR=0.78, 95% CI 0.62 to 1.00) injury rates at the study hospital. Changes in rates at the comparison hospital were not statistically significant.\nCONCLUSIONS: Within the context of a patient mobilisation initiative, a safe patient handling and mobilisation programme was associated with improved work practices and a reduction in recordable worker injuries. This study demonstrates the potential impact of utilising a systems approach based on recommended best practices, including integration of these practices into the patient's plan for care.",
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            "shortTitle": "",
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            "libraryCatalog": "PubMed",
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