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Reducing work related injuries by monitoring the use of lifters in institutions, through service warning software for hoists. Presenter: Ole Lindahl Thy, Physiotherapist and Educational Manager,Molift
The content of this presentation Briefly about Molift Presenting Molift Service Tool - Its Technical and clinical advantages Case study from Japan - Background - Implementation of Molift Service Toll in three nursing homes - Introducing Safe patient handling - Results
About Molift Molift is a Norwegian company founded in 1982 specialized in developing mechanical equipment for moving & handling people. Molift has since the very beginning been dedicated to develop innovative solutions and products. Some of the innovations that Molift has introduced: • Battery driven mobile hoists • The linear lifting principle • The diagonal linear lifting principle for sit to stand lifters • Foldable lifters • Environmental friendly batteries (NiMh) • Automatic service warning
Molift Service ToolThe Service tool is an automatic service warning system,developed to secure that necessary services are performed onthe lifter according to the intervals stated by the manufacturerMain features • The lifter has an automatic warning when service is needed • Connected to a computer with the installed software, it is possible to perform service and retrieve information from the lifter
Molift Service Tool Technical perspective • Troubleshooting • Reading and writing the service history • Resetting of the service indicator • Correction of max weight/load capacity • All data collected can be transferred and stored in an online database • Online program update Clinical perspective • Recording the number of lifts performed • Recording the lifts performed in four different weight classes
Clinical perspectives - An example of how we can use the data retrieved from the service tool to investigate the relationship between the usage of the lifters and back injury, back pain and sick leave.
Safe patient handling in Japan In Japan, as in many other countries in the world, muscolo- skeletal disorders due to manual lifting of patients in healthcare is a growing problem. In 2010 the Japanese government decided to stimulate the investment in safe patient handling equipment in nursing homes.
Safe patient handling in Japan Reported sick in ju ry an d illn e ss（ M in istrydue e alth s Hback pain O c c u patio n al leave, 4 days or more o f H to low P ） by 1300 保健衛生業 Health industry 製造業 Industry 1200 運輸交通業 Transportation 商業・ Commerce・広告業 金融・ finance 1100 1000 900 800 700 600 2004 2005 2006 2007 2008 2009 Reported to the Japanese Ministry of Health, Labour & Welfare
Safe patient handling in Japan The use of equipment for safe patient handling in Japan is restricted among others due to • Low awareness of the relation between back injuries and patient handling. • Equipment not available • Resistance from caregivers to use equipment for patient handling • Resistance from patients to be lifted by machines • Resistance from relatives • Financial aspects • Space restrictions
Safe patient handling in Japan The Japanese PT Shogo Kasahara, manager of three nursing homes in the Kisei social welfare service corporation in the Wakayama prefect, applied for the public funds, and initiated a project to reduce back injuries among the caregivers.
The three nursing homes Ayukawa nursing home for the elderly Long-term patients: 53 patients Short-term patients: 23 patients Home care: 25 patients Ryu-topia nursing home for the elderly Long-term patients: 50 patients Short-term patients: 20 patients Home care: 25 patients Miyamanosato nursing home for the elderly Long-term patients: 30 patients Short-term patients: 8 patients Home care: 15 patients
Implementation of Safe patient handling 1. Building the case 2. Initial action 3. Presentation to executive board 4. Introducing a safe patient handling program 5. Promotion 6. Get the program on the track… 7. Addressing feedback
Using the service Tool in the implementation of SPH Registration of the number of lifts conducted with the lifter from 11.02.2010 – 10.03.2010 Nursing home Increase/decrease in use of the lifter Ward Lifter ID
Using the service Tool in the implementation of SPH Based on the statistics retrieved from the Molift Service Tool, an evaluation on the ward is accomplished, and corrective initiatives are implemented. Examples of corrective initiatives • Changing the type of sling used • Increasing the space under the beds • Defining the need for beds • Solution to be able to use the lifter on futons is implemented • A special solution to use the lifter together with a mattress on the floor • Additional training of the staff • Initiatives toward relatives
Using the service Tool in the implementation of SPH Registration of the number of lifts conducted with the lifter from 11.03.2010 – 10.04.2010 Nursing home Increase/decrease in use of the lifter Ward Lifter ID
Using the service Tool in the implementation of SPH Based on the statistics retrieved from the Molift Service Tool and the statistics about sick leave, it is possible to indicate a relationship between how frequent the lifter is used and days of absence Relationship between sick leave of caregivers and use of lifter at Ryu-Topia Update: Aug. 28 2011 The number of lifts Unit: timesThe number of sick leave unit: day Total number of lifts Private Sickness Back Pain Mar. Apr. May Jun. Jul. Aug. Sep. Oct. Nov. Dec. Jan. Feb. 2011 Apr. May Jun. Jul.. Aug. 2010 2010 2010 2010 2010 2010 2010 2010 2010 2011 2011 2011 2011 2011 2011 2011 Sick and Back pain introduction Program starts