Assessment of Innovation to Bolster Safe Patient Taking care of and Development

2666 days ago, 954 views
PowerPoint PPT Presentation
Rubbing diminishing gadgets give a minimal effort innovation answer for horizontal exchanges of patients E.g. Bed to stretcher exchanges. Hardware Applications ...

Presentation Transcript

Slide 1

Assessment of Technology to Support Safe Patient Handling and Movement Acknowledgments: Andrea S. Baptiste, MA, CIE John Lloyd, PhD, CPE Audrey Nelson, PhD, RN, FAAN Funded by VISN 8 Patient Safety Center of Inquiry, Tampa, VAMC

Slide 2

What Is a Friction Reducing Device? Grating lessening gadgets give an ease innovation answer for parallel exchanges of patients E.g. Bed to stretcher exchanges

Slide 3

Equipment Applications Nursing home/home care General restoration Acute therapeutic/surgical Or/recuperation Spinal rope damage unit Inpatient/outpatient facility Intensive care unit

Slide 4

Types of Friction Reducing Devices: There are 3 sorts : Air Assisted Lateral sliding guides Mechanical sidelong exchange helps

Slide 5

Air Assisted Lateral Sliding Aids An adaptable bedding set under patient; expands by convenient air supply. Patient is proceeded onward a padded film of air This decrease in rubbing makes the parallel exchange much less demanding for the guardian Cost: $1200-$1600

Slide 6

A case of an air helped sidelong sliding guide: A waterproof, hostile to bacterial against stain, nylon sleeping cushion that takes into consideration horizontal exchanges. Scratch quality: no weight confine

Slide 7

Lateral Sliding Aids Assists with bed to stretcher sort exchanges exchange sheets or texture Both gadgets are situated under the patient giving a smooth surface to slide the patient

Slide 8

Example: Lateral Sliding guide Properly planned handles (texture) lessen the forward reach as found in draw sheets Cost: $80-$300

Slide 9

Example: Lateral Sliding Aid Used for exchanges and repositioning patients in bed Main preferences of this gadget are: compact, effectively put away and lightweight (4 lbs)

Slide 10

Mechanical Lateral Transfer Aids This takes out the need to physically slide patients This diminishes hazard to the guardian Cost: $1800-$8000

Slide 11

Example: Mechanical Lateral exchange help This gadget is utilized as a part of sidelong exchanges of patients Key preferred standpoint: no manual work done to slide quiet

Slide 12

An Evaluation of Technology The object was to assess eleven industrially accessible horizontal exchange helps. Exchanges were done from a clinic bed to a stretcher.

Slide 13

Air helped : Airpal Hovermatt Lateral Transfer Study Lateral sliding guides : Slipp understanding mover Draw sheet Disposable plastic pack (DPB) Aqua level sheet set Lateral exchange Aid Resident exchange help Maxi-slide Maxi-trans Easy exchange framework

Slide 14

Methodology: Subject: A 200 pound mannequin was utilized to speak to a needy pt. in every single parallel exchange. Gear: Chatillon drive gage, bed with non-blowing up sleeping pad, stretcher trolley.

Slide 15

Methodology: Measurement: A basic technique was contrived to catch most extreme outside powers connected amid the exchange. Comes about caught : Force Mean results % Population proficient Spinal Forces

Slide 16

Force Mean Results: Mean connected compel was figured crosswise over five trials. Gadget yielding: most reduced mean constrain was the maxi slide (39.7lbf. on the other hand 176.6 N). most noteworthy mean constrain was the draw sheet (145 lbf. on the other hand 645 N).

Slide 17

% Population Capable Results: 0% populace ready to manage powers at the shoulder with an expendable plastic pack (DPB) or draw sheet. > 70% would have the capacity to do the exchange assignment utilizing Airpal, Hovermatt, Slipp, Lateral exchange help, Aqua level sheet set, Resident travel help and Maxi-Slide.

Slide 18

Compression: most astounding at L5/S1 with utilization of Maxi Trans (661lbf.) least with utilization of water level sheet set (216.9 lbf.) Anterior/back shear powers: most astounding with utilization of DPB (179 lbf) most reduced with utilization of Maxi Trans (6lbf) Lateral shear constrain: most noteworthy with utilization of parallel exchange help (6 lbf.) most reduced with utilization of Aqua level sheet set Spinal Force Results:

Slide 19

Top Five Products: 1) Lateral exchange Aid 2) Flat sheet set 3) Maxislide 4) Hovermatt 5) Airpal

Slide 20

Conclusions: Key components that influence spinal stacking : Caregiver's position and stance Friction lessening properties Relative stature of exchange surfaces Location of handles on gadget Angle of draw Extended force straps and number of straps utilized Patient mass

Slide 21

Implications for Clinical Application: These horizontal exchange helps do have confinements some are n/a for bariatric patients. For patients more than 200 lbs, utilize a mechanical gadget and two parental figures. Different variables to consider are: capacity, disease control, cleaning, convenience .

Slide 22

The subjective study The reason – to obtain input on ease of use of gadgets from medical attendants on the units. Take a gander at aftereffects of subjective information and biomechanical information Eight gadgets were arbitrarily appropriated for assessment

Slide 23

Equipment Rating Survey Product ______ Unit ______ How might you rate your OVERALL COMFORT amid utilization of this item? 0 1 2 3 4 5 6 7 8 9 10 What is your impression of this present item's OVERALL EASE-OF-USE? 0 1 2 3 4 5 6 7 8 9 10 How EFFECTIVE do you think this item will be in lessening INJURIES? 0 1 2 3 4 5 6 7 8 9 10 How EFFICIENT do you feel this item will be being used of your TIME? 0 1 2 3 4 5 6 7 8 9 10 How SAFE do you feel this item would be for the PATIENT? 0 1 2 3 4 5 6 7 8 9 10

Slide 24

Conclusions Use of Friction Reducing Devices has ended up being a superior decision than utilizing an attract sheet to horizontally exchange a patient These ease gadgets ought to lessen danger of harm in social insurance laborers