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J Occup Environ Med. 2013 Jan;55(1):36-44. doi: 10.1097/JOM.0b013e3182749c35.

Sit-stand powered mechanical lifts in long-term care and resident quality indicators.

Author information

  • 1University of Maryland School of Medicine, Baltimore, MD 21201, USA. pgucer@medicine.umaryland.edu

Abstract

OBJECTIVE:

To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes.

METHODS:

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.

RESULTS:

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.

CONCLUSION:

The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.

PMID:
23138044
DOI:
10.1097/JOM.0b013e3182749c35
[PubMed - indexed for MEDLINE]
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