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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 Tool

The Service tool is an automatic service warning system,
developed to secure that necessary services are performed on
the lifter according to the intervals stated by the manufacturer
Main 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         ±£½¡ÐlÉú˜I
                  Health industry
                  ÑuÔì˜I
                  Industry
     1200         ß\Ý”½»Í¨˜I
                  Transportation
                  É̘I?
                  Commerce?ŽÚ¸æ˜I
                        ½ðÈÚ?
                  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 ¨C 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 ¨C 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: times
The 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
Questions?

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Reducing work related injuries by monitoring the use of lifters in institutions, through service warning software for hoists

  • 1. 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
  • 2. 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
  • 3. 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
  • 4. Molift Service Tool The Service tool is an automatic service warning system, developed to secure that necessary services are performed on the lifter according to the intervals stated by the manufacturer Main 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
  • 5. 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
  • 6. 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.
  • 7. 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.
  • 8. 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 ±£½¡ÐlÉú˜I Health industry ÑuÔì˜I Industry 1200 ß\Ý”½»Í¨˜I Transportation É̘I? Commerce?ŽÚ¸æ˜I ½ðÈÚ? finance 1100 1000 900 800 700 600 2004 2005 2006 2007 2008 2009 Reported to the Japanese Ministry of Health, Labour & Welfare
  • 9. 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
  • 10. 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.
  • 11. 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
  • 12. 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
  • 13. Using the service Tool in the implementation of SPH Registration of the number of lifts conducted with the lifter from 11.02.2010 ¨C 10.03.2010 Nursing home Increase/decrease in use of the lifter Ward Lifter ID
  • 14. 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
  • 15. Using the service Tool in the implementation of SPH Registration of the number of lifts conducted with the lifter from 11.03.2010 ¨C 10.04.2010 Nursing home Increase/decrease in use of the lifter Ward Lifter ID
  • 16. 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: times The 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