Moving and handling and patient safety: analysis of clinical incidents

Jocelyn Cornish1, Anne Jones

  • 1Florence Nightingale School of Nursing and Midwifery, King,s College, London, UK.

British Journal of Nursing (Mark Allen Publishing)
|May 16, 2012
PubMed
Abstract

Insights

Moving and handling practices may contribute to clinical incidents due to insufficient risk assessment and policy adherence. Incomplete incident reports hinder the identification of causes and preventative measures for patient safety.

Area of Science:

  • Healthcare quality and safety
  • Patient handling research
  • Clinical incident analysis

Background:

  • Previous research links poor moving and handling practices to patient harm.
  • Clinical incident report analyses have not previously identified moving and handling as a factor.
  • This study specifically examines moving and handling within incident data.

Purpose of the Study:

  • To determine the role of moving and handling practices in clinical incidents.
  • To analyze incident data from a moving and handling perspective.

Main Methods:

  • Analysis of a random sample of 500 clinical incident reports from hospital in-patient settings.
  • Utilized descriptive statistics and thematic analysis for qualitative data.

Main Results:

  • Identified instances where staff may not follow moving and handling policies, notably in risk assessment and patient assistance.
  • Lack of detailed information in reports limited the ability to ascertain causes and develop preventative strategies for patient falls.
  • Some reported staff actions potentially violate policy guidelines.

Conclusions:

  • Inadequate detail in incident reports impedes the investigation process.
  • Improved reporting is necessary to identify systemic issues and implement safer work systems.

Related Concept Videos

Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Guidelines and Strategies for Safe Computer Charting01:18

Guidelines and Strategies for Safe Computer Charting

The guidelines and strategies provided by the American Nurses Association (ANA) and the Canadian Nurses Association (CNA) offer essential principles for ensuring safe and secure computer charting systems in healthcare settings. Let's break down each recommendation:
Maintain Confidentiality and Security:
Standard Precaution01:26

Standard Precaution

Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
Types of Reports I: Hand-off Report01:25

Types of Reports I: Hand-off Report

A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process: