一种定制的,跨学科的,多元组件的方法来降低医院系统中的工人赔偿索赔和成本:一项回顾性研究
1Advanced Clinician, Hospital for Special Surgery, New York City, New York, USA.
概括
一个量身定制的多元组件计划 (TMP) 通过解决部门特定的风险,显著减少了工人赔偿索赔和医疗保健成本. 这一计划提高了所有员工的安全,包括那些不参与患者处理的人.
科学领域:
- 职业健康和安全问题 职业健康和安全问题
- 医疗保健管理的管理
- 人体工程学和生物力学
背景情况:
- 医疗保健是一个高风险的职业,工人受伤,特别是肌肉骨系统疾病.
- 现有的安全干预措施往往只关注护士或患者处理,忽视其他工作人员.
- 多组件干预对于有效的安全患者处理计划至关重要.
研究的目的:
- 为医疗保健工作者实施和评估一个量身定制的多组件计划 (TMP).
- 为满足每个部门的特定需求,包括患者和非患者的处理角色.
- 检查TMP对工人赔偿索赔和相关成本的影响.
主要方法:
- 技术管理计划整合了部门特定和员工特定的评估和干预.
- 物理治疗师在六年内提供了量身定制的服务,指导,人体工程学评估和教育课程.
- 该计划的重点是提高员工的安全意识和减少环境风险.
主要成果:
- 在实施后观察到工人赔偿索赔的统计显著下降.
- 与索赔相关的总体成本也显著降低.
- 积极的影响是立即的,并持续了几年,证明了该计划的有效性.
结论:
- 在医疗保健环境中,TMP有效地减轻了伤害风险,尽管该职业存在固有的危险.
- 计划适应机构增长和不断变化的部门需求是持续成功的关键.
- 跨学科的合作和持续的重新评估对于持续的有效性至关重要.
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