*Vidant Medical Center †Brody School of Medicine, East Carolina University, Greenville, NC.
Ann Surg. 2013 Oct;258(4):646-50; discussion 650-1. doi: 10.1097/SLA.0b013e3182a5039f.
Obese patients are difficult to transport between emergency departments, imaging facilities, operating rooms, intensive care units, acute care units, and rehabilitation facilities. Each move, along with turning, bathing, and access to bathrooms, poses risks of injury to patients and personnel. Similarly, inadequate mobilization raises the risk of pressure ulcers. The costs can be prohibitive.
On 6 pilot units, mobilization of patients was delegated to trained lift team technicians who covered the units in pairs, 24 hours per day, 7 days per week, to assist with moving and lifting of patients weighing 200 pounds or more, with a Braden Scale score of 18 or less and/or the presence of pressure ulcers.
In fiscal year 2012, hospital-acquired pressure ulcers on pilot units decreased by 43% (from 61 to 35). Patient handling-related employee injuries on pilot units decreased by 38.5% (from 13 to 8). Employee satisfaction related to organizational commitment to employee safety and impact on job satisfaction was positively impacted by implementation of the lift team. With the reduction in employee injuries and the fall in the prevalence of pressure ulcers, the adoption of the lift team program decreased costs by $493,293.00.
Implementation of lift teams on pilot nursing units decreased patient handling-related employee injuries, resulting in sharp improvements in quality patient care and reduced costs.
肥胖患者在急诊科、影像科、手术室、重症监护室、急性护理病房和康复病房之间的转移较为困难。每一次移动，包括翻身、洗澡和上厕所，都可能使患者和医务人员受伤。同样，患者活动不足会增加压疮的风险。其费用可能是巨大的。
在 6 个试点病房中，将患者的搬运工作委托给经过培训的举升团队技术人员，这些技术人员每天 24 小时、每周 7 天在病房中两两一组，协助搬运和抬起体重 200 磅或以上、Braden 量表评分为 18 分或更低，或存在压疮的患者。
在 2012 财政年度，试点病房的医院获得性压疮减少了 43%（从 61 例降至 35 例）。试点病房与患者搬运相关的员工受伤减少了 38.5%（从 13 例降至 8 例）。实施举升团队后，员工对组织对员工安全的承诺和对工作满意度的影响的满意度得到了积极影响。随着员工受伤人数的减少和压疮患病率的下降，采用举升团队计划降低了 493293.00 美元的成本。
在试点护理病房实施举升团队减少了与患者搬运相关的员工受伤，从而显著改善了患者护理质量并降低了成本。
