The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
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Dr John Wallaart Programme Manager, ACC Corporate Office (P33, Friday, NZI 6 Room, 2.30-5)
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Similaire à The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
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The background to update of the 2003 NZPHG (New Zealand Patient Handling Guide) to the “Moving and Handling of People - The New Zealand Guidelines 2012”: An ACC perspective
- 1. Dr John Wallaart PhD, MBA, DBS, Dip.Chem., Dip.OH&S Mgt Programme Manager ACC Corporate Office
- 2. Background • Industry – Heavy metal (aluminium), Pulp and paper, etc • Research – The world’s first FPBR (Fan Supplied Positive Pressure Respirator) • ACC - programme management – Agriculture, e.g. FarmSafe – Construction, e.g. SiteSafe – NIHL (including “Dangerous Decibels”) – Road transport – Health - etc • Aviation – CPL/Instrument Rating, etc – Flew post around the southern part of NZ in evenings
- 7. Overview • The history and background • The 4 reports that led to the update of the guidelines • The process in updating the guidelines • Where to from here?
- 8. John
- 9. ACC Work Related Entitlement DPI Claims in Health Services Sector
- 10. DHB and residential/aged care services, by duration of claim (on year) 700 $3,500,000 600 $3,000,000 500 $2,500,000 Active Entitlement Claims Active Entitlement Costs 400 $2,000,000 Active Entitlement 300 $1,500,000 Cost of Active Claims 200 $1,000,000 100 $500,000 0 $0 th ths hs ars ars ars ars rs rs on mon ont 2 ye 3 ye 4 ye 5 ye 0 yea yea 1m 6 2m 1- 2- 3- 4- 1 20 an 1 to to 1 5 - 10 - th 6 le ss
- 11. DHB and residential/aged care services, by injury site (one year) 250 $4,000,000 $3,500,000 200 $3,000,000 Active Entitlement Costs New Entitlement Claims 150 $2,500,000 New Claims $2,000,000 100 Cost of Active Claims $1,500,000 $1,000,000 50 $500,000 0 $0
- 12. DHB and residential/aged care services, by cause of claim 2008/2009 400 $6,000,000 350 $5,000,000 300 $4,000,000 Active Entitlement Costs 250 New Entitlement Claims New Claims 200 $3,000,000 Cost of Active Claims 150 $2,000,000 100 $1,000,000 50 0 $0
- 14. Taxonomy-Residential care (2009) Patient Human handling 50% 925 claims 72% 353 > 60 days Equipment handling 16% Falls to the Gravitational same level 25% 17% Lift 37% Patient handling Push/Pull 5%
- 16. The “lead-up” to the new guidelines • Thomas D and Y L. (2010). Survey of users of the New Zealand Patient Handling Guidelines. • Thomas D et al. (2009). Report on the review of the New Zealand Patient Handling Guidelines. • Thomas et al. (2009). Patient Handling Guidelines: Literature Review. • Ludcke J and Kahler R. (2009). Taxonomy of injuries in Residential Care.
- 17. Survey of previous users • Remove the 16kg weight limit • Simplify forms and audit tools • Make clear who the audience is for each section • More information about training for patient handling • Techniques for handling disabled or non-compliant patients • Update injury stats data - etc
- 18. Report on the review of the 2003 NZPHG • Many providers had done very little to develop an adequate safety culture related to safe patient handling • Review Panel strongly supported the guidelines as a single comprehensive document • The document is a resource for a wide range of organisations • The 2003 guidelines needed revision • Cost/benefit information needed to be provided.
- 19. Literature Review • Health care workers vulnerable because of: – Job strain – High physical workload – Lack of lifting or other devices - Etc • Lateral transfers particularly • Psychosocial • Multi-factorial approaches • Cost-Benefit analysis
- 20. Literature Review • Cost-Benefit analysis • Increasing weight of patients • Legislative enforcement? Many studies are limited in their usefulness - etc
- 21. Moving and handling of people - the New Zealand guidelines 2012 • Produced by a panel of people with different backgrounds • People with relevant experience brought in periodically • Written by Prof. D. Thomas followed by – International expert (SME) review – Public submissions
- 22. Chapters increased from 9 (2003) to 14 (2012) Has taken into account: • Changing use of equipment • Bariatric patients and other developments – Recommendations based on best available information – It is not a Code of Practice • Aiming to set a benchmark for future development and improvement
- 23. Where to from here? • Freely available – CD/DVD format – Online format • Supported by short versions for front-line staff • Translated versions • Posters, etc • Regional seminars planned for May and June
- 24. Immediate future plans • Home Care industry – Addition to the Guidelines • Extramural course (co-operative alliance between universities) • Other views/ideas?
- 25. Questions