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Whether it’s ergonomics training,
safety training, or training on how to use a piece of
equipment most effectively, every job is made more efficient
with a little hands-on practice. But how many people are
willing to be the hands-on part of training for future
surgeons?
Thanks to new technology, now no
one needs to be. Instead, future doctors can tweak their
technique before they ever see a real patient.
They’re using virtual patients:
mannequins that, according to a CNN.com report, come
complete with injectible veins, movable eyes, pulses,
beating hearts and breathing lungs. Some can even be
programmed to simulate medical crises and respond
appropriately to the doctor’s treatment. The “patients’”
conditions can improve, or worsen, depending upon decisions
that are made by the doctors. And medical residents report
that the mannequins are so lifelike that the doctors have
even been known to start mouth-to-mouth resuscitation when a
“patient” falters, as a last resort.
Medical errors, often associated
with ergonomics-preventable issues like work schedules,
workplace conditions, or even an over-worked industry, are
rapidly becoming the focus of more and more studies and
projects that set out to improve both patient and worker
safety in healthcare facilities. For example, the studies
have already shown that surgical residents who train on
virtual patients both make fewer errors and work faster than
residents who learned the traditional way – via observation
and, later, under supervision.
But the recent HealthGrades Patient
Safety in American Hospitals study indicates that 195,000
patient lives were lost between 2000 and 2002 in the United
States due in part to potentially preventable in-hospital
medical errors. The Canadian Medical Association estimates
that between 9,000 and 24,000 patients die each year in that
country due to preventable medical mistakes as well.
Additionally, health care workers are also at risk of both
making errors and becoming injured as the nursing industry
in particular faces staffing shortages, long work shifts,
and a population of patients that is gaining weight while
also aging, and ultimately putting greater strains on both
the hospitals and the caregivers who work with them.
These factors prompted the recent
HealthCare Ergonomics Conference in Portland, Oregon. For
three days in late July, the first-of-its-kind national
conference helped participants learn to address employee and
patient safety issues, particularly as they related to
healthcare ergonomics.
Over 200 ergonomists attended the
event, themed “Shared Challenges; Real Strategies; Practical
Solutions.” Presenters from Canada, Australia, Denmark and
the United States covered a wide variety of topics and
events that promoted networking between participants,
presenters and vendors as well.
Nurses, health care managers,
educators, support service staff, ergonomists, and safety
and health professionals from hospitals, long term care
facilities, emergency services, home health and nursing
education facilities learned from health care ergonomics
experts like Guy Fragala, Ph.D., PE, CSP, Director of
Compliance Programs for Environmental Health & Engineering,
as he presented “Saving Nurses and Healthcare Workers from
Back Injuries.” During his session, Fragala emphasized the
importance of a “Program Approach” when addressing
ergonomics issues in health care and how it can most benefit
workers.
One of the greatest challenges in
healthcare is protecting workers while also ensuring patient
safety and dignity. Speaking on the subject, Joe Jolliff,
retired nursing home administrator, shared real-world
success stories to demonstrate how nursing homes and long
term care facilities can implement successful safe lift
programs in his session entitled “Changing to a ‘No-Lift’
facility: The Challenges and Opportunities.” Additionally,
Butch de Castro, Ph.D., MSN/MPH, RN, Senior Staff Specialist
in Occupational Health and Safety with the American Nurses
Association, offered a look inside the association’s “Handle
With Care” Campaign in his session entitled “Multi-Component
Strategy to Address the Prevention of Work-Related
Musculoskeletal Disorders Among Nurses.”
According to conference organizer,
Lynda Enos, MS, RN, COHN-S, CPE, feedback from conference
attendees indicated that, “all workshops and conference
sessions were successful” in providing evidence-based,
practical information, applicable “in a variety of health
care environments.”
As Chair of the Oregon Coalition
for Healthcare Ergonomics (OCHE), the conference’s sponsor,
Enos stressed the organization’s goal of making healthcare
safer and more workable for workers which ultimately
improves patient safety as well. “The OCHE is a partnership
that was formed in 2002 between business, labor
organizations, and government for the purpose of
investigating and developing strategies that will reduce the
incidence of work-related musculoskeletal disorders [WRMSDs]
reported by healthcare workers in Oregon,” said Enos. “One
of [OCHE’s] strategies is to increase education and
awareness of ergonomics issues related to worker- and
patient-safety and to promote communication of ergonomics
best practices and injury prevention strategies throughout
all sectors of the healthcare community in Oregon. Thus OCHE
partnered with the Oregon State Association of Occupational
Health Nurses [OSAOHN] and Oregon OSHA to organize this
event,” she continued.
Unlike other industries, healthcare
workers are constantly faced with the challenge of working
with people who come in all shapes, sizes, conditions and
abilities. Ergonomics, particularly when working with
bariatric or obese patients, can be an even greater concern
and challenge. For an in-depth look at the subject, see the
new on-line version of Ergoweb’s premium newsletter,
The Ergonomics Report.
Visit
www.ergonomicsreport.com
to read the latest on the subject. Sources: CNN.com;
Winnipeg Sun; Medical News Today; Lynda Enos, MS, RN,
COHN-S, CPE
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