Implementing powered stretcher and load systems was a cost effective intervention to reduce the incidence rates of stretcher related injuries in a paramedic service

被引:25
作者
Armstrong, Daniel P. [1 ]
Ferron, Richard [2 ]
Taylor, Cindi [2 ]
McLeod, Brent [3 ]
Fletcher, Steve [3 ]
MacPhee, Renee S. [4 ]
Fischer, Steven L. [1 ]
机构
[1] Univ Waterloo, Dept Kinesiol, Waterloo, ON, Canada
[2] Niagara Emergency Med Serv, Port Colborne, ON, Canada
[3] Hamilton Paramed Serv, Hamilton, ON, Canada
[4] Wilfrid Laurier Univ, Kinesiol & Phys Educ & Hlth Sci, Waterloo, ON, Canada
关键词
Cost-benefit; Economics; Ergonomics; MSD prevention; WORK; RISK; TASKS;
D O I
10.1016/j.apergo.2017.02.009
中图分类号
T [工业技术];
学科分类号
08 ;
摘要
Paramedic services are considering moving towards the use of powered stretcher and load systems to reduce stretcher related injuries, but cost is perceived as a barrier. This study compared injury incidence rates, days lost, and compensation costs between Niagara Emergency Medical Service (NEMS) and Hamilton Paramedic Service (HPS) pre- (four years) and post- (one year) implementation of powered stretcher and load systems in NEMS. Prior to the intervention stretcher related musculoskeletal disorder (MSD) incidence rates averaged 20.0 (+/- 6.8) and 17.9 (+/- 6.4) per 100 full time equivalent (FTE), in NEMS and HPS respectively. One-year post intervention rates decreased to 4.3 per 100 FTE in NEMS, a 78% reduction. Rates modestly increased to 24.6 per 100 FTE in HPS in same period. Cost-benefit analysis estimated that the added cost to purchase powered stretcher and load systems would be recovered within their expected 7-year service life due to the reduction in compensation costs. (C) 2017 Elsevier Ltd. All rights reserved.
引用
收藏
页码:34 / 42
页数:9
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