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The effect of power stretchers on occupational injury rates in an urban emergency medical services system
Background To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of a power‐lift stretcher system. Methods The seasonally‐adjusted occupational injury rate was estimated relative to medical call volume (per 1000 calls) and wor...
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| Published in: | American journal of industrial medicine 2024-04, Vol.67 (4), p.341-349 |
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| container_end_page | 349 |
| container_issue | 4 |
| container_start_page | 341 |
| container_title | American journal of industrial medicine |
| container_volume | 67 |
| creator | Pryce, Rob Weldon, Erin McDonald, Neil Sneath, Ryan |
| description | Background
To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of a power‐lift stretcher system.
Methods
The seasonally‐adjusted occupational injury rate was estimated relative to medical call volume (per 1000 calls) and workers (per 100 FTEs) from 2009 to 2019, and stratified by severity (lost‐time, healthcare only), role (EMS, FIRE) and type (patient‐handling). Power‐lift stretchers were adopted between 2013 and 2015. Preinjury versus postinjury rates were compared using binomial tests. Interrupted time series (ITS) analysis was used to estimate the trend and change in injuries related to patient‐handling, with occupational illnesses serving as control.
Results
Binomial tests revealed varied results, with reductions in the injury rate per 1000 calls (−14.0%) and increases in the rate per 100 FTEs (+14.1%); rates also differed by EMS role and injury severity. ITS analysis demonstrated substantial reductions in patient‐handling injuries following implementation of power‐lift stretchers, both in the injury rate per 1000 calls (−50.4%) and per 100 FTEs (−46.6%), specifically among individuals deployed on the ambulance. Injury rates were slightly elevated during the winter months (+0.8 per 100 FTEs) and lower during spring (−0.5 per 100 FTEs).
Conclusions
These results support the implementation of power‐lift stretchers for injury prevention in EMS systems and demonstrate advantages of ITS analysis when data span long preintervention and postintervention periods. |
| doi_str_mv | 10.1002/ajim.23571 |
| format | article |
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To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of a power‐lift stretcher system.
Methods
The seasonally‐adjusted occupational injury rate was estimated relative to medical call volume (per 1000 calls) and workers (per 100 FTEs) from 2009 to 2019, and stratified by severity (lost‐time, healthcare only), role (EMS, FIRE) and type (patient‐handling). Power‐lift stretchers were adopted between 2013 and 2015. Preinjury versus postinjury rates were compared using binomial tests. Interrupted time series (ITS) analysis was used to estimate the trend and change in injuries related to patient‐handling, with occupational illnesses serving as control.
Results
Binomial tests revealed varied results, with reductions in the injury rate per 1000 calls (−14.0%) and increases in the rate per 100 FTEs (+14.1%); rates also differed by EMS role and injury severity. ITS analysis demonstrated substantial reductions in patient‐handling injuries following implementation of power‐lift stretchers, both in the injury rate per 1000 calls (−50.4%) and per 100 FTEs (−46.6%), specifically among individuals deployed on the ambulance. Injury rates were slightly elevated during the winter months (+0.8 per 100 FTEs) and lower during spring (−0.5 per 100 FTEs).
Conclusions
These results support the implementation of power‐lift stretchers for injury prevention in EMS systems and demonstrate advantages of ITS analysis when data span long preintervention and postintervention periods.</description><identifier>ISSN: 0271-3586</identifier><identifier>EISSN: 1097-0274</identifier><identifier>DOI: 10.1002/ajim.23571</identifier><identifier>PMID: 38356274</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>ambulance ; Emergency medical care ; Emergency medical services ; Emergency response ; Emergency services ; Handling ; Health services ; Injuries ; Injury analysis ; Injury prevention ; Occupational accidents ; Occupational health ; Occupational safety ; patient handling ; Patients ; power‐assist ; power‐lift ; Stretchers</subject><ispartof>American journal of industrial medicine, 2024-04, Vol.67 (4), p.341-349</ispartof><rights>2024 The Authors. published by Wiley Periodicals LLC.</rights><rights>2024 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3521-3372cb306ee6dcb2f9dcbdc76d6949027eb5585b9701a1e9efff97fc046ad41f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38356274$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pryce, Rob</creatorcontrib><creatorcontrib>Weldon, Erin</creatorcontrib><creatorcontrib>McDonald, Neil</creatorcontrib><creatorcontrib>Sneath, Ryan</creatorcontrib><title>The effect of power stretchers on occupational injury rates in an urban emergency medical services system</title><title>American journal of industrial medicine</title><addtitle>Am J Ind Med</addtitle><description>Background
To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of a power‐lift stretcher system.
Methods
The seasonally‐adjusted occupational injury rate was estimated relative to medical call volume (per 1000 calls) and workers (per 100 FTEs) from 2009 to 2019, and stratified by severity (lost‐time, healthcare only), role (EMS, FIRE) and type (patient‐handling). Power‐lift stretchers were adopted between 2013 and 2015. Preinjury versus postinjury rates were compared using binomial tests. Interrupted time series (ITS) analysis was used to estimate the trend and change in injuries related to patient‐handling, with occupational illnesses serving as control.
Results
Binomial tests revealed varied results, with reductions in the injury rate per 1000 calls (−14.0%) and increases in the rate per 100 FTEs (+14.1%); rates also differed by EMS role and injury severity. ITS analysis demonstrated substantial reductions in patient‐handling injuries following implementation of power‐lift stretchers, both in the injury rate per 1000 calls (−50.4%) and per 100 FTEs (−46.6%), specifically among individuals deployed on the ambulance. Injury rates were slightly elevated during the winter months (+0.8 per 100 FTEs) and lower during spring (−0.5 per 100 FTEs).
Conclusions
These results support the implementation of power‐lift stretchers for injury prevention in EMS systems and demonstrate advantages of ITS analysis when data span long preintervention and postintervention periods.</description><subject>ambulance</subject><subject>Emergency medical care</subject><subject>Emergency medical services</subject><subject>Emergency response</subject><subject>Emergency services</subject><subject>Handling</subject><subject>Health services</subject><subject>Injuries</subject><subject>Injury analysis</subject><subject>Injury prevention</subject><subject>Occupational accidents</subject><subject>Occupational health</subject><subject>Occupational safety</subject><subject>patient handling</subject><subject>Patients</subject><subject>power‐assist</subject><subject>power‐lift</subject><subject>Stretchers</subject><issn>0271-3586</issn><issn>1097-0274</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp90ctKxDAUBuAgio6XjQ8gATcijObSJJOlDF5R3Oi6pOmJZmibMWmVvr0ZR124cJND4OPnXBA6pOSMEsLOzcK3Z4wLRTfQhBKtpoSpYhNNcqFTLmZyB-2mtCCE0kIW22iHz7iQ2UyQf3oFDM6B7XFweBk-IOLUR-jtK8SEQ4eDtcPS9D50psG-WwxxxNH0kPIHmw4PscovtBBfoLMjbqH2NtME8d3bzNKYemj30ZYzTYKD77qHnq8un-Y30_vH69v5xf3UcsFyu1wxW3EiAWRtK-Z0fmurZC11ofNEUAkxE5VWhBoKOvfutHKWFNLUBXV8D52sc5cxvA2Q-rL1yULTmA7CkEqmmWKUUK4zPf5DF2GIecyVElIWMyJUVqdrZWNIKYIrl9G3Jo4lJeXqAOXqAOXXATI--o4cqryIX_qz8QzoGnz4BsZ_osqLu9uHdegnSDiRlA</recordid><startdate>202404</startdate><enddate>202404</enddate><creator>Pryce, Rob</creator><creator>Weldon, Erin</creator><creator>McDonald, Neil</creator><creator>Sneath, Ryan</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>C1K</scope><scope>7X8</scope></search><sort><creationdate>202404</creationdate><title>The effect of power stretchers on occupational injury rates in an urban emergency medical services system</title><author>Pryce, Rob ; Weldon, Erin ; McDonald, Neil ; Sneath, Ryan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3521-3372cb306ee6dcb2f9dcbdc76d6949027eb5585b9701a1e9efff97fc046ad41f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>ambulance</topic><topic>Emergency medical care</topic><topic>Emergency medical services</topic><topic>Emergency response</topic><topic>Emergency services</topic><topic>Handling</topic><topic>Health services</topic><topic>Injuries</topic><topic>Injury analysis</topic><topic>Injury prevention</topic><topic>Occupational accidents</topic><topic>Occupational health</topic><topic>Occupational safety</topic><topic>patient handling</topic><topic>Patients</topic><topic>power‐assist</topic><topic>power‐lift</topic><topic>Stretchers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pryce, Rob</creatorcontrib><creatorcontrib>Weldon, Erin</creatorcontrib><creatorcontrib>McDonald, Neil</creatorcontrib><creatorcontrib>Sneath, Ryan</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pryce, Rob</au><au>Weldon, Erin</au><au>McDonald, Neil</au><au>Sneath, Ryan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The effect of power stretchers on occupational injury rates in an urban emergency medical services system</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am J Ind Med</addtitle><date>2024-04</date><risdate>2024</risdate><volume>67</volume><issue>4</issue><spage>341</spage><epage>349</epage><pages>341-349</pages><issn>0271-3586</issn><eissn>1097-0274</eissn><abstract>Background
To examine occupational injury rates in a dual‐response emergency medical services (EMS) system before and after implementation of a power‐lift stretcher system.
Methods
The seasonally‐adjusted occupational injury rate was estimated relative to medical call volume (per 1000 calls) and workers (per 100 FTEs) from 2009 to 2019, and stratified by severity (lost‐time, healthcare only), role (EMS, FIRE) and type (patient‐handling). Power‐lift stretchers were adopted between 2013 and 2015. Preinjury versus postinjury rates were compared using binomial tests. Interrupted time series (ITS) analysis was used to estimate the trend and change in injuries related to patient‐handling, with occupational illnesses serving as control.
Results
Binomial tests revealed varied results, with reductions in the injury rate per 1000 calls (−14.0%) and increases in the rate per 100 FTEs (+14.1%); rates also differed by EMS role and injury severity. ITS analysis demonstrated substantial reductions in patient‐handling injuries following implementation of power‐lift stretchers, both in the injury rate per 1000 calls (−50.4%) and per 100 FTEs (−46.6%), specifically among individuals deployed on the ambulance. Injury rates were slightly elevated during the winter months (+0.8 per 100 FTEs) and lower during spring (−0.5 per 100 FTEs).
Conclusions
These results support the implementation of power‐lift stretchers for injury prevention in EMS systems and demonstrate advantages of ITS analysis when data span long preintervention and postintervention periods.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38356274</pmid><doi>10.1002/ajim.23571</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of industrial medicine, 2024-04, Vol.67 (4), p.341-349 |
| issn | 0271-3586 1097-0274 |
| language | eng |
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| source | Wiley |
| subjects | ambulance Emergency medical care Emergency medical services Emergency response Emergency services Handling Health services Injuries Injury analysis Injury prevention Occupational accidents Occupational health Occupational safety patient handling Patients power‐assist power‐lift Stretchers |
| title | The effect of power stretchers on occupational injury rates in an urban emergency medical services system |
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