Ergonomic evaluation of hospital bed design features during patient handling tasks

Patient handling tasks (e.g., transportation and repositioning) are important causes of musculoskeletal disorders among healthcare workers. The purpose of this study was to evaluate, during two patient handling tasks, the physical demands resulting from alternative hospital bed design features. Twenty-four novice participants were involved in two laboratory-based studies. The effects of a steering lock and adjustable push height were evaluated during a patient transportation task using perceptual responses and measures of performance and physical demands, and the effect of a bed contour feature was determined based on patient sliding distance during repeated bed raising/lowering. Use of the steering lock reduced the number of adjustments during bed maneuvering by 28% and decreased ratings of physical demands. Use of the adjustable push height reduced shoulder moments by 30%. With the contour feature, patient sliding distance was reduced by ∼40% over 12 raise/lower cycles. These results suggest that the steering lock and adjustable push height features can reduce physical demands placed on healthcare workers during patient transportation tasks. Although patient sliding distance was reduced using the contour feature, assessing direct effects of this feature on physical demands (e.g., reduced need for workers to reposition patients) will require further investigation.

Relevance to industry

Hospital bed design features have the potential to reduce physical demands required of healthcare workers, yet there have been only limited empirical studies of these. Findings of the two current studies suggest that proactive ergonomic considerations in hospital bed design can reduce these physical demands.     

吉林省HIS与新农合接口的解决方案及实现

随着新型农村合作医疗步伐的加快,如何实现医院信息系统(Hospital Information System,HIS)与新农合系统的对接,各家医院面临着如何开发接口程序的问题.介绍了我公司医院信息系统与吉林省新型农村合作医疗管理系统数据接口的设计与实现方法.系统实施后,实现了吉林省新型农村合作医疗病人的信息共享.     

计算机网络信息技术在医院的应用

随着社会信息化的发展。计算机网络化的医院信息系统已成为现代化医院运营必不可少的基础设施与技术支撑环境。医院数字化管理已是社会发展所需,也是医院管理的发展趋势。     

Examination of thermal comfort in a hospital using PMV-PPD model

In this study, the performance of air conditioning system and the level of thermal comfort are determined in a state hospital located in Kermanshah city in the west of Iran in winter and summer using the Predicted Mean Vote (PMV) model which has been presented by ISO-7730 (2005). The Predicted Mean Vote (PMV) and the Predicted Percentage Dissatisfied (PPD) indices were computed using the data acquired from the experimental measurements performed in the building. The results showed that the values of PMV in some parts of the building, both for men and women, are not within the standard acceptable range defined by ISO. It was found that the most thermal problems in winter occur in morning work shift, and the worst thermal conditions in summer occur in noon work shift. The t-test results revealed that there is no noticeable difference between the thermal conditions of some rooms and those of the surroundings.     

浅析新会计制度下医院会计信息存在的问题及审计对策

医院会计信息是医院财务工作中的最终产品,其性质的好坏直接影响到社会资源的配置与利用效率的高低。本文就我国新会计制度下医院会计信息的现状及存在的问题进行分析,并从审计监督的角度提出了相应的改进策略和建议。     

医院数字化信息系统的安全问题探讨

随着网络信息的迅猛发展,医院的数字化信息系统安全也搭上了这辆快车,它主要体现在便于传输电子信息和数字化以及多媒体存储转换等信息技术的应用。本文是针对目前医院数字化信息系统的安全问题进行了探讨,并提出了解决的办法     

数据挖掘技术在HIS中的应用探讨

HIS作为先进的计算机管理模式正在逐渐取代了传统的医院管理模式，从与其相关的巨大信息资源中发现新的知识，将有助于为医院的管理和医疗研究提供决策支持。本文在实现了一个具体的HIS系统基础上，提出了将数据挖掘技术应用于HIS系统的设想，并对相关问题作了探讨。     

Health burden of road traffic accidents,an analysis of clinical data on disability and mortality exposure rates in Flanders and Brussels

Statistics on road traffic accidents (RTAs) mainly come from police records. The police reported RTA statistics however are known to have a large degree of under-registration, underestimating the true risk of being injured in traffic accidents. The use of medical based datasets can provide a more accurate estimate of the actual traffic accident health risk. Exposure-based rates of the actual burden from Flanders and Brussels were calculated, comparing differences between road user, age, gender and type of injury sustained. Minimal Clinical Data (MCD) was selected for the years 2003–2007, as well as data from the mortality statistics. Disability Adjusted Life Years (DALY) were calculated and put into perspective with the passenger kilometres travelled.     

Optimal Duration of Endurance Performance on the Cycle Ergometer in Relation to Maximal Oxygen Intake

The problem was to determine the optimal duration of endurance performance on the bicycle ergometer using max [Vdot]o₂ as the criterion of validity. Max [Vdot]o₂ was measured in 50 male college students using the, step-increment method (the initial resistance was 2·5 at 60 rpm on a bicycle ergometer, and was increased by 0·5 kg each two minutes until the subject would no longer turn.the ergometer, or when the rate fell to 40 to 50 rev/min).,In contrast, the endurance performance test was of the ‘ steady- pace ’ type in which all of the subjects began pedalling at the same initial rate of 69. pedal rpm at a work rate of 1656 kgm/min for 12 minutes. Although the rate of pedalling (and thus the Work rate) declined as fatigue developed, the friction load remained constant at124 kg throughout the test. There were 12 endurance scores for each individual, endurance being measured as the cumulated work done up to a particular minute. The 12 scores ranged from no decrement in the case of a few subjects with complete endurance to 24 percent in the subjeots with least endurance.

The validity correlations (i.e., the min-by-min correlations between, max [Vdot]o₂and the 12 endurance scores), progressively increased to Y = 0·78 at minute 12. An empirical equation of the form, Y =C ? at, was used to fit. a smooth curve to the trend of the correlations so its' changing rate of curvature could be determined quantitatively. The rate of change was found to slow down considerably in the; later stages of performance, especially after minutes 7 or 8, where the change, was less than 0·04 correlation units.

It was concluded that max [Vdot]o₂ does hot predict endurance performance effectively unless the performance is continued for a least 8 minutes under the conditions of the present experiment. With a,12 minute test, the validity is 96 percent of the asymptotic value, suggesting little further gains can be expected beyond 12 minutes.