Skip Navigation LinksHome > January 2013 - Volume 55 - Issue 1 > Sit–Stand Powered Mechanical Lifts in Long-Term Care and Res...
Journal of Occupational & Environmental Medicine:
doi: 10.1097/JOM.0b013e3182749c35
Original Articles

Sit–Stand Powered Mechanical Lifts in Long-Term Care and Resident Quality Indicators

Gucer, Patricia W. PhD; Gaitens, Joanna RN, PhD; Oliver, Marc RN, MPH; McDiarmid, Melissa A. MD, MPH, DABT

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Abstract

Objective: To determine associations between long-term care powered mechanical lift (PML) availability and mobility-related resident outcomes.

Methods: Long-term care directors of nursing (N = 271) nationwide gave facility information on the PML availability and the lifting policy to which we linked data on mobility-related resident outcomes from the Centers for Medicare & Medicaid Services Minimum Data Set Quality Indicators.

Results: Four of six Centers for Medicare & Medicaid Services–derived resident indicators improved with the PML number but were maximal for the sit–stand lift use. In facilities with the fewest lifts, 16% of residents had pressure ulcers and 4% were bedfast. In facilities with the maximum number of lifts, only 10% had pressure ulcers (P = 0.000) and 2% were bedfast (P = 0.002). Although falls were more frequent with more lift use, this risk was blunted by a comprehensive safe lift program.

Conclusion: The PML availability is associated with benefits to resident outcomes, and accompanying risks are mitigated by safe lift policies.

©2013The American College of Occupational and Environmental Medicine

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