Given the complexity of this high-risk, high volume, high-cost problem, multifaceted programs are more likely to be effective than any single intervention. Promising new interventions, which are still being tested, include use of unit-based peer leaders and clinical tools, such as algorithms and patient assessment protocols. A major paradigm shift is needed away from these ineffective approaches towards the following evidennuce-based practices: (a) patient handling equipment/devices, (b) patient care ergonomic assessment protocols, (c) no lift policies, (d) training on proper use of patient handling equipment/devices, and (e) patient lift teams. Surprisingly there is strong evidence that each of these commonly used approaches is not effective in reducing caregiver injuries. The most common patient handling approaches in the United States include manual patient lifting, classes in body mechanics, training in safe lifting techniques, and back belts.
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