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Four critical challenges confront hospital casters

Four critical challenges confront hospital casters

This is a question that many hospitals are trying to solve. What is the one-wheel problem? It can be heard before it is seen. It also lowers your HCAHPS scores and causes injuries to your staff. It can also increase your maintenance costs and make your floors unattractive.
Hospital Bed Castors/ Medical Caster Manufacturer in China

Your hospital casters.

You’ll find cheap commodity casters on your hospital’s laundry carts, IV poles and mobile workstations. They are decreasing patient satisfaction and increasing costs. Hospitals are often plagued by commodity casters. These are the top four problems that hospitals have to deal with and how you can best treat them.


Noise is at the top of this list because excessive noise is a major complaint from patients, staff, and visitors, according to the Hospital Consumer Assessment of Healthcare Providers and Systems annual surveys year after year.

Three main reasons hospital casters can be noisy are:

  1. The wrong tread material: Caster wheel made of hard materials can be noisy. For example, hard rubber is not designed to absorb or distribute impact. This material is suitable for carts used in noisy manufacturing environments. It is not suitable for hospitals or healthcare facilities as it creates too much noise while rolling.
  2. Loose races ways: This is the area of the caster that allows it to swivel. The raceway usually has either ball bearings or rotating rollers. The majority of hospital carts, workstations, and poles have too loose caster raceways, causing the chattering sound that is so common with casters.
  3. No wheel bearings: If you check your hospital equipment, you will likely find that many of your caster wheels do not have bearings. Instead, they have a metal axle which grinds on the wheel’s plastic core as it rotates, making noise.



Physical overexertion is the leading cause of workplace injury. Overexertion is responsible 35% for all work-related injuries. It also contributes the most to workers’ compensation costs. Nearly 20% all workplace injuries and illnesses are caused by back injuries. An average back injury can cost between $ 62,000 to $81,000 per instance.

Many of these workplace injuries result from carts that are difficult or impossible to pull, steer, steer, and stop. Problem at its root? Low-quality, low-cost casters with high rolling resistance. Hospital cart casters are often not equipped with bearings which makes them difficult to maneuver, especially when they are overloaded. These casters are also often equipped with standard swivel leads that make them difficult to maneuver.


The commodity casters found on many hospital carts are not maintenance-free. To prevent them from seizing, they need to be oiled with a zerk fitting. Some have design flaws which allow debris to accumulate in the upper bearing or upper raceways. This can damage the caster and require regular servicing.


Hospitals are most affected by damaged and marked floors caused by commodity casters. Rubber tread caster wheels can leave marks on floors, especially if they are not moved around or cleaned by staff.

Too hard caster wheels can also cause problems for hospital floors. Nylon wheels, for instance, are not designed to mark floors but collect any debris on the floor. The debris builds up and becomes a part of the wheel’s tread. This can cause damage to hospital floors.


Hospital-designed casters are better than the generic hospital casters. You should consider the following qualities when replacing casters:

  • High quality wheel material, such as polyurethane. These wheels store energy and emit it to reduce noise-causing vibrations. They also provide a smooth and silent ride.
  • Wheels with a debris-rejecting property: Wheels made of durable polyurethane are quiet enough to use, but tough enough to not leave marks on floors or keep debris.
  • Long swivel leads: These make it easier to pull, push, turn, maneuver, and stop carts.
  • Bearings – Casters with bearings last longer, are easier to use and quieter.


You’ll notice improvements in your facility once you have replaced the commodity casters on your mobile workstations, hospital carts and IV poles.

One, you will notice a significant drop in noise levels due to casters. Your staff will find it 50% easier to push and pull your equipment. Your floor maintenance costs will drop as your staff spends less time and uses fewer resources repairing floors that are damaged or removing marks. You can also expect patient satisfaction to improve as a result of higher HCAHPS scores.


Patients can’t be treated in a hospital unless their staff diagnoses the problem. The first step to a cure is diagnosis. You now know four main pains you may be experiencing due to commodity casters at your hospital. You are now able to recommend a treatment.

Caster Connection offers a free consultation to help you find the right solution. Caster Connection uses a consultative approach when solving problems caused by inferior casters. Call us at (0086) 15923214191 to book your consultation or send us

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