A novel early mobility bundle improves length of stay and rates of readmission among hospitalized general medicine patients.

Autor: Bergbower EAS; Department of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.; Department of Anesthesiology, University of Maryland Medical Center, Baltimore, USA., Herbst C; Division of Data Science, Enterprise Business Intelligence, Greater Baltimore Medical Center, Baltimore, USA., Cheng N; Department of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA., Aversano A; Department of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA., Pasqualini K; Division of Nursing, Greater Baltimore Medical Center, Baltimore, USA., Hartline C; Division of Nursing, Greater Baltimore Medical Center, Baltimore, USA., Hamby-Finkelstein D; Division of Nursing, Greater Baltimore Medical Center, Baltimore, USA., Brewer C; Division of Nursing, Greater Baltimore Medical Center, Baltimore, USA., Benko S; Division of Nursing, Greater Baltimore Medical Center, Baltimore, USA., Fuscaldo J; Department of Internal Medicine, Greater Baltimore Medical Center, Baltimore, USA.
Jazyk: angličtina
Zdroj: Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2020 Sep 03; Vol. 10 (5), pp. 419-425. Date of Electronic Publication: 2020 Sep 03.
DOI: 10.1080/20009666.2020.1801373
Abstrakt: Inpatient early mobility initiatives are effective therapeutic interventions for improving patient outcomes and decreasing use of hospital resources among adult ICU and general medicine patients. To establish and demonstrate guidelines for early patient ambulation, we developed and implemented a novel multidisciplinary mobility bundle utilizing the JH-HLM (Johns Hopkins Highest Level of Mobility) scale for mobility classification, on a single adult general medicine unit of a community hospital. Our results show that patients admitted to the unit after implementation of the mobility bundle had improved mobility scores, reduced rates of 30-day hospital readmission, and a shortened length of hospital stay. This study emphasizes the importance of measuring mobility using a systematic method, easing workflow among unit practitioners, and allowing mobility initiatives to be jointly driven by nursing, physical therapy, and physicians.
Competing Interests: No potential conflict of interest was reported by the authors.
(© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of Greater Baltimore Medical Center.)
Databáze: MEDLINE
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