A novel early mobility bundle improves length of stay and rates of readmission among hospitalized general medicine patients
| Autor: | Cierra Hartline, Emily Anne Smith Bergbower, Nan Cheng, Colin Brewer, Katherine Pasqualini, Joseph Fuscaldo, Alexander Aversano, Devorah Hamby-Finkelstein, Cole Herbst, Stephen Benko |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine medicine.medical_treatment Psychological intervention general medicine 030204 cardiovascular system & hematology rehabilitation 03 medical and health sciences 0302 clinical medicine Multidisciplinary approach Internal Medicine medicine 030212 general & internal medicine lcsh:RC31-1245 Hospital readmission Rehabilitation business.industry readmission Community hospital mobility Bundle Emergency medicine length of hospital stay business Hospital stay Research Article |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives, Vol 10, Iss 5, Pp 419-425 (2020) Journal of Community Hospital Internal Medicine Perspectives article-version (VoR) Version of Record |
| ISSN: | 2000-9666 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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