Early Mobilization in the Pediatric Intensive Care Unit: A Quality Improvement Initiative
| Autor: | Herbsman Jm, Corcoran, Folks Td, Al-Qaqaa Ym, D'Agati M, Klein D, O'Donnell S |
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| Rok vydání: | 2020 |
| Předmět: |
Pediatric intensive care unit
Occupational therapy medicine.medical_specialty Mobilization Quality management business.industry Discharge disposition Psychological intervention Intensive care unit Individual QI Projects from Single Institutions law.invention law Emergency medicine medicine Early mobilization business |
| Zdroj: | Pediatric Quality & Safety |
| ISSN: | 2472-0054 |
| Popis: | Introduction: Mobilizing patients during an intensive care unit admission results in improved clinical and functional outcomes. The goal of this quality improvement project was to increase the percentage of patients in the pediatric intensive care unit (PICU) mobilized early from 62% to 80%. Early mobilization was within 18 hours of admission for nonmechanically ventilated (non-MV) patients and 48 hours for mechanically ventilated (MV) patients. Methods: We collected data from September 15, 2015, to December 15, 2016, identified key drivers and barriers, and developed interventions. Interventions included the development of an algorithm to identify patients appropriate for mobilization, management of barriers to mobilization, and education on the benefits of early mobilization. The percentage of PICU patients mobilized early; the percentage of patients with physical therapy, occupational therapy (OT), speech-language pathology (SLP), and activity orders; identified barriers; PICU and hospital length of stay (LOS) and discharge disposition, were compared between the pre- and postintervention groups and the non-MV and MV subgroups. The MV subgroup was too small for statistical testing. Results: All measures in the combined postintervention group improved and reached significance ( |
| Databáze: | OpenAIRE |
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