We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Surgical Intensive Care Unit Mobility is Increased after Institution of a Computerized Mobility Order Set and Intensive Care Unit Mobility Protocol: A Prospective Cohort Analysis.
- Authors
Hildreth, Amy N.; Enniss, Toby; Martin, Robert S.; Miller, Preston R.; Mitten-Long, Donna; Gasaway, Janice; Ebert, Fran; Butcher, Wendy; Browder, Kevin; Chang, Michael C.; Hoth, Jason J.; Mowery, Nathan T.; Meredith, J. W.
- Abstract
In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed surgical ICU (SICU) who met physiologic inclusion criteria beginning in May 2008 (A group). In January 2009, we began mandatory entry of computerized mobility orders as part of a standardized ICU order set. We also created a mobility protocol for nurses in this ICU. We then collected data on 50 patients in this postintervention cohort (B group). Both groups had similar baseline characteristics. A group patients had some form of mobility orders entered in 29 patients (58%) versus 47 patients (82%) in the B group, P <0.05. In the A group, 11 patients (22%) were mobilized; in the B group, 40 patients (80%) were mobilized, P < 0.05. In our SICU patient population, mandatory entry of computerized mobility orders as part of a standard SICU order set and establishment of an ICU mobility nursing protocol was associated with an increase in number of mobility orders entered as well as an in- crease in SICU patient activity. Further studies should focus on measurement of the effect of mobility interventions on patient outcomes.
- Subjects
SURGICAL intensive care; INTUBATION; MEDICAL protocols; COHORT analysis; HOSPITAL wards
- Publication
American Surgeon, 2010, Vol 76, Issue 8, p818
- ISSN
0003-1348
- Publication type
Article
- DOI
10.1177/000313481007600824