Development and Implementation of Pediatric ICU-based Mobility Guidelines: A Quality Improvement Initiative.


Journal

Pediatric quality & safety
ISSN: 2472-0054
Titre abrégé: Pediatr Qual Saf
Pays: United States
ID NLM: 101702480

Informations de publication

Date de publication:
Historique:
received: 26 06 2020
accepted: 08 12 2020
entrez: 28 5 2021
pubmed: 29 5 2021
medline: 29 5 2021
Statut: epublish

Résumé

Critical illness results in physical impairments which may be mitigated by intensive care unit (ICU)-based early mobility. This initiative aimed to develop and implement ICU-based mobility guidelines for critically ill children. A multidisciplinary team developed and implemented ICU-based mobility guidelines. Guideline implementation success was determined by comparing utilization of physical (PT) and occupational therapies (OT) and changes in functional status scale scores in preimplementation and postimplementation cohorts. The team also assessed barriers and adverse events. Thirty-four patients were identified preimplementation and 55 patients postimplementation. PT/OT consultation by 72 hours occurred in 44 (81.5%) of patients postimplementation compared to 6 (17%) preimplementation ( Implementation of ICU-based mobility guidelines resulted in a 4-fold increase in PT/OT consultation. They did not result in increased treatment sessions due to frequent deferrals. Future guidelines should focus on interventions to address identified barriers to treatment in a critically ill pediatric population.

Identifiants

pubmed: 34046543
doi: 10.1097/pq9.0000000000000414
pmc: PMC8143751
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e414

Informations de copyright

Copyright © 2021 the Author(s). Published by Wolters Kluwer Health, Inc.

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Auteurs

Stefanie G Ames (SG)

Critical Care Medicine, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.

Lauren J Alessi (LJ)

Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Maddie Chrisman (M)

Physical Therapy Department, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Meg Stanger (M)

Physical Therapy Department, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Devin Corboy (D)

Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Amit Sinha (A)

Department of Physical Medicine and Rehabilitation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Ericka L Fink (EL)

Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, Pa.

Classifications MeSH