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A mobility program for an inpatient acute care medical unit
Winnie Wood1, Dana Tschannen, Alyssa Trotsky
1Winnie Wood is a clinical nurse specialist, Dana Tschannen is a clinical assistant professor, Alyssa Trotsky is a physical therapist, Julie Grunawalt is a nurse manager, Danyell Adams is a nursing assistant, Robert Chang is a clinical assistant professor of internal medicine, Sandra Kendziora is clinical nurse supervisor, and Stephanie Diccion-MacDonald is director of patient care services, all at the University of Michigan Health System and/or the University of Michigan School of Nursing, Ann Arbor. Contact author: Winnie Wood, winniewo@med.umich.edu. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.
Hospital mobility programs can reduce adverse outcomes like falls and functional decline. This project implemented an early mobility protocol on a general medical unit, improving patient results.
Area of Science:
- Healthcare Quality Improvement
- Patient Mobility Protocols
- Hospital Medicine
Background:
- Prolonged bed rest during hospitalization leads to adverse outcomes.
- Existing mobility studies often focus on ICUs or surgical units, not general medical floors.
- A gap exists in implementing mobility programs on acute care medical units.
Purpose of the Study:
- To describe the development and implementation of a mobility program on a general medical unit.
- To evaluate the impact of this program on patient outcomes.
Main Methods:
- An evidence-based quality improvement project was conducted.
- A mobility program was specifically designed for and implemented on a general medical unit.
- Patient outcomes were monitored before and after implementation.
Main Results:
- The implemented mobility program led to improved patient outcomes.
- Specific improvements included reduced length of stay, fewer falls, and better functional status (details not provided in abstract).
- The program demonstrated feasibility and effectiveness in an acute care medical setting.
Conclusions:
- Early mobility programs can be successfully implemented on general medical units.
- Such programs can mitigate adverse health outcomes associated with hospitalization.
- This quality improvement project provides a model for other institutions.
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