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Implementation of an Interdisciplinary AACN Early Mobility Protocol.

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Implementing an early mobility protocol in intensive care units (ICUs) significantly boosts patient mobility and reduces hospital stays. This approach, part of the ABCDEF bundle, leads to better patient outcomes with few complications.

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Area of Science:

  • Critical Care Medicine
  • Quality Improvement Science
  • Patient Mobility Research

Background:

  • Early mobility is a key component of the ABCDEF bundle in intensive care units (ICUs).
  • This study evaluated an interdisciplinary mobility protocol in specialty ICUs that had already adopted other components of the ABCDEF bundle.

Purpose of the Study:

  • To assess the impact of implementing an interdisciplinary early mobility protocol.
  • To determine the effect on patient mobility levels and length of stay in specialized ICUs.

Main Methods:

  • A staggered quality improvement project utilized the American Association of Critical-Care Nurses (AACN) mobility protocol.
  • Two phases of data collection were conducted, involving different patient cohorts and observation periods before and after protocol implementation.

Main Results:

  • Significant increases in mean mobility levels and ICU Mobility Scale scores were observed post-implementation (P < .001 and P = .01, respectively).
  • Complications related to mobilization were minimal (0.2%).
  • Phase 2 showed 84% of patients achieved out-of-bed activity, with decreased time to mobility and significantly reduced ICU length of stay in both phases.

Conclusions:

  • The AACN early mobility protocol, when integrated with existing ABCDEF bundle components, effectively enhances patient mobility in ICUs.
  • Implementation leads to a reduced length of stay and decreased delirium incidence.
  • The protocol demonstrates a favorable safety profile with minimal complications.