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Education, Research, and Quality Improvement: Education, Research, and Quality Improvement II |

Combating Immobility in the ICU: A Model for Team-Based Approach to Improve the Mobility of the ICU Patient

John Bessada, DO; Shiv Patel; Brendan Skeehan; Oddie Moghalu; Satin Zarkar; Aamir Gilani, MD
Author and Funding Information

Touro COM, Middletown, NY


Copyright 2016, American College of Chest Physicians. All Rights Reserved.


Chest. 2016;150(4_S):611A. doi:10.1016/j.chest.2016.08.703
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SESSION TITLE: Education, Research, and Quality Improvement II

SESSION TYPE: Original Investigation Poster

PRESENTED ON: Wednesday, October 26, 2016 at 01:30 PM - 02:30 PM

PURPOSE: To improve the mobility of patients before their discharge from the Intensive Care Unit at Orange Regional Medical Center (ORMC) at Middletown, New York.

METHODS: We used a Fishbone analysis to study the prevalent barriers to the early mobilization of patients in the ICU at ORMC. We devised an intervention plan based on the physical therapist participation in the daily multidisciplinary rounds in the ICU. Physical therapists made independent recommendations for selecting patients who could benefit from physical therapy. We collected data for the total number of physical therapy consults per month, mobility scores of the individual ICU patients undergoing physical therapy on a 10 points scale (Piva, 2015) and the average length of stay (LOS). Intervention plan started on September 2015. Data collected during post-intervention months September-November, 2015 was compared to the data from August 2015 (baseline month). We also performed a cost saving analysis for the ICU using a validated financial model (Lord RK1, 2013).

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