Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization
Abstract Early progressive mobilization is a safe strategy in the intensive care unit (ICU), however, it is still considered challenging by the inherent barriers and poor adherence to early mobilization protocol. The aim of this study was to evaluate the effectiveness of a quality improvement (QI) m...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Nature Portfolio
2022-10-01
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| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-022-21227-y |
| _version_ | 1828343045629673472 |
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| author | Patricia Nery de Souza Jessica Borges Kroth Amanda dos Santos Ligero Juliana Mesti Mendes Ana Lígia Vasconcelos Maida Laerte Pastore Wellington Pereira Yamaguti |
| author_facet | Patricia Nery de Souza Jessica Borges Kroth Amanda dos Santos Ligero Juliana Mesti Mendes Ana Lígia Vasconcelos Maida Laerte Pastore Wellington Pereira Yamaguti |
| author_sort | Patricia Nery de Souza |
| collection | DOAJ |
| description | Abstract Early progressive mobilization is a safe strategy in the intensive care unit (ICU), however, it is still considered challenging by the inherent barriers and poor adherence to early mobilization protocol. The aim of this study was to evaluate the effectiveness of a quality improvement (QI) multifaceted strategy with implementation of a specific visual tool, the “mobility clock”, in reducing non-compliance with the institutional early mobilization (EM) protocol in adult ICUs. A single-center QI with a retrospective before-after comparison study was conducted using data from medical records and hospital electronic databases. Patients from different periods presented similar baseline characteristics. After the QI strategy, a decline in “non-compliance” with the protocol was observed compared to the previous period (10.11% vs. 26.97%, p < 0.004). The proportion of patients walking was significantly higher (49.44% vs. 29.21%, p < 0.006) and the ICU readmission rate was lower in the “after” period (2.25% vs. 11.24%; p = 0.017). The multifaceted strategy specifically designed considering institutional barriers was effective to increase out of bed mobilization, to reduce the “non-compliance” rate with the protocol and to achieve a higher level of mobility in adult ICUs of a tertiary hospital. |
| first_indexed | 2024-04-13T23:37:09Z |
| format | Article |
| id | doaj.art-7e4095265e194478ab9601e0d3a3df8d |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-04-13T23:37:09Z |
| publishDate | 2022-10-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-7e4095265e194478ab9601e0d3a3df8d2022-12-22T02:24:40ZengNature PortfolioScientific Reports2045-23222022-10-011211910.1038/s41598-022-21227-yEffectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilizationPatricia Nery de Souza0Jessica Borges Kroth1Amanda dos Santos Ligero2Juliana Mesti Mendes3Ana Lígia Vasconcelos Maida4Laerte Pastore5Wellington Pereira Yamaguti6Hospital Sírio LibanêsHospital Sírio LibanêsHospital Sírio LibanêsHospital Sírio LibanêsHospital Sírio LibanêsHospital Sírio LibanêsHospital Sírio LibanêsAbstract Early progressive mobilization is a safe strategy in the intensive care unit (ICU), however, it is still considered challenging by the inherent barriers and poor adherence to early mobilization protocol. The aim of this study was to evaluate the effectiveness of a quality improvement (QI) multifaceted strategy with implementation of a specific visual tool, the “mobility clock”, in reducing non-compliance with the institutional early mobilization (EM) protocol in adult ICUs. A single-center QI with a retrospective before-after comparison study was conducted using data from medical records and hospital electronic databases. Patients from different periods presented similar baseline characteristics. After the QI strategy, a decline in “non-compliance” with the protocol was observed compared to the previous period (10.11% vs. 26.97%, p < 0.004). The proportion of patients walking was significantly higher (49.44% vs. 29.21%, p < 0.006) and the ICU readmission rate was lower in the “after” period (2.25% vs. 11.24%; p = 0.017). The multifaceted strategy specifically designed considering institutional barriers was effective to increase out of bed mobilization, to reduce the “non-compliance” rate with the protocol and to achieve a higher level of mobility in adult ICUs of a tertiary hospital.https://doi.org/10.1038/s41598-022-21227-y |
| spellingShingle | Patricia Nery de Souza Jessica Borges Kroth Amanda dos Santos Ligero Juliana Mesti Mendes Ana Lígia Vasconcelos Maida Laerte Pastore Wellington Pereira Yamaguti Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization Scientific Reports |
| title | Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization |
| title_full | Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization |
| title_fullStr | Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization |
| title_full_unstemmed | Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization |
| title_short | Effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote ICU early mobilization |
| title_sort | effectiveness of a quality improvement strategy with implementation of a specific visual tool to promote icu early mobilization |
| url | https://doi.org/10.1038/s41598-022-21227-y |
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