Surgical Intensive Care Unit Mobility is Increased after Institution of a Computerized Mobility Order Set and Intensive Care Unit Mobility Protocol: A Prospective Cohort Analysis

In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed surgical ICU (SICU) who met physiologic inclusion criteria beginning in May 2008 (A group). In January 2009, we began mandatory entry of...

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Bibliographic Details
Published in:The American surgeon 2010-08, Vol.76 (8), p.818-822
Main Authors: HILDRETH, Amy N, ENNISS, Toby, HOTH, Jason J, MOWERY, Nathan T, MEREDITH, J. W, MARTIN, Robert S, MILLER, Preston R, MITTEN-LONG, Donna, GASAWAY, Janice, EBERT, Fran, BUTCHER, Wendy, BROWDER, Kevin, CHANG, Michael C
Format: Article
Language:English
Subjects:
Biological and medical sciences
Blood pressure
Cohort Studies
Computers
Critical Care
Data collection
Early Ambulation - methods
Electronic Health Records
Female
General aspects
Heart attacks
Hospitals
Humans
Intensive Care Units
Intervention
Male
Medical Order Entry Systems
Medical sciences
Middle Aged
Miscellaneous
Mortality
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
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Summary:In some populations, intensive care unit (ICU) mobility has been shown to be safe and beneficial. We gathered data on 50 nonintubated surgical patients in a 10-bed surgical ICU (SICU) who met physiologic inclusion criteria beginning in May 2008 (A group). In January 2009, we began mandatory entry of computerized mobility orders as part of a standardized ICU order set. We also created a mobility protocol for nurses in this ICU. We then collected data on 50 patients in this postintervention cohort (B group). Both groups had similar baseline characteristics. A group patients had some form of mobility orders entered in 29 patients (58%) versus 47 patients (82%) in the B group, P < 0.05. In the A group, 11 patients (22%) were mobilized; in the B group, 40 patients (80%) were mobilized, P < 0.05. In our SICU patient population, mandatory entry of computerized mobility orders as part of a standard SICU order set and establishment of an ICU mobility nursing protocol was associated with an increase in number of mobility orders entered as well as an increase in SICU patient activity. Further studies should focus on measurement of the effect of mobility interventions on patient outcomes.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481007600824