Don't Be a Bedhead: Help Your Head, Get Out of Bed!

Harborview Medical Center (Seattle, Washington)

CSI Summary

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CSI Presentation

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Project Topic

Early mobility in critically ill neuroscience patients

CSI Participants

Celeste Horton, RN, BS, CCRN
Rebekah Marsh, RN, BSN, CCRN
Kathy Parenteau, RN, BSN
Megan Wehner, RN, BSN, CCRN

Project Goals/Objectives

  1. To mobilize 75 percent of the eligible patient population within six months
  2. To reduce patient length of stay (LOS) one day
  3. To reduce mechanical ventilation days 20 percent
  4. To decrease catheter-associated urinary tract infections (CAUTI) rates 20 percent

Project Outcomes*

  1. Mobilized 61 percent of the eligible patient population by month six
  2. Decreased monthly hospital-acquired pressure ulcers rate 100 percent
  3. Decreased ventilator-associated pneumonia (VAP) rate 30 percent
  4. Reduced Fall Event Rate 18 percent
  5. Maintained current CAUTI rates
  6. Increased patient LOS 42 percent
  7. Increased mechanical ventilation days 20 percent
* Data collection period not sufficient. Patient acuity increased as indicated by GCS. Targeted measures are multifactorial. Financial impact is unclear and further study is needed.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.