Operation Move It or Lose It

Pennsylvania Hospital (Philadelphia, Pennsylvania)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Added to Collection

Project Topic

Early Mobility in the ICU

Project Goals/Objectives

Elizabeth DiStefano, RN, BS
Ernesto Ledonne, RN, MSN
Karen Trinidad, RN, MSN
Anna Wojtas, RN, BSN

Project Goals/Objectives

  1. To increase functional recovery
  2. To increase early extubation and decrease length of stay (LOS)
  3. To initiate culture change among nurses

Project Outcomes

  1. Initiated a critical care mobility protocol
  2. Reduced average overall hospital LOS for patients admitted to ICU 4.31 days
  3. Increased nurses perceived support by physical therapy from 23 to 96 percent
  4. Increased nurses belief in the possibility of mobilizing patients in the ICU as it exists today from 46 to 79 percent
  5. These outcomes resulted in cost savings of $310,800, with a projected annual fiscal impact of $1,162,200.

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Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

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.