Walk This Way: Early Progressive Mobility in the ICU

Duke Raleigh Hospital (Raleigh, North Carolina)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Project Topic

Early progressive mobility

CSI Participants

Katherine Geyer, RN, BSN, CCRN
Kerrie Klepfer, RN, BSN
Jennifer Leblanc, RN, BSN, CCRN
Craig Sibbach, RN, BSN, CCRN

Project Goals/Objectives

  1. To increase mobility in mechanically ventilated and surgical patients in the ICU
  2. To decrease ICU length of stay (LOS)
  3. To decrease mechanical ventilator days 10 percent
  4. To increase positive patient outcomes (by decreasing HAIs and complications)
  5. To decrease the total cost of ICU stay per patient
  6. To educate more than 50 percent of the interdisciplinary team
  7. To change and advance practice based on evidence-based research

Project Outcomes

  1. Increased mobility in vented patients from zero to 100 percent
  2. Reduced average ICU LOS for vented patients 1.0 day
  3. Reduced average ICU LOS for surgical patients 0.7 day
  4. Reduced mechanical vent days 14 days (from 81 to 67)
  5. These outcomes resulted in a six-month cost savings of $620,981, with a projected annual fiscal impact of $1.2 million.

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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.