Early Mobility Index and Patient Outcomes: A Retrospective Study in Multiple Intensive Care Units

Author(s): Sarina A. Fazio, PhD, RN, Irene Cortés-Puch, MD, Jacqueline C. Stocking,, PhD, RN, Amy L. Doroy, PhD, RN, Hugh Black, MD, Anna Liu, Sandra L. Taylor, PhD, and Jason Y. Adams, MD, MS

Contact Hours 1.00

CERP A 1.00

Expires May 01, 2027

Topics: MultiSystem

Population: Adult

Fees
Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Early mobility interventions in intensive care units (ICUs) are safe and improve patient outcomes in subsets of critically ill adults, and many institutions have created ICU mobility programs. However, the optimal amount of mobility to influence patient outcomes remains unclear due to the heterogeneity of ICU patient populations (other than in randomized controlled trials) and a lack of standardized quantitative reporting of mobility interventions. The objective of this study was to test for associations between having more daily out-of-bed mobility events for ICU patients. Having more daily out-of-bed mobility events was associated with shorter mechanical ventilation duration and hospital stays, suggesting a dose-response relationship between daily mobility and patient outcomes.

Objectives

  • Describe the out-of-bed eligible (OOB-E) index as a method to quantify mobility interventions.
  • Understand the effect of daily mobility on mechanical ventilation and length-of-stay outcomes.
  • Describe how daily mobility prevalence differs by intensive care unit subpopulations.

Continuing Education Disclosure Statement

Criteria for Awarding Contact Hours

Learners must complete the entire activity and the associated evaluation AND read Implicit Bias impacts patient outcomes. No partial credit will be awarded.

Accreditation

American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.
Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for {contactHours} contact hours.

Disclosures

The Nurse Planner has determined that no individuals with the ability to control content of this activity have relevant relationships with ineligible companies.

Activities with pharmacotherapeutic credit are to assist the APRN in fulfilling their education requirements for licensure and certification renewals.

Refund Policy

Continuing Education Activities are nonrefundable.