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

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

Successful Completion

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

Accreditation

The 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

Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content will be identified by the Nurse Planner within the activity. Any relevant relationship between an ineligible company and an individual with the ability to influence clinical content has been mitigated.

Accreditation refers to recognition of continuing education only and does not imply AACN, ANCC, or CBRN approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity. Activities with pharmacology hours are to assist the APRN in fulfilling the pharmacotherapeutic education requirements for licensure and certification renewals.

Activities meet the standards for most states that require mandatory continuing education for license and/or certification renewal. AACN recommends consulting with your own state board of nursing or credentialing organization before submitting your certificate of completion.

Refund Policy

Continuing Education Activities are nonrefundable.