Mobility Action Group: Using Quality Improvement Methods to Create a Culture of Hospital Mobility.
Mobility Action Group: Using Quality Improvement Methods to Create a Culture of Hospital Mobility.
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DOI：
10.1111/jgs.16699
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发表时间：
2020-10
影响因子：
6.3
通讯作者：
Inouye SK
中科院分区：
文献类型：
--
作者：
Lorgunpai SJ;Finke B;Burrows I;Brown CJ;Rubin FH;Wierman HR;Heisey SJ;Gartaganis S;Ling SM;Press M;Inouye SK
描述流动行动小组（MACT），这是一个创新的过程，旨在加强医院流动计划的实施，并在急诊护理中创造流动文化。持续质量改进干预与偶发数据审查。住院单位包括内科、外科和重症监护病房。美国各地42家不同规模的医院制定了MACT和变革包，以提供概念框架、路线图和分步指南，使流动团队能够成功实施流动计划并实现其流动目标。鼓励参与者在第一个行动周期中选择2-3个改变策略，并在随后的周期中选择和实施其他策略。九个学习会议通过网络研讨会从4/27/17 - 10/5/17期间，教师提供了简短的介绍，促进和小组讨论。计划的实施，每天的步行，床和椅子警报的使用，参与者满意度。在大多数（76%）站点成功实施了移动性计划。每天至少散步3次的患者比例从9%增加到19%。被放置在床上或椅子上的患者比例从36%下降到20%。平均而言，69%的参与者表示他们对学习课程“非常满意”。大多数参与者认为变革包（58%）和工具包（63%）“非常有帮助”。自积极举措结束以来，“变革包”已被下载1 200次。在那些下载了它的人中，48%的人使用它来建立移动程序，58%的人每月至少在组织中使用一次。MACT和变革包提供了一种创新的方法，强调全系统的变革，有助于促进全国医院的流动文化，提高住院老年人的护理质量。
To describe the Mobility Action Group (MACT), an innovative process to enhance implementation of hospital mobility programs and create a culture of mobility in acute care. Continuous quality improvement intervention with episodic data review. Inpatient units including medical, surgical, and intensive care settings. 42 hospitals of varying sizes across the U.S. The MACT and Change Package were developed to provide a conceptual framework, roadmap, and step-by-step guide to enable mobility teams to successfully implement mobility programs and meet their mobilization goals. Participants were encouraged to select 2–3 change tactics to pursue during the first action cycle and select and implement additional tactics in subsequent cycles. Nine learning sessions were held via webinar from 4/27/17 – 10/5/17 during which faculty provided brief presentations, facilitation, and group discussion. Implementation of programs, walks per day, use of bed and chair alarms, participant satisfaction. Successful implementation of mobility programs was achieved at the majority (76%) of sites. The proportion of patients who received at least 3 walks per day increased from 9% to 19%. The proportion of patients who were placed on a bed or chair alarm decreased from 36% to 20%. On average, 69% of participants reported they were “strongly satisfied” with the learning sessions. The majority of participants found the change package (58%) and toolkit (63%) “very helpful”. Since the conclusion of the active initiative, the Change Package has been downloaded 1200 times. Of those who downloaded it, 48% utilized it to establish a mobility program, and 58% used it at their organization at least once a month. The MACT and Change Package provides an innovative approach emphasizing system-wide change that can help catalyze cultures of mobility in hospitals across the nation, improving the quality of care for hospitalized older adults.
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影响因子：
158.5
作者：
Inouye, SK;Bogardus, ST;Cooney, LW
通讯作者：
Cooney, LW
影响因子：
39
作者：
Hshieh, Tammy T.;Yue, Jirong;Oh, Esther;Puelle, Margaret;Dowal, Sarah;Travison, Thomas;Inouye, Sharon K.
通讯作者：
Inouye, Sharon K.
影响因子：
2.6
作者：
Hoyer, Erik H.;Needham, Dale M.;Brotman, Daniel J.
通讯作者：
Brotman, Daniel J.
DOI：
10.1111/j.1532-5415.2004.52354.x
发表时间：
2004-08-01
影响因子：
6.3
作者：
Brown, CJ;Friedkin, RJ;Inouye, SK
通讯作者：
Inouye, SK
影响因子：
39.2
作者：
Shorr, Ronald I.;Chandler, A. Michelle;Miller, Stephen T.
通讯作者：
Miller, Stephen T.