Umana, Justin. Implementation of a patient mobility program to reduce length of stay and venous thromboembolism (VTE). Retrieved from https://doi.org/doi:10.7282/t3-5c1g-h883
DescriptionBackground and Significance: Low mobility of patients is associated with several preventable Healthcare associated adverse events such as venous thromboembolism (VTE). Often overlooked, length of stay (LOS) has been associated with increasing risk of VTE events and other adverse patient outcomes. Implementation of an early mobility protocol has shown to be effective in improving patient mobilization and patient outcomes such as shorten hospitalization stay and reduction in VTE events. Purpose: The aim of this Doctor of Nursing Practice (DNP) project is to implement an early mobility protocol to improve compliance of early mobility of patients, to reduce Venous thromboembolism (VTE) events, and reduce patient’s length of stay (LOS). Methods: This QI Project tracked patient mobilization rates, patient level of mobility, Patient length of stay, and VTE events. Results: A total of 1,832 charts were reviewed during the pre and post intervention phase. Number of mobilization increased from 655 to 763, patients’ level of mobility increased from 4.585 to 5.215, VTE events decreased from 2 to 0, and LOS decreased from 8.78 days to 8.56 days. Implications: Interventions to improve compliance of early mobility of hospitalized patients should be further explored. Summary: This DNP project supports the use of an early mobility protocol to improve patient’s mobility, mobility level, length of stay, and VTE risk. Resources such as staffing and patient equipment continues to be barriers to early mobility of patients. Order sets for an early mobility protocol can give healthcare providers the opportunity to improve early mobility compliance, patient outcomes, and healthcare cost.