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Using Systematic Functional Measurements in the Acute Hospital Setting to Combat the Immobility Harm

Published:December 26, 2020DOI:https://doi.org/10.1016/j.apmr.2020.10.142

      Abstract

      Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to improvement is establishing an interdisciplinary approach to measurement and communication using a common language of function. Here we provide a framework for systematic functional measurement in the hospital. We also provide 3 specific examples of how this framework has been used to improve care: (1) targeting specialized rehabilitation providers to the patients most likely to need their services, (2) generating a daily mobility goal for all patients, and (3) identifying patients early who are likely to require postacute care.

      Keywords

      List of abbreviations:

      AM-PAC (Activity Measure for Post-Acute Care), EMR (electronic medical record), JH-HLM (Johns Hopkins Highest Level of Mobility)
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