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Early Mobilization ICU Project

Early Mobilization ICU Project

(Early Mobilization ICU Project)

lp04 1 assignment journal

Directions

Requirements: Project update: Provide a review of your Plan stage of the PDSA Improvement Model. Include:
1. Aim statement
2. Changes made
3. Changes based on evidence based sources?
4. What criteria have you chosen to measure success?
Length (at least 250-350 words)

Criteria
1. LP04 Journal Content: Provided a review of your Plan stage of the PDSA Improvement Model including changes made.

Project Update: Review of Plan Stage of the PDSA Improvement Model

In the Plan stage of the PDSA cycle, my goal was to identify and plan improvements based on evidence-based practices to enhance patient outcomes. The aim of the project is to improve the early mobilization of ICU patients to reduce the risk of complications such as pressure ulcers, deep vein thrombosis, and muscle atrophy.

  1. Aim Statement: The aim of this project is to improve the early mobilization of ICU patients within 24 hours of admission by 30% over the next three months, in order to reduce hospital-associated complications and enhance recovery.
  2. Changes Made: Based on evidence from clinical guidelines and nursing practice recommendations, several changes have been implemented. These include:
    • Establishing a protocol for early assessment by physical therapy within the first 12 hours of ICU admission.
    • Training ICU staff on the importance of early mobilization and encouraging collaborative efforts between nurses, physical therapists, and respiratory therapists.
    • Creating a tracking system to monitor the frequency and effectiveness of early mobilization interventions.
  3. Changes Based on Evidence-Based Sources: The changes were guided by evidence-based sources, particularly clinical guidelines and research studies that demonstrate the effectiveness of early mobilization in preventing ICU-related complications. A study by Schweickert et al. (2009) highlighted the importance of early physical therapy and mobility in improving patient outcomes, while a review by Hodgson et al. (2014) emphasized the reduction in ICU delirium and muscle weakness through early mobilization. These sources helped inform the implementation of the early mobilization protocol and the involvement of interdisciplinary teams to achieve optimal outcomes.
  4. Criteria for Measuring Success: Success will be measured using the following criteria:
    • The percentage of ICU patients who receive early mobilization interventions within the first 24 hours of admission.
    • Reduction in the incidence of complications such as pressure ulcers, deep vein thrombosis, and ICU-acquired weakness.
    • Feedback from staff through surveys on the effectiveness and feasibility of the early mobilization protocol.
    • Patient outcomes related to length of ICU stay and overall recovery.

In conclusion, the Plan stage has been an essential part of the PDSA cycle, as it allowed for evidence-based changes to be strategically planned and integrated into the ICU’s routine care practices. These changes are expected to lead to measurable improvements in patient outcomes, which will be tracked and analyzed during the Do and Study stages of the PDSA cycle.

 
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