ArticleCritical care explorations2020
Early Mobilization in the ICU: A Collaborative, Integrated Approach.
Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
17 citing papers in PubMed.
- A nationwide 1-day point-prevalence study on rehabilitation practices for intensive care unit patients in South Korea.Acute and critical care · 2026Article
- Early Out-of-Bed Rehabilitation in Severe Psittacosis to Enhance Recovery in Critical Care: A Case Report.The American journal of case reports · 2026Article
- Physical function of patients with severe COVID-19 pneumonia requiring invasive mechanical ventilation: an observational study.Singapore medical journal · 2026Article
- Physical Therapist-Led Therapeutic Exercise and Mobility in Adult Intensive Care Units: A Scoping Review of Operational Definitions, Dose Progression, Safety, and Documentation.Journal of clinical medicine · 2025Review
- Implementing collaborative practices in healthcare settings using champions: a scoping review.Implementation science : IS · 2025Article
- Aggregating Patient Safety and Status Information in the Electronic Health Record to Support Time-Sensitive Mobility Interventions in the Intensive Care Unit: Protocol for the Design and Testing of a Clinical Decision Support Tool.JMIR research protocols · 2025Article
- Strengths and Weaknesses of Physiotherapy in the Daily Work of an Intensive Care Unit: A Qualitative Study.Journal of clinical medicine · 2025Article
- Using electronic health records to classify risk for adverse safety events with ICU patient Mobility: A Cross-Sectional study.Intensive & critical care nursing · 2025Article
- Safety of Early Mobilization in Adult Neurocritical Patients: An Exploratory Review.Critical care research and practice · 2025Review
- Multidisciplinary early activity team collaboration practice in ICUs: A qualitative study.PloS one · 2025Article
- Patient, Practice, and Organizational Factors Associated With Early Mobility Performance in Critically Ill Adults.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2024Article
- Mobilizing Progress: A Comprehensive Review of the Efficacy of Early Mobilization Therapy in the Intensive Care Unit.Cureus · 2024Review
- Enhancing early functional independence following cardiac surgery: a quality improvement programme.BMJ open quality · 2023Article
- Identifying Comorbid Subtypes of Patients With Acute Respiratory Failure.American journal of critical care : an official publication, American Association of Critical-Care Nurses · 2023Article
- Organization of pulmonary hypertension care in non-expert care settings: Lessons learned from a multi-site study.Health services research · 2023Article
- Early mobilization in intensive care unit in Latin America: A survey based on clinical practice.Frontiers in medicine · 2022Article
- The effects of nurse driven mobility intervention (NDMI) on activities of daily living, mobility, fear of falling, and balance performance in hospitalized older patients: A pilot study.Geriatric nursing (New York, N.Y.)Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To develop and implement a protocol to increase patient mobility in three adult ICUs using an interdisciplinary approach and existing resources.
designThe Iowa Model of Evidence-Based Practice was used for synthesis of literature and intervention planning. A retrospective pre- and post-intervention data collection design was used to compare outcomes of interest.
settingThree adult ICUs (64 total beds) in an urban, academic hospital. Physician, nursing, respiratory therapy, physical therapy, and occupational therapy representatives participated in planning and development. All adult ICU patients were included.
interventionsDevelopment and implementation of an inclusive early mobility protocol in three adult ICUs. Focus on interdisciplinary collaboration to restructure workflow, focusing on optimization and coordination of standard tasks. Multimodal education occurred in an interdisciplinary setting and on-site champions facilitated implementation. MEASUREMENTS AND MAIN
resultsTime from admission to ambulation, overall frequency of ambulation, and frequency of ambulation by age group were assessed across three time periods: no awareness (Time 1), awareness without protocol (Time 2), and protocolization (Time 3). Decrease in hours from admission to ambulation were seen in the cardiovascular ICU (62.3 vs 56.1;
conclusionsThis single-center evidenced-based practice project demonstrated increased mobility for ICU patients without addition of staff resources following implementation of an early mobility protocol using an interdisciplinary approach. Successful implementation led to creation of mobility protocol toolkit for use across all ICUs in the broader health system.
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