ArticlePediatric quality & safety
Quality Improvement Methodology to Optimize Safe Early Mobility in a Pediatric Intensive Care Unit.
Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Early Protocolized Rehabilitation Versus Usual Care in Improving Functional Outcomes in Pediatric Neurocritical Patients: A Randomized Controlled Trial.Neurocritical care · 2025Trial
- Consensus statement on the use of standardized early mobilization in pediatric patients admitted to pediatric intensive care units in Italy.European journal of pediatrics · 2026Review
- Development and evaluation of a simulation-based early-mobility curriculum for paediatric intensive care nurses.Nursing in critical care · 2025Article
- Education strategies are the most commonly used in pediatric rehabilitation implementation research: a scoping review.Implementation science communications · 2025Article
- [Early mobilization in critically ill pediatric patient with ventilatory support. Experience of a high complexity center].Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2022Observational
- PICU Move! Improving Early Mobilization in a Large Pediatric Intensive Care Unit.Pediatric quality & safetyArticle
- Keep Moving: Sustainability of an Early Mobility Protocol in an Academic Pediatric ICU.Pediatric quality & safetyArticle
- A Scoping Review of Patient Safety Checklists in Pediatrics.Academic pediatricsArticle
- AdaptingPediatric quality & safetyArticle
- Implementing Participation-level Goals to Improve Patient-Centeredness in Pediatric Rehabilitation.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Utilization of robust quality improvement methodology in conjunction with traditional interventions to enhance an Early Mobility program (EMP) in a tertiary pediatric intensive care unit (PICU).
methodsEMP was implemented in our PICU in May 2017. The percentage of appropriate physical and occupational therapist consults were determined. We also evaluated the activity levels received by the patient and the levels for which they qualified based on their medical condition. Failure Modes and Effects Analysis (FMEA) was performed to identify potential complications related to the mobilization of critically ill children. We created 4 simulation scenarios based on FMEA prioritized results.
resultsAfter the implementation of EMP, appropriate physical and occupational therapist consults significantly increased (
conclusionsWe describe a novel technique of using FMEA to develop scenarios that simulate potential adverse events to optimize safe EM in PICU. An EM checklist and pathway can guide in the implementation of safe EMP.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.