Standardisation, multi-measure, data quality and trending: A qualitative study on multidisciplinary perspectives to improve intensive care early mobility monitoring.
Sarina A Fazio, Amy L Doroy, Nicholas R Anderson and 2 others
PMID 33199104WHAT IT FOUND
ICU clinicians want early mobility monitoring that is standardised, combines quantitative and qualitative data, and trends over time without data overload.
PTs highlighted assistance, cuing, and movement quality.
Key findings
01Clinicians said mobility information is scattered across electronic health record flowsheets, notes and dashboards, making it hard to extract and monitor.
02All disciplines wanted a core set of metrics: type of activity, duration, frequency counts, and distance travelled if ambulation occurred.
03PTs described their ICU mobility assessments as partly qualitative, including level of assistance, cuing required, and movement quality.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was done in a single academic ICU using a specific electronic health record system, so its monitoring preferences may not transfer to other hospitals. Participants were recruited by convenience and self-selected, so clinicians who already value early mobility or technology may be overrepresented. The sample was small, with eight PT/PTAs and eight physicians, and the authors said data saturation may not have been reached. Focus groups were discipline-specific, so the study did not capture how clinicians negotiate shared monitoring needs together. It reports clinician views about documentation and technology, not measured effects on ICU patient mobility, delirium, weakness or recovery.
The easy way to misread this
Do not read this as evidence that standardised or technology-based early mobility monitoring improves patient outcomes. The study asked clinicians what they want to document and display; it did not measure patient mobility, delirium, weakness or recovery.