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INCREASING UTILIZATION OF OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES TO PROVIDE MOBILITY THERAPIES IN THE PICU: A QUALITY IMPROVEMENT PROJECT Public Deposited

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Kiger, Michelle. Increasing Utilization Of Occupational Therapy And Physical Therapy Services To Provide Mobility Therapies In The Picu: A Quality Improvement Project. . 1125. https://uindy.hykucommons.org/concern/etds/b7e52830-60be-4f80-bbfb-aee742989dab?locale=en

APA citation style

Kiger, Michelle. (1125). INCREASING UTILIZATION OF OCCUPATIONAL THERAPY AND PHYSICAL THERAPY SERVICES TO PROVIDE MOBILITY THERAPIES IN THE PICU: A QUALITY IMPROVEMENT PROJECT. https://uindy.hykucommons.org/concern/etds/b7e52830-60be-4f80-bbfb-aee742989dab?locale=en

Chicago citation style

Kiger, Michelle. Increasing Utilization Of Occupational Therapy And Physical Therapy Services To Provide Mobility Therapies In The Picu: A Quality Improvement Project. 1125. https://uindy.hykucommons.org/concern/etds/b7e52830-60be-4f80-bbfb-aee742989dab?locale=en

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Creator
Abstract
  • There is a growing body of evidence demonstrating early mobilization for critically ill children is safe and feasible. Occupational therapists and physical therapists have distinct skills and abilities which make them an integral part of an interdisciplinary early mobilization program in the pediatric intensive care unit (PICU). The incorporation of occupational therapy and physical therapy services in an early mobilization program assists in decreasing the negative effects of immobility and inactivity through the facilitation of active movement and participation in age appropriate functional activities. Despite consults being placed within 72 hours of admission in the PICU at Cincinnati Children’s, barriers existed which impacted the ultimate delivery of OT and PT services to patients. The purpose of this study was to assess whether the desired improvement in the delivery of occupational therapy and physical therapy services in the PICU was achieved when interventions were applied using quality improvement methodology. A quality improvement approach, guided by Cincinnati Children’s rapid cycle improvement collaborative roadmap, aimed to identify whether interventions applied during a 120 day quality improvement project were effective in transforming the care delivery processes for therapy services in the PICU at a single institution as measured by the ability to produce a 20% improvement in the percentage of scheduled occupational therapy and physical therapy treatments which were delivered. The PICU population included in this quality improvement project consisted of patients with (1) an occupational therapy and physical therapy consult, (2) a scheduled occupational therapy and/or physical therapy appointment, and (3) a bed on the PICU floor. The study period was from December 18, 2018 through April 16, 2019. Adoption of several interventions increased the median percentage of scheduled occupational therapy and physical therapy treatments which were delivered from 48.6% at baseline to 56%.
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Date
Type
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Degree
  • Doctor of Health Science
Level
  • Doctoral
Discipline
  • Health Science
Grantor
  • University of Indianapolis
Committee member
  • Mark V. Paterno, PT, PhD, MBA, SCS, AT-Ret
  • Carolyn P. Luzader, MS
  • Kathy Martin, PT, DHSc

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