Physiotherapy-led early rehabilitation from critical care to hospital discharge
Care Process & Redesign
Singapore Health Biomedical Congress
National Healthcare Group
31 December 2019
Examine physiotherapy mobilisation practices in ICU patients and their progression after ICU discharge. Mobilisation rates are strong, with significant progress in mobility assistance and ambulation.
Year Submitted: 2019
Published Date: 31 December 2019
Tags: Care Process ＆ Redesign, Quality Improvement, Clinical Practice Improvement, Value Based Care, Functional Outcome, Discharge Planning
About this Content
Aims
Examine physiotherapy mobilisation practices in ICU patients and their progression after ICU discharge.
Background
Early mobilisation in ICU improves outcomes. TTSH implemented mobilisation practices in 2014, achieving 100% mobilisation since 2016.
Methods
Retrospective audit from May to Dec 2018 measuring ICU milestones, Functional Status Score (FSS-ICU), and ambulation improvements.
Results
84% mobilised within 48 hours; ambulation distance improved from 16m (ICU) to 60m (general ward).
Conclusion
Mobilisation rates are strong, with significant progress in mobility assistance and ambulation.
Lessons Learnt
Identifying intervention-specific outcomes ensures meaningful improvements; monitoring existing practices prevents complacency.
Additional Information
Presented at SHBC 2019; noted gaps in pre-discharge goals.
Keywords
Early Mobilisation, Rehabilitation, ICU, Physiotherapy, Functional Outcomes
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Tan Tock Seng Hospital |
Platform(s) | Singapore Health Biomedical Congress |
Healthcare Professional Group(s) | Allied Health |
Applicable Specialty or Discipline | Physiotherapy, Rehabilitation Therapy, Intensive Care Medicine |
Project Lead(s) | Jaclyn Chow |
Project Member(s) | Ng Yan Ying |
Connect with this contributor!
Jaclyn Chow - jaclyn_jl_chow@ttsh.com.sg