UP Campaign & Early Mobility

The UP Campaign from the Health Research and Educational Trust (HRET) HIIN provides structure and recommendations for cross-cutting strategies to improve patient care and patient safety while enhancing frontline staff engagement and decreasing the tendency to work in siloes. Visit the HRET HIIN website to learn more.

This cross-topic approach to harm reduction currently focuses on four components:

  • Wake UP  –  Opioid and Sedation Management
  • Get UP  –  Early progressive mobility
  • Soap UP  –  Hand Hygiene
  • Script UP  –  Inpatient Medication Management

The UP Campaign is structured to generate momentum, increase impact and simplify patient safety initiatives. Implementing the UP Campaign can decrease patient harm in the following areas:

Adverse Drug Events

Airway Safety

Delirium

Failure to Rescue

Patient Falls

Venous Thromoemboli

Ventilator Associated Events

Catheter Associated Urinary Tract Infections

Delirium

Patient Falls

Pressure Injuries

Readmissions

Venous Thromboemboli

Ventilator Associated Events

Clostridium difficile Infections

Catheter Associated Urinary Tract Infections

Central Line Associated Blood Infections

Multi-drug Resistant Organisms

Sepsis

Surgical Site Infections

Ventilator Associated Events

Adverse Drug Events

Catheter Associated Urinary Tract Infections

Central Line Associated Blood Stream Infections

Clostridium difficile Infections

Multi-drug Resistant Organisms

Patient Falls

Readmissions

Sepsis

Surgical Site Infections

Ventilator Associated Events

Contact Information:

John Savage

John Savage

Director, Quality Improvement and Patient Safety

John.Savage@cha.com

720.330.6067

Early Mobility Resources

CHA Early Mobility Webinar Series Recordings

A three-part webinar series for Colorado and surrounding state hospitals to build skills and knowledge in identifying and minimizing patient harms related to immobility. Bed rest or immobility during hospitalization may lead to adverse patient effects.

  • Critically ill patients on bedrest may experience ventilator-associated pneumonia, hospital acquired pneumonia, delayed weaning of mechanical ventilation due to muscle weakness and the development of pressure injuries (Vollman, Critical Care Nurse, 2010).
  • Patients are estimated to spend over 95% of their time in bed. Placing them at risk of functional decline, medical adverse events and readmissions (Inouye et al., JAMA Internal Medicine, 2017).

Why Early Mobility is Critical to Patient Outcomes CHA Webinar
Speakers: Jackie Conrad, RN, BS, MBA, RCC™ and Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN
November 28, 2017

Early Mobility: Critical Care Environment and Science – How to Build a Program
Speaker: Kathleen Vollman, MSN, RN, CCNS, FCCM, FAAN

Duke Moves: Duke Safe Patient Handling and Mobility program Duke MOVES stands for: Move Often, Very Early, and Safely

Eat Walk Engage: is a unit-based program that integrates strategies to support mobility and prevent functional decline and delirium in hospitalized elders. Tools, articles and videos available via the Eat, Walk, Engage Twitter feed.

Articles:

Rethinking critical care: Decreasing sedation, increasing delirium monitoring, and increasing patient mobility Joint Commission Journal on Quality and Patient Safety, 2015
The Tension Between Promoting Mobility and Preventing Falls in the Hospital JAMA Internal Medicine, 2017
Transforming the Culture: The Key to Hardwiring Early Mobility and Safe Patient Handling American Nurse Today, 2014

Tools and Toolkits:

Banner Mobility Assessment Tool (BMAT) for Nurses

Best Practices:

Early Mobility Guide for Reducing Ventilator-Associated Events in Mechanically Ventilated Patients from AHRQ
Early Mobility Toolkit Your Work Plan for Translating Evidence into Practice, Johns Hopkins Medicine Armstrong Institute for Patient Safety and Quality
Progressive Mobility Continuum Bassett, 2012

Delirium Resources

Hospital Elder Life Program (HELP) for Prevention of Delirium
HRET HIIN Iatrogenic Delirium Resources