QUALITY IMPROVEMENTThe Economic and Clinical Impact of an Early Mobility Program in the Trauma Intensive Care Unit A Quality Improvement ProjectFalkenstein, Beth A. BSN, RN, CEN, TCRN; Skalkowski, Chelsea K. DPT, PT, CCS; Lodise, Kathleen D. RRT; Moore, Marian BSN, RN, CCRN, TCRN; Olkowski, Brian F. DPT, PT, NCS; Rojavin, Yuri MD, FACSAuthor Information Bristol-Myers Squibb Trauma Center (Mss Falkenstein and Moore and Dr Rojavin), Department of Rehabilitation (Drs Skalkowski and Olkowski), Department of Respiratory Care (Ms Lodise), and Division of Trauma and Acute Care Surgery (Dr Rojavin), Capital Health Regional Medical Center, Trenton, New Jersey. Correspondence: Beth A. Falkenstein, BSN, RN, CEN, TCRN, Bristol-Myers Squibb Trauma Center, Capital Health Regional Medical Center, 750 Brunswick Ave, Trenton, NJ 08638 (email@example.com). The authors declare no conflicts of interest. Journal of Trauma Nursing: January/February 2020 - Volume 27 - Issue 1 - p 29-36 doi: 10.1097/JTN.0000000000000479 Buy Take the CE Test Metrics Abstract Traumatic injury survivors often face a difficult recovery. Surgical and invasive procedures, prolonged monitoring in the intensive care unit (ICU), and constant preventive vigilance by medical staff guide standards of care to promote positive outcomes. Recently, patients with traumatic injuries have benefited from early mobilization, a multidisciplinary approach to increasing participation in upright activity and walking. The purpose of this project was to determine the impact of an early mobility program in the trauma ICU on length of stay (LOS), ventilator days, cost, functional milestones, and rehabilitation utilization. A quality improvement project compared outcomes and cost before and after the implementation of an early mobility program. The trauma team assigned daily mobility levels to trauma ICU patients. Nursing and rehabilitation staff collaborated to set daily goals and provide mobility-based interventions. Forty-four patients were included in the preintervention group and 43 patients in the early mobility group. Physical therapy and occupational therapy were initiated earlier in the early mobilization group (p = .044 and p = .026, respectively). Improvements in LOS, duration of mechanical ventilation, time to out-of-bed activity and walking, and discharge disposition were not significant. There were no adverse events related to the early mobility initiative. Activity intolerance resulted in termination of 7.1% of mobility sessions. The development and initiation of a trauma-specific early mobility program proved to be safe and reduce patient care costs. In addition, the program facilitated earlier initiation of physician and occupational therapies. Although not statistically significant, retrospective data abstraction provides evidence of fewer ICU and total hospital days, earlier extubations, and greater proactive participation in functional activities. Copyright © 2020 by the Society of Trauma Nurses.