Inpatient rehabilitation wheelchair management quality improvement project: Implications for patients with spinal cord injury

被引:0
|
作者
Taylor, Sally M. [1 ,2 ]
Slowinske, Laura [2 ,3 ]
Dennison, Michael [1 ]
Manusky, Colton [1 ]
Tan, Shawn [1 ]
Patel, Kinjal [1 ]
Brewington, David [2 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Dept Phys Therapy & Human Movement Sci, Chicago, IL 60611 USA
[2] Shirley Ryan AbilityLab, 355 East Erie St, Chicago, IL 60611 USA
[3] Northwestern Med Grp Womens Hlth Phys Therapy, Dept Northwestern Med, Chicago, IL USA
来源
JOURNAL OF SPINAL CORD MEDICINE | 2023年 / 46卷 / 03期
关键词
Quality improvement; Wheelchairs; Inpatient rehabilitation; Spinal cord injury; Physical therapist;
D O I
10.1080/10790268.2021.2019656
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Context/Objective Evaluate hospital fleet wheelchair (WC) requests submitted by physical therapists (PT) for patients with spinal cord injury (SCI) to trial and use during inpatient rehabilitation. Design Quality improvement project secondary analysis of delivery process and WC trials. Setting Urban inpatient rehabilitation hospital. Participants Internal review of 4,371 WC requests narrowed to 750 patients with SCI. Interventions PTs submitted WC requests between March 25, 2017, and September 30, 2019. Outcome Measures WC delivery timeframe, level of SCI, type of WC. Results PTs requested power (28%), and manual WC bases: standard (19.1%), tilt (18.9%), ultralight rigid (18.9%), ultralight folding (13.5%), and recliner (1.6%) respectively. Patients received fleet WCs 49.9% of the time within specified urgency timeframes. A Chi-Square test showed a significant association between WC request urgency and fulfillment within established timeframes (chi(2) = 19.68, P < 0.001, n = 750). Broken down by urgency level: 60.0% low (n = 12), 56.2% medium (n = 244), and 39.9% high (n = 118) received their WC within established timeframes. Patients with cervical level SCI (n = 162) had the highest mean wait time of 8.28 days for power WCs. The second highest wait time was 6.29 days (SD 6.6) for manual ultralight rigid WCs (n = 34). Conclusion Inpatient fleet WC delivery is critical to patients with SCI. Variation occurs by WC type requested and by the level of injury. Gaps exist in providing appropriate WCs in facility timeframe guidelines by the level of urgency that is within 24 h for high, 3-5 days for medium, and 5-7 days for low.
引用
收藏
页码:414 / 423
页数:10
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