Hospitalized patients often experience unnecessary immobility and inactivity leading to direct harms and poor outcomes. Despite growing evidence that early and regular mobility and activity are safe and helpful for patients in the hospital, there remains substantial room for improvement in clinical practice. Key to improvement is establishing an interdisciplinary approach to measurement and communication using a common language of function. Here we provide a framework for systematic functional measurement in the hospital. We also provide three specific examples of how this framework has been used to improve care: 1) targeting specialized rehabilitation providers to the patients most likely to need their services, 2) generating a daily mobility goal for all patients, and 3) early identification of patients likely to require post-acute care.

中文翻译：

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在急性医院环境中使用系统的功能测量来对抗不动的伤害

住院患者经常经历不必要的不​​动和不活动，导致直接伤害和不良结果。尽管越来越多的证据表明，早期和定期的活动和活动对医院的患者是安全且有益的，但临床实践仍有很大的改进空间。改进的关键是使用通用的功能语言建立跨学科的测量和交流方法。在这里，我们提供了一个用于医院系统功能测量的框架。我们还提供了三个具体示例，说明该框架如何用于改善护理：1）针对最有可能需要其服务的患者提供专门的康复提供者，2）为所有患者制定日常活动目标，以及 3）早期识别可能需要急性期后护理的患者。