The purpose of the current quality improvement (QI) project was to implement the UMove Early Mobility Program to engage patients in safe out of bed (OOB) activities and reduce falls, specifically focusing on toileting-related falls, during the hospital stay. Eight nursing units implemented the UMove program, including the UMove Mobility Screen (UMove MS), to select strategies to reduce toileting-related falls while increasing mobility. De-identified, unit-based data were collected from hospital reports. Nursing had a 95% documentation compliance rate for the UMove MS, and OOB activities and ambulation were documented at 50% and 57%, respectively. There was no statistical difference found in reducing toileting-related falls or sustaining increased OOB activities across the 15-month QI project. Toileting-related falls approached significance with a rate reduction from 1.77 pre-implementation to 0.23 at 6 months and no toileting-related falls at 12 months. Despite no significant findings, there is evidence that clinical changes occurred with nurses assessing and promoting mobility, while implementing strategies to reduce toileting-related falls. [Research in Gerontological Nursing, xx(x), xx-xx.].

中文翻译：

---

实施 UMove 移动计划，以促进患者安全移动并减少医院环境中的跌倒。

当前质量改进 (QI) 项目的目的是实施 UMove 早期活动计划，让患者在住院期间进行安全离床 (OOB) 活动并减少跌倒，特别是与如厕相关的跌倒。八个护理单位实施了 UMove 计划，包括 UMove 活动屏幕 (UMove MS)，以选择减少如厕相关跌倒的策略，同时增加活动能力。从医院报告中收集了基于单位的去识别化数据。护理部门对 UMove MS 的记录合规率为 95%，离体活动和行走记录合规率分别为 50% 和 57%。在为期 15 个月的 QI 项目中，在减少如厕相关跌倒或维持增加的离体活动方面没有发现统计差异。如厕相关跌倒率已接近显着水平，6 个月时发生率从实施前的 1.77 降至 0.23，12 个月时没有如厕相关跌倒发生率。尽管没有重大发现，但有证据表明，护士评估和促进活动能力，同时实施减少如厕相关跌倒的策略时，临床发生了变化。[老年护理研究，xx(x)，xx-xx.]。