Erik H. Hoyer
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View article: Every step counts: Quantifying VTE risk across various mobility levels in the hospital setting
Every step counts: Quantifying VTE risk across various mobility levels in the hospital setting Open
Background Hospital-acquired venous thromboembolism (VTE) is a major cause of morbidity and mortality, but thromboprophylaxis can lead to adverse effects. Risk assessment models have therefore been developed to identify patients at risk fo…
View article: Unlocking EMR Data to Track Physical Function Across the Continuum of Care
Unlocking EMR Data to Track Physical Function Across the Continuum of Care Open
Introduction Physical function (PF) is a critical contributor to quality of life and healthcare value, especially for older adults at risk for functional decline following hospitalization. Tracking PF is essential for monitoring recovery, …
View article: Inaccuracies of venous thromboembolism risk assessment and prevention practices among medically ill patients
Inaccuracies of venous thromboembolism risk assessment and prevention practices among medically ill patients Open
Venous thromboembolism (VTE) is a common cause of preventable harm among hospitalized, medically ill patients. The purpose of this study is to evaluate the accuracy of Padua VTE risk assessments, VTE prevention practices, and outcomes. In …
View article: Falls in Hospitals: Challenging Traditional Risk Assessments With New Insights Into Patient Mobility
Falls in Hospitals: Challenging Traditional Risk Assessments With New Insights Into Patient Mobility Open
Aims and Objectives To explore the association between different aspects of patient functional mobility, specifically, mobility capability (i.e., what the patients could do) versus mobility performance (i.e., what the patients actually did…
View article: An Early and Routinely Collected Applied Cognitive Assessment Is Associated with Post-Acute Care Facility Discharge from the Hospital
An Early and Routinely Collected Applied Cognitive Assessment Is Associated with Post-Acute Care Facility Discharge from the Hospital Open
Objective Although patient cognition can have an impact on health services needs once discharged from the hospital, it is typically not evaluated as part of routine care. We aimed to investigate how routinely collected Activity Measure for…
View article: Improving hospital outcomes using an acute hospital rehabilitation intensive service (ARISE) for patients with COVID‐19
Improving hospital outcomes using an acute hospital rehabilitation intensive service (ARISE) for patients with COVID‐19 Open
Dear Editor, The initial surge of COVID-19 in 2020 placed an unprecedented strain on the hospital healthcare system [1]. In addition to critical respiratory complications, there was early recognition that COVID-19 could lead to significant…
View article: Revealing the tension: The relationship between high fall risk categorization and low patient mobility
Revealing the tension: The relationship between high fall risk categorization and low patient mobility Open
Background Using an inpatient fall risk assessment tool helps categorize patients into risk groups which can then be targeted with fall prevention strategies. While potentially important in preventing patient injury, fall risk assessment m…
View article: A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting
A unit-based, multi-center evaluation of adopting mobility measures and daily mobility goals in the hospital setting Open
The JH-AMP program improved adoption of mobility status tracking and higher nursing inpatient mobility levels.
View article: The Johns Hopkins Activity and Mobility Promotion Program
The Johns Hopkins Activity and Mobility Promotion Program Open
Background: Greater mobility and activity among hospitalized patients has been linked to key outcomes, including decreased length of stay, increased odds of home discharge, and fewer hospital-acquired morbidities. Systematic approaches to …
View article: Improving patient selection for use of consumer grade physical activity monitors in the hospital
Improving patient selection for use of consumer grade physical activity monitors in the hospital Open
View article: Comparing three wearable accelerometers to measure early activity after cardiac surgery
Comparing three wearable accelerometers to measure early activity after cardiac surgery Open
View article: Key Data Elements for Longitudinal Tracking of Physical Function: A Modified Delphi Consensus Study
Key Data Elements for Longitudinal Tracking of Physical Function: A Modified Delphi Consensus Study Open
Objective Physical function is associated with important outcomes, yet there is often a lack of continuity in routine assessment. The purpose of this study was to determine data elements and instruments for longitudinal measurement of phys…
View article: Machine-learning-based hospital discharge predictions can support multidisciplinary rounds and decrease hospital length-of-stay
Machine-learning-based hospital discharge predictions can support multidisciplinary rounds and decrease hospital length-of-stay Open
Background Patient flow directly affects quality of care, access and financial performance for hospitals. Multidisciplinary discharge-focused rounds have proven to minimise avoidable delays experienced by patients near discharge. The study…
View article: Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors
Managing the Rehabilitation Wave: Rehabilitation Services for COVID-19 Survivors Open
View article: Inter-rater reliability of the Johns Hopkins Highest Level of Mobility Scale (JH-HLM) in the intensive care unit
Inter-rater reliability of the Johns Hopkins Highest Level of Mobility Scale (JH-HLM) in the intensive care unit Open
View article: Assessment of Patient Ambulation Profiles to Predict Hospital Readmission, Discharge Location, and Length of Stay in a Cardiac Surgery Progressive Care Unit
Assessment of Patient Ambulation Profiles to Predict Hospital Readmission, Discharge Location, and Length of Stay in a Cardiac Surgery Progressive Care Unit Open
Remote monitoring provides a high-information content description of mobility, incorporating elements of step count (ambulation distance and related parameters), gait speed (ambulation speed and related parameters), frequency of ambulation…
View article: Inpatient Mobility Technicians: One Step Forward?
Inpatient Mobility Technicians: One Step Forward? Open
View article: Routine Inpatient Mobility Assessment and Hospital Discharge Planning
Routine Inpatient Mobility Assessment and Hospital Discharge Planning Open
This cohort study examines whether use of a mobility assessment tool in hospitalized patients with impaired mobility is associated with discharge to a postacute facility.
View article: Perceived Barriers to Mobility in a Medical ICU: The Patient Mobilization Attitudes & Beliefs Survey for the ICU
Perceived Barriers to Mobility in a Medical ICU: The Patient Mobilization Attitudes & Beliefs Survey for the ICU Open
Purpose: Early mobilization in the intensive care unit (ICU) can improve patient outcomes but has perceived barriers to implementation. As part of an ongoing structured quality improvement project to increase mobilization of medical ICU pa…
View article: Towards improving hospital workflows: An evaluation of resources to mobilize patients
Towards improving hospital workflows: An evaluation of resources to mobilize patients Open
These results could assist nursing management with facilitating appropriate daily nurse-patient ratios and justify the need for assistive devices and staff support to safely mobilize patients.
View article: Does Patient Experience Predict 30‐Day Readmission? A Patient‐Level Analysis of HCAHPS Data
Does Patient Experience Predict 30‐Day Readmission? A Patient‐Level Analysis of HCAHPS Data Open
BACKGROUND Hospital‐level studies have found an inverse relationship between patient experience and readmissions. However, based on typical survey response time, it is unclear if patients are able to respond to surveys before they get read…
View article: Improving Outcomes After Hospitalization: A Prospective Observational Multicenter Evaluation of Care Coordination Strategies for Reducing 30-Day Readmissions to Maryland Hospitals
Improving Outcomes After Hospitalization: A Prospective Observational Multicenter Evaluation of Care Coordination Strategies for Reducing 30-Day Readmissions to Maryland Hospitals Open
View article: Toward a Common Language for Measuring Patient Mobility in the Hospital: Reliability and Construct Validity of Interprofessional Mobility Measures
Toward a Common Language for Measuring Patient Mobility in the Hospital: Reliability and Construct Validity of Interprofessional Mobility Measures Open
Background The lack of common language among interprofessional inpatient clinical teams is an important barrier to achieving inpatient mobilization. In The Johns Hopkins Hospital, the Activity Measure for Post-Acute Care (AM-PAC) Inpatient…
View article: Patterns of Hospital Performance on the Hospital-Wide 30-Day Readmission Metric: Is the Playing Field Level?
Patterns of Hospital Performance on the Hospital-Wide 30-Day Readmission Metric: Is the Playing Field Level? Open
View article: Choosing Wisely Together: Physical and Occupational Therapy Consultation for Acute Neurology Inpatients
Choosing Wisely Together: Physical and Occupational Therapy Consultation for Acute Neurology Inpatients Open
Background: Although many hospitalized neuroscience patients have physical and occupational therapy (rehabilitation) needs, patients with none or minimal physical impairments frequently receive rehabilitation consultation, diverting from p…
View article: Reconsidering Hospital Readmission Measures
Reconsidering Hospital Readmission Measures Open
Current hospital readmission measures are part of the Centers for Medicare & Medicaid Services Five‐Star Quality Rating System but are inadequate for reporting hospital quality. We review potential biases in the readmission measures and of…
View article: Table of Contents
Table of Contents Open