260: Increased Interdisciplinary Compliance with Standardization of ECLS Mobilization Guideline
Bibliographic record
Abstract
Background: Since 2016, US centers have shown the safety and benefits of patient mobilization. Risks associated with ECMO include muscle atrophy, deconditioning, and extended recovery times. Studies link mobilization to better patient outcomes. The project goal was to achieve PT/OT order activation within 48 hours on ECMO in 75% of patients meeting inclusion criteria. Methods: To standardize patient inclusion/exclusion criteria, the ECMO team developed a Mobilization Guideline focusing on early mobility for all ECMO patients. Ambulatory and non-ambulatory recommendations were created in collaboration with Rehab services, ECLS Physicians, and ECLS Team. Retrospective patient analysis found that in 2023 only 17% of ECMO patients had PT/OT orders placed and activated. The first phase of increasing mobility is to ensure compliance with orders. Additional education was provided to the ECMO Team and ECLS Report sheet were revised to include mobility goals in the bedside rounding tool. Barriers to compliance included staff discomfort, reevaluation of patient eligibility, and setting clear hemodynamic goals addressed on daily patient rounds. Results: In Quarter 1, the average time for PT/OT activation was 25 hours, rising to 54 hours in Quarter 2. We believe Quarter 2 reflects a more accurate baseline. By Quarter 3, PT/OT order activation times decreased by 50%, with another 59% reduction in Quarter 4. We achieved PT/OT order activation within 48hours of ECMO Cannulation on 100% of our ECMO patients by the end of 2024.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".