The impact of an End-PJ-Paralysis quality improvement intervention in post-acute care: an interrupted time series analysis

Amelia Crabtree; Tyler J Lane; Lisa Mahon; Taryn Petch; Christina L Ekegren; Amelia Crabtree; Tyler J Lane; Lisa Mahon; Taryn Petch; Christina L Ekegren

doi:10.3934/medsci.2021003

AIMS Medical Science

2021, Volume 8, Issue 1: 23-35. doi: 10.3934/medsci.2021003

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Research article

The impact of an End-PJ-Paralysis quality improvement intervention in post-acute care: an interrupted time series analysis

1.
Department of Rehabilitation and Aged Care, Caulfield Hospital – Alfred Health, 260 Kooyong Rd, Caulfield South, 3162, VIC, Australia
2.
School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Rd, Melbourne 3004, VIC, Australia
3.
Rehabilitation, Ageing and Independent Living (RAIL) Research Centre, School of Primary and Allied Health Care, Monash University, Peninsula Campus, Frankston, 3199, VIC, Australia
4.
The Alfred Hospital – Alfred Health, 55 Commercial Rd, Melbourne, 3004, VIC, Australia
5.
Baker Heart and Diabetes Institute, 75 Commercial Rd, Melbourne, 3004, VIC, Australia

Received: 16 November 2020 Accepted: 18 January 2021 Published: 22 January 2021

The “End-PJ-Paralysis” social movement has promoted global recognition of the problem of low activity levels for hospitalised older adults, but whether aligned quality improvement programmes impact length of stay or adverse events is unknown. To determine the impact of a multicomponent intervention, which included data displays, exercise groups, a clothing repository, widespread promotion, and targeted education for staff and patients to promote dressing and activity, we conducted an interrupted time series analysis. Although there was no clear impact upon length of stay or fall or pressure rates after 12 months, this is an important finding for other centres implementing their own “End-PJ-Paralysis” interventions as it highlights that such programmes are not associated with increased falls, as commonly feared.
- falls,
- hospital,
- interrupted time series,
- length of stay,
- pressure injuries
Citation: Amelia Crabtree, Tyler J Lane, Lisa Mahon, Taryn Petch, Christina L Ekegren. The impact of an End-PJ-Paralysis quality improvement intervention in post-acute care: an interrupted time series analysis[J]. AIMS Medical Science, 2021, 8(1): 23-35. doi: 10.3934/medsci.2021003

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Abstract

The “End-PJ-Paralysis” social movement has promoted global recognition of the problem of low activity levels for hospitalised older adults, but whether aligned quality improvement programmes impact length of stay or adverse events is unknown. To determine the impact of a multicomponent intervention, which included data displays, exercise groups, a clothing repository, widespread promotion, and targeted education for staff and patients to promote dressing and activity, we conducted an interrupted time series analysis. Although there was no clear impact upon length of stay or fall or pressure rates after 12 months, this is an important finding for other centres implementing their own “End-PJ-Paralysis” interventions as it highlights that such programmes are not associated with increased falls, as commonly feared.

Acknowledgments

The Get Dressed, Get Moving, Get Better Working Group: Danielle Bolster, Joanne Canty, Amelia Crabtree, Joanne Culton, Christina Ekegren, Briony Foote, Stephen Gartlan, Lee Hughes, Diane Housiaux, Lisa Mahon, Taryn Petch, Lejla Ridzalovic, Nita Robin-Jacob. Safer Care Victoria. Staff and Patients at Caulfield Hospital.

Conflict of interest

All authors declare that there is no conflict of interest.

References

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