Why Mobility Matters in the Hospital
Authors: S. Ryan Greysen, Mitesh S. Patel
Journal: Annals of Internal Medicine (2019)

Letters19 March 2019Why Mobility Matters in the HospitalS. Ryan Greysen, MD, MHS and Mitesh S. Patel, MD, MBA, MSS. Ryan Greysen, MD, MHSUniversity of Pennsylvania, Philadelphia, Pennsylvania (S.R.G., M.S.P.)Search for more papers by this author and Mitesh S. Patel, MD, MBA, MSUniversity of Pennsylvania, Philadelphia, Pennsylvania (S.R.G., M.S.P.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L18-0697 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Mitchell that the frontline practice of hospital medicine in the current environment can, indeed, be frazzling. At times, it is difficult to feel a sense of professional satisfaction or recognition when striving for excellence in commonsense and patient-centered quality of care. Some of this friction may be due to lack of alignment between what is valued by providers and patients versus payers and administrators. We believe that the current paradigm for hospital quality and safety has not evolved to keep pace with changes in demographic characteristics (for example, the aging population) and the emergence ...References1. Greysen SR. Activating hospitalized older patients to confront the epidemic of low mobility. JAMA Intern Med. 2016;176:928-9. [PMID: 27243416] doi:10.1001/jamainternmed.2016.1874 CrossrefMedlineGoogle Scholar2. Greysen SR, Stijacic Cenzer I, Auerbach AD, Covinsky KE. Functional impairment and hospital readmission in Medicare seniors. JAMA Intern Med. 2015;175:559-65. [PMID: 25642907] doi:10.1001/jamainternmed.2014.7756 CrossrefMedlineGoogle Scholar3. Greysen SR. Delirium and the “know-do” gap in acute care for elders. JAMA Intern Med. 2015;175:521-2. [PMID: 25642659] doi:10.1001/jamainternmed.2014.7786 CrossrefMedlineGoogle Scholar4. Greysen SR, Stijacic Cenzer I, Boscardin WJ, Covinsky KE. Functional impairment: an unmeasured marker of medicare costs for postacute care of older adults. J Am Geriatr Soc. 2017;65:1996-2002. [PMID: 28636200] doi:10.1111/jgs.14955 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: University of Pennsylvania, Philadelphia, Pennsylvania (S.R.G., M.S.P.)Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M18-1427. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists Inpatient Notes - Bedrest Is Toxic—Why Mobility Matters in the Hospital S. Ryan Greysen and Mitesh S. Patel Why Mobility Matters in the Hospital David M. Mitchell Metrics Cited byLow hospital mobility—resurgence of an old epidemic within a new pandemic and future solutions 19 March 2019Volume 170, Issue 6Page: 429-430KeywordsCaregiversDeliriumDisclosureEvidence based medicineHealth care qualityHospital medicineHospitalistsPatientsSafetySleep ePublished: 19 March 2019 Issue Published: 19 March 2019 Copyright & PermissionsCopyright © 2019 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...