Authors (including presenting author) :
Ching SY(1), Ng PH(1), Cheng P(1), Lam PL(1)
Affiliation :
(1)Physiotherapy Department, Queen Mary Hospital
Keyword 1: :
Physiotherapy
Introduction :
The Adult Intensive Care Unit (AICU) provides life-sustaining interventions for patients with complex, life-threatening conditions, where as a member of multidisciplinary team, the adequacy and timeliness of delivering physiotherapy intervention plays a significant role in patient survival and long-term recovery. Early mobilization program has been implemented in AICU in Queen Mary Hospital since October 2020. Guidelines for the early mobilization program and work-based training to physiotherapists were well established. Patients in AICU received different level of intervention according to their conscious level and muscle power. Contraindication for early mobilization and out-of-bed exercise were also fully described in the guideline. Hospital-based training is delivered to physiotherapist according to a well-structured training program. Weekly case conference was held to discuss patients rehabilitation progress among intensivists, nurses and physiotherapists. Physiotherapy audit in AICU was carried out in August 2025 aimed to look into whether patients received appropriate physiotherapy intervention according to the guideline.
Objectives :
To uphold the quality of physiotherapy service
To ensure adherence to standardized guidelines in delivering appropriate physiotherapy intervention
To identify areas for improvement
Methodology :
The physiotherapy audit was carried out by an advanced practice physiotherapist with 9 years experience in the field of cardiopulmonary. Physiotherapy documentation in AICU were reviewed retrospectively with reference to the clinical picture of the relevant patient, to identify whether appropriate physiotherapy intervention was delivered according to the guideline. Convenience sampling was used to identify physiotherapy documentation entries on weekdays for the audit.
Result & Outcome :
A total of 21 cases from 5 physiotherapists were audited. The overall achievement percentage was 95%. Only one case did not provide appropriate intervention while level of intervention was deemed low. Close supervision and monitoring with more open discussion among team is recommended to uphold the standard.
