Mobilisation ≤2 Days After Admission

Identifying Attributes

Care Settings
Rehabilitation Care
Country
Germany
Publishing Organisation
Haas et al. (2010)
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Person-Centred Care

Defining Attributes

Definition

Percentage of patients who stayed longer than 1 day, who were mobilised within 2 days after admission.

Numerator

Number of patients who were mobilised within 2 days after admission.

Denominator

Number of patients who changed position from bed to chair "with support" or found it "impossible" (operationalized by categories 0–10 in item "change of position from bed to chair" in the Barthel index within the first 24 hours after admission) with a minimum stay ≥1 day.

Exclusions

Patients with transient ischaemic attack and/or intracranial pressure and/or ventilation and/or coma at admission are excluded from the denominator.

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

German Stroke Registry Study Group (ADSR) - a voluntary network of 9 regional stroke registers monitoring quality of acute stroke care across 736 hospitals in Germany, with some mandatory reporting.

Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods

Registry.

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

Evidence Source

Haas K, Rücker V, Hermanek P, Misselwitz B, Berger K, Seidel G, et al. Association Between Adherence to Quality Indicators and 7-Day In-Hospital Mortality After Acute Ischemic Stroke. Stroke. 2020;51(12):3664-72.

Heuschmann PU, Biegler MK, Busse O, Elsner S, Grau A, Hasenbein U, et al. Development and Implementation of Evidence-Based Indicators for Measuring Quality of Acute Stroke Care. Stroke. 2006;37(10):2573-51.

The Working Group of German-speaking Stroke Registers (ADSR). Arbeitsgemeinschaft Deutschsprachiger Schlaganfall-Register. Accessed August 3, 2023. Available from: www.schlaganfallregister.org.

Technical Specifications

Link to supplement with the detail extracted: www.ahajournals.org/action/downloadSupplement?doi=10.1161%2FSTROKEAHA.120.029968&file=STRSTROKE-2020-029968supp2.pdf - Link to manuscript: 10.1161/STROKEAHA.120.029968. Methods paper: 10.1161/01.STR.0000241086.92084.c0 Arbeitsgemeinschaft Deutschsprachiger Schlaganfall-Register: www.schlaganfallregister.org, The Working Group of German-speaking Stroke Registers (ADSR) can be found in about us page

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025