STRIDE
Last updated
Share PrintSTRIDE is a supervised walking program for older Veterans admitted to the hospital with medical illness. STRIDE features an early assessment, supervised ambulation, and patient education about the importance of daily walking, all designed to ensure patient safety during program participation. Developed with input from multiple disciplines, STRIDE fills an urgent need for promotion of early, safe mobility in hospitalized individuals to prevent negative consequences of inpatient bedrest and immobility.
Origin:
February 2012, Durham VA Medical Center
Adoptions:
41 successful, 17 in-progress
Awards and Recognition:
Diffusion of Excellence Promising Practice, VHA Shark Tank Winner, 2022 National Diffusion Award
Partners:
Diffusion of Excellence, Geriatrics and Extended Care, Office of Nursing Services, Quality Enhancement Research Initiative
Recent Updates
Overview
The problem
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Culture of immobility, negative physical effects, and adverse outcomes
The solution
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Consult, gait assessment, STRIDE
The results
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from Hastings SN et al. J Am Geriatr Soc. 2014 Nov;62(11):2180-4.
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STRIDE promising outcomes
Metrics
- Discharge disposition
- Length of stay
- Distance/time walked
- Adverse effects
Diffusion tracker
Does not include Clinical Resource Hubs (CRH)
Multimedia
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Veteran walking with STRIDE
Videos
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STRIDE video from Durham VA
Implementation
Timeline
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3-4 months before program launch
Planning phase: designate STRIDE team, tailor documentation templates for local needs, decide on process metrics to track, create marketing and education plan, test that data is populating the VSSC workload reports -
Program launch
Enroll patients in STRIDE on a pilot ward -
1 month post-launch
Review and evaluate program data
Departments
- Extended care and rehabilitation
- Geriatrics
- Hospital medicine
- Nursing services
- Physical medicine and rehabilitation
- Physical therapy, occupational therapy and kinesiothology
Core Resources
| Resource type | Resource description |
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PEOPLE |
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TOOLS |
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Optional Resources
| Resource type | Resource description |
|---|---|
PROCESSES |
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TOOLS |
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Support Resources
| Resource type | Resource description |
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TOOLS |
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Risks and mitigations
| Risk | Mitigation |
|---|---|
| Role clarity among clinical STRIDE team | Designate key staff as champions, regularly educate new staff, and meet regularly to review workload and process metrics |
| Falls | Mobility assistants are trained specifically to supervise STRIDE walks using a competency checklist, which addresses falls safety and indicators of patient distress or weakness. |
About
Origin story
Original team
Susan N. Hastings
Director, Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT)
Caitlin Kappler
STRIDE Project Coordinator
Ashley Choate
STRIDE Implementation Specialist
Cassie Meyer
STRIDE Research Assistant
Carl McCoy
Diffusion Specialist, VHA Diffusion of Excellence
Comment
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