{"id":7570,"date":"2025-06-28T19:16:31","date_gmt":"2025-06-28T19:16:31","guid":{"rendered":"https:\/\/ijssass.com\/journal\/a-quality-improvement-project-to-prevent-detect-and-reduce-delirium-in-an-acute-setting\/"},"modified":"2025-06-29T05:05:35","modified_gmt":"2025-06-29T05:05:35","slug":"a-quality-improvement-project-to-prevent-detect-and-reduce-delirium-in-an-acute-setting","status":"publish","type":"post","link":"https:\/\/ijssass.com\/journal\/a-quality-improvement-project-to-prevent-detect-and-reduce-delirium-in-an-acute-setting\/","title":{"rendered":"A quality improvement project to prevent, detect, and reduce delirium in an acute setting"},"content":{"rendered":"

This article was originally published as: A quality improvement project to prevent, detect, and reduce delirium in an acute setting<\/strong><\/p>\n

Original Article Link: Read Original Article<\/a><\/p>\n

Download PDF: Click Here to Download PDF<\/a><\/p>\n

Abstract<\/h2>\n

Objective: To implement a best practice approach to assessment, management and prevention of delirium in two acute medical wards.
\nDesign: Twelve month quality improvement project using local data to develop and implement local guidelines and tools.
\nSetting: Two acute medical wards in a tertiary hospital.
\nSubjects: Ward staff and stakeholders.
\nInterventions: Delirium screening tool, local clinical pathway, educational program, standardised nursing care plan, practical resource \u2018rummage\u2019 boxes, and a carer information pamphlet.
\nMain outcome measures: Ward audit, focus groups and staff perception survey.
\nResults: Delirium was found in ten patients among a total of thirty participants (prevalence of 37%) but only half of these cases were diagnosed by the ward medical team. Confusion was noted by nursing staff in all cases of delirium. Almost all of the participants (29\/30) had three or more risk factors for delirium and thus were at high risk.Focus group participants were knowledgeable about delirium, but felt that resources and support were limited. Project tools used were acceptable to ward staff (participants of focus groups); however, substantial numbers of staff remained unaware of the project materials.
\nConclusion: A global approach to prevention in high risk hospital populations may be needed. Nursing staff are well placed to screen for delirium, however, sustaining change is challenging.<\/p>\n

Authors<\/h2>\n
    \n
  • Noellene Foster<\/li>\n
  • Nicholas Waldron<\/li>\n
  • Mark Donaldson<\/li>\n
  • Helen Margaria<\/li>\n
  • Andrea McFaull<\/li>\n
  • Anne-Marie Hill<\/li>\n
  • Christopher Beer<\/li>\n<\/ul>\n

    Keywords<\/h2>\n

    delirium, acute care, rummage boxes<\/p>\n

    References<\/h2>\n

    References not available for this article.<\/p>\n","protected":false},"excerpt":{"rendered":"

    This article was originally published as: A quality improvement project to prevent, detect, and reduce delirium in an acute setting…<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[124],"tags":[4094,3943,4844],"class_list":["post-7570","post","type-post","status-publish","format-standard","hentry","category-articles","tag-acute-care","tag-delirium","tag-rummage-boxes","wpcat-124-id"],"yoast_head":"\nA quality improvement project to prevent, detect, and reduce delirium in an acute setting - IJSSASS Repository<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ijssass.com\/journal\/a-quality-improvement-project-to-prevent-detect-and-reduce-delirium-in-an-acute-setting\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A quality improvement project to prevent, detect, and reduce delirium in an acute setting - 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