Evaluating the implementation of confusion assessment method-intensive care unit using a quality improvement approach

Nursing in Critical Care
C Stewart, S Bench

Abstract

Quality improvement (QI) is a way through which health care delivery can be made safer and more effective. Various models of quality improvement methods exist in health care today. These models can help guide and manage the process of introducing changes into clinical practice. The aim of this project was to implement the use of a delirium assessment tool into three adult critical care units within the same hospital using a QI approach. The objective was to improve the identification and management of delirium. Using the Model for Improvement framework, a multidisciplinary working group was established. A delirium assessment tool was introduced via a series of educational initiatives. New local guidelines regarding the use of delirium assessment and management for the multidisciplinary team were also produced. Audit data were collected at 6 weeks and 5 months post-implementation to evaluate compliance with the use of the tool across three critical care units within a single hospital in London. At 6 weeks, in 134 assessment points out of a possible 202, the tool was deemed to be used appropriately, meaning that 60% of patients received timely assessment; 18% of patients were identified as delirious in audit one. Five months late...Continue Reading

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Citations

Oct 20, 2018·The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses·Malissa A MulkeySonya R Hardin
Aug 23, 2018·Nursing in Critical Care·Josef Trapani, Wendy Walker
May 9, 2019·International nursing review·J L M LieowA Mukhopadhyay

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