Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation-wide interprofessional education

Journal of Clinical Nursing
Rhonda L BabineValerie J Fuller

Abstract

To describe and compare identification of delirium, length of stay and discharge locations in two patient samples of falls, before and after an organisation-wide interprofessional delirium education and practice change along with implementation of a policy. Delirium is a common and severe problem for hospitalised patients, with occurrence ranging from 14%-56%, morbidity and mortality from 25%-33%. Recent studies report that 73%-96% of patients who fell during a hospital stay had symptoms of delirium; however, the delirium went undiagnosed and untreated in 75% of the cases. A descriptive, retrospective observational study using a pre/postdesign. Two chart reviews were performed on patient falls as identified in the hospital safety reporting system in 2009-2010 (98 fallers) and 2012 (108 fallers). An organisation-wide education was planned and implemented with monitoring of policy compliance. After the education, documentation of the "diagnosis of delirium" and "no evidence of delirium" increased from 14.3%-29.5% and from 27.6%-44.4%. The documentation of "evidence of delirium" decreased significantly from 58.2%-25.9% (p < .001). The confusion assessment method (CAM) identified the diagnosis of delirium at 76% accuracy. The lengt...Continue Reading

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Citations

May 27, 2020·Applied Nursing Research : ANR·Ann L HendrichClariecia Groves
Apr 24, 2020·Journal of the American Medical Directors Association·Brendon StubbsChristoph Mueller
Sep 11, 2021·Scientific Reports·Tomoko NakanishiKoichiro Usuku
Jul 16, 2019·Dementia and Geriatric Cognitive Disorders Extra·Sandra Choutko-JoaquimHenk Verloo

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