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Delirium clinical care standard indicators: 2a-Evidence of training sessions undertaken by staff in the use of a validated diagnostic tool for delirium

Indicator Attributes

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 2a-Evidence of training sessions undertaken by staff in the use of a validated diagnostic tool for delirium
METEOR identifier:Help on this term627951
Registration status:Help on this term

Health, Standard 12/09/2016

Description:Help on this term

Evidence of training sessions undertaken by hospital staff in the use of a validated diagnostic tool for delirium.

Rationale:Help on this term

Early diagnosis and prompt treatment offers patients with delirium the best chance of recovery (Clinical Epidemiology and Health Service Evaluation Unit 2006). A range of clinicians can accurately diagnose delirium using a validated assessment tool, but training in the tool is essential (Wei et al. 2008).

Indicator set:Help on this term
Clinical care standard indicators: delirium

        Health, Standard 12/09/2016

Outcome area:Help on this term
Assessing for delirium

        Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Documented evidence of training undertaken by staff in the use of a validated diagnostic tool for delirium.

Staff predominantly includes nursing staff, but may also include medical and allied health staff.

Some validated diagnostic tools for delirium include:

  • Confusion Assessment Method (CAM) (Inouye et al. 2014; Shi et al. 2013)
  • Confusion Assessment Method (CAM-ICU) (Ely et al. 2001)
  • 3D-CAM (Marcantonio et al. 2014).
    Computation:Help on this term

    Yes/No

    Comments:Help on this term

    This indicator was sourced from the Key principles for care of confused hospitalised older persons (ACI 2014).

    Representational attributes

    Representation class:Help on this termCount
    Data type:Help on this termReal
    Unit of measure:Help on this termService event
    Format:Help on this term

    Yes/No

    Source and reference attributes

    Submitting organisation:Help on this term

    Australian Commission on Safety and Quality in Health Care

    Reference documents:Help on this term

    ACI (Agency for Clinical Innovation) 2014. Key principles for care of confused hospitalised older persons. Sydney: ACI.

    Clinical Epidemiology and Health Service Evaluation Unit 2006. Clinical practice guidelines for the management of delirium in older people. Melbourne: Victorian Government Department of Human Services on behalf of AHMAC. Viewed 5 May 2016, http://docs.health.vic.gov.au/docs/doc/
    A9F4D074829CD75ACA25785200120044/$FILE/delirium-cpg.pdf    .

    Ely EW et al. 2001. Evaluation of delirium in critically ill patients: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). Critical Care Medicine 29(7):1370-9.

    Inouye S, Westendorp R & Saczynski J 2014. Delirium in elderly people. The Lancet 383(9920):911-22.

    Marcantonio ER et al. 2014. 3D-CAM: derivation and validation of a 3-minute diagnostic interview for CAM-defined delirium: a cross-sectional diagnostic test study. Annals of Internal Medicine 161(8):554-61.

    Shi Q, Warren L, Saposnik G & Macdermid JC 2013. Confusion assessment method: a systematic review and meta-analysis of diagnostic accuracy. Neuropsychiatric Disease and Treatment 9:1359-70.

    Wei LA, Fearing MA, Sternberg EJ & Inouye SK 2008. The Confusion Assessment Method: a systematic review of current usage. Journal of the American Geriatrics Society 56(5):823-30.