Delirium clinical care standard indicators: 5c-Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay
Indicator Attributes
Identifying and definitional attributes | |
Metadata item type: | Indicator |
---|---|
Indicator type: | Indicator |
Short name: | Indicator 5c-Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay |
METEOR identifier: | 628108 |
Registration status: | Health, Standard 12/09/2016 |
Description: | Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay. |
Rationale: | Patients with delirium are at greater risk of adverse events, including falls (Travers et al. 2013; Inouye et al. 2014; Maher & Almeida 2002) and pressure injuries (Inouye et al. 2014; Maher & Almeida 2002). |
Indicator set: | Clinical care standard indicators: delirium Health, Standard 12/09/2016 |
Outcome area: | Preventing falls and pressure injuries Health, Standard 12/09/2016 |
Collection and usage attributes | |
Computation description: | The numerator includes patients with delirium who have had a fall and/or a pressure injury recorded in the hospital’s incident reporting and management system. Only count Stage II, III or IV pressure injuries, or unstageable, or suspected deep tissue injury (NPUAP & EPUAP 2009; Australian Wound Management Association 2012):
Only count falls and/or pressure injuries noted as occurring during the hospital stay. All patients with delirium are included in both the numerator and the denominator, not only those where Hospital service—care type, code N[N] = 1 Acute care. Presented as a percentage. |
---|---|
Computation: | (Numerator ÷ denominator) x 100 |
Numerator: | Number of patients with delirium who have had a fall or a pressure injury during their hospital stay. |
Denominator: | Number of patients with delirium. |
Comments: | This indicator has been sourced from the Key principles for care of confused hospitalised older persons (ACI 2014). |
Representational attributes | |
Representation class: | Percentage |
Data type: | Real |
Unit of measure: | Person |
Format: | N[NN] |
Source and reference attributes | |
Submitting organisation: | Australian Commission on Safety and Quality in Health Care |
Reference documents: | ACI (Agency for Clinical Innovation) 2014. Key Principles for care of confused hospitalised older persons. Sydney: ACI. Australian Wound Management Association 2012. Pan Pacific clinical practice guideline for the prevention and management of pressure injury, WA: Cambridge Media. Viewed 7 August 2016, Inouye S, Westendorp R & Saczynski J 2014. Delirium in elderly people. The Lancet. 383(9920):911-22. Maher S & Almeida O 2002. Delirium in the elderly another medical emergency. Current Therapeutics March 39-45. NPUAP (National Pressure Ulcer Advisory Panel) & EPUAP (European Pressure Ulcer Advisory Panel) 2009. Prevention and treatment of pressure ulcers: clinical practice guideline. Washington DC: NPUAP. Travers C, Byrne G, Pachana N, Klein K & Gray L 2013. Delirium in Australian hospitals: a prospective study. Current Gerontology and Geriatrics Research 2013:284780. |