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Clinical care standard indicators: delirium

Identifying and definitional attributes

Metadata item type:Help on this termIndicator Set
Indicator set type:Help on this termOther
METeOR identifier:Help on this term613164
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

The Australian Commission on Safety and Quality in Health Care has produced the Delirium clinical care standard indicators to assist with local implementation of the Delirium clinical care standard (ACSQHC 2015a). The Delirium clinical care standard aims to ensure that patients with delirium at the time of presentation to hospital receive optimal treatment to reduce the duration and severity of the condition. It also aims to ensure that delirium is prevented by identifying patients who are at risk of developing the condition, and/or ensuring prompt and adequate treatment for patients who develop delirium during a hospital admission. They contain indicators against each of the quality statements in the Standard: early screening, assessing for delirium, interventions to prevent delirium, identifying and treating underlying causes, preventing falls and injuries, minimising the use of antipsychotic medicines, and transitioning from hospital care.

Relational attributes

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Outcome areas linked to this Indicator set:Help on this term

Assessing for delirium Health, Standard 12/09/2016

Early screening Health, Standard 12/09/2016

Identifying and treating underlying causes Health, Standard 12/09/2016

Interventions to prevent delirium Health, Standard 12/09/2016

Minimising use of antipsychotic medicines Health, Standard 12/09/2016

Preventing falls and pressure injuries Health, Standard 12/09/2016

Transition from hospital care Health, Standard 12/09/2016

Indicators linked to this Indicator set:Help on this term

Delirium clinical care standard indicators: 1a-Evidence of local arrangements for cognitive screening of patients presenting to hospital with one or more key risk factors for delirium Health, Standard 12/09/2016

Delirium clinical care standard indicators: 1b-Proportion of older patients undergoing cognitive screening within 24 hours of admission to hospital using a validated test Health, Standard 12/09/2016

Delirium clinical care standard indicators: 2a-Evidence of training sessions undertaken by staff in the use of a validated diagnostic tool for delirium Health, Standard 12/09/2016

Delirium clinical care standard indicators: 2b-Proportion of patients who screen positive for cognitive impairment at admission who are assessed for delirium using a validated diagnostic tool Health, Standard 12/09/2016

Delirium clinical care standard indicators: 2c-Rate of delirium among acute admitted patients Health, Standard 12/09/2016

Delirium clinical care standard indicators: 2d-Rate of delirium among acute admitted patients with onset during the hospital stay Health, Standard 12/09/2016

Delirium clinical care standard indicators: 3a-Evidence of local arrangements for implementing interventions to prevent delirium for at risk patients Health, Standard 12/09/2016

Delirium clinical care standard indicators: 4a-Proportion of patients with delirium who have a comprehensive assessment to investigate cause(s) of delirium Health, Standard 12/09/2016

Delirium clinical care standard indicators: 4b-Proportion of patients with delirium who receive a set of interventions to treat the causes of delirium, based on a comprehensive assessment Health, Standard 12/09/2016

Delirium clinical care standard indicators: 5a-Evidence of local arrangements for patients with delirium to be assessed for risk of falls and pressure injuries Health, Standard 12/09/2016

Delirium clinical care standard indicators: 5b-Proportion of patients with delirium assessed for risk of falls and pressure injuries Health, Standard 12/09/2016

Delirium clinical care standard indicators: 5c-Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay Health, Standard 12/09/2016

Delirium clinical care standard indicators: 6a-Evidence of local arrangements to ensure that patients with delirium are not routinely prescribed antipsychotic medicines Health, Standard 12/09/2016

Delirium clinical care standard indicators: 6b-Proportion of patients with delirium prescribed antipsychotic medicines in hospital Health, Standard 12/09/2016

Delirium clinical care standard indicators: 7a-Proportion of patients with current or resolved delirium who have an individualised care plan Health, Standard 12/09/2016

Delirium clinical care standard indicators: 7b-Proportion of older patients with current or resolved delirium who are readmitted for delirium within 28 days Health, Standard 12/09/2016

Collection and usage attributes

National reporting arrangement:Help on this term

The Indicator specification: delirium clinical care standard has been developed to assist with local implementation of the Delirium clinical care standard (ACSQHC 2015a). The indicators can be used by health services to monitor the implementation of the quality statements, and support improvement as needed.

The Australian Commission on Safety and Quality in Health Care has also produced a Guide for use and data dictionary for the Delirium clinical care standard indicators (ACSQHC 2015b) to assist in the implementation of these indicators.

Comments:Help on this term

The Australian Commission on Safety and Quality in Health Care has produced the Delirium clinical care standard (ACSQHC 2015a) to support the delivery of appropriate care for a defined condition and is based on the best evidence available at the time of development. Health care professionals are advised to use clinical discretion and consideration of the circumstances of the individual patient, in consultation with the patient and/or their carer or guardian when applying information contained within the Clinical care standard. Consumers should use the information in the Clinical care standard as a guide to inform discussions with their health care professional about the applicability of the Clinical care standard to their individual condition.

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

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2015a. Delirium clinical care standard. Sydney: ACSQHC.

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2015b. Guide for Use and Data Dictionary for the Delirium Clinical Care Standard Indicators. Sydney: ACSQHC.

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