Delirium clinical care standard indicators: 5a-Evidence of local arrangements for patients with delirium to be assessed for risk of falls and pressure injuries

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Indicator 5a-Evidence of local arrangements for patients with delirium to be assessed for risk of falls and pressure injuries
METeOR identifier:628096
Registration status:Health, Standard 12/09/2016
Description:

Evidence of local arrangements for patients with delirium to be assessed for risk of falls and pressure injuries.

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:

Documented evidence of local arrangements for patients with delirium to be assessed for risk of falls and pressure injuries.

Refer to the NSQHS Standards: Standard 8: Preventing and Managing Pressure Injuries; and Standard 10: Preventing Falls and Harm from Falls (ACSQHC 2016).

Unless explicitly stated in the indicator, 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.

Computation:

Yes/No

Comments:

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

Representational attributes

Representation class:Count
Data type:Real
Unit of measure:Service event
Format:

Yes/No

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.

ACSQHC (Australian Commission on Safety and Quality in Health Care) 2016. Accreditation and the NSQHS Standards. Viewed 16 February 2016,
http://www.safetyandquality.gov.au/our-work/ accreditation-and-the-nsqhs-standards/.

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 2002:39-45.

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.