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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

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4b-Proportion of patients with delirium who receive a set of interventions to treat the causes of delirium, based on a comprehensive assessment
METeOR identifier:Help on this term628100
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of patients with delirium who receive a set of interventions to treat the causes of delirium, based on a comprehensive assessment.

Rationale:Help on this term

A range of risk factors consistently associated with the incidence of delirium have been identified in the literature (Australian and New Zealand Society for Geriatric Medicine 2012). Some of these may be modifiable, for example, medical illness related factors or laboratory abnormalities such as low albumin and polypharmacy. Identifying underlying causes of delirium can help to target interventions (Ahmed et al. 2014).

Indicator set:Help on this termClinical care standard indicators: delirium Health, Standard 12/09/2016
Outcome area:Help on this termIdentifying and treating underlying causes Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

For the numerator, the comprehensive assessment of the causes of delirium and the tailored interventions must be documented in the patient's medical record.

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.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ denominator) x 100

Numerator:Help on this term

Number of patients with delirium who receive a set of tailored interventions to treat the causes of delirium, based on a comprehensive assessment.

Denominator:Help on this term

Number of patients with delirium.

Comments:Help on this term

This indicator was sourced from The Ontario senior friendly hospital strategy delirium and functional decline indicators (Wong et al. 2012).

Representational attributes

Representation class:Help on this termPercentage
Data type:Help on this termReal
Unit of measure:Help on this termPerson
Format:Help on this term

N[NN]

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

Ahmed S, Leurent B & Sampson EL 2014. Risk factors for incident delirium among older people in acute hospital medical units: a systematic review and meta-analysis. Age and Ageing 43(3):326-33.

Australian and New Zealand Society for Geriatric Medicine 2012. Delirium in older people: position statement 13.

Wong K, Tsang A, Liu B & Schwartz R 2012. The Ontario senior friendly hospital strategy delirium and functional decline indicators. Toronto: Ontario Local Health Integration Network.

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