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Delirium clinical care standard indicators: 4a-Proportion of patients with delirium who have a comprehensive assessment to investigate cause(s) of delirium

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 4a-Proportion of patients with delirium who have a comprehensive assessment to investigate cause(s) of delirium
METeOR identifier:Help on this term628103
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Proportion of patients with delirium who have a comprehensive assessment to investigate cause(s) of delirium.

Rationale:Help on this term

Identifying and treating the causes of delirium early is likely to reduce the duration and severity of delirium  (National Institute for Health and Clinical Excellence 2010; Clinical Epidemiology and Health Service Evaluation Unit 2006).

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

The numerator includes patients with delirium for whom a comprehensive assessment to investigate the cause(s) of their delirium is undertaken during the hospital stay and is documented in their medical record. The comprehensive assessment must include the following (National Institute for Health and Clinical Excellence 2010; Clinical Epidemiology and Health Service Evaluation Unit 2006; Australian and New Zealand Society for Geriatric Medicine 2012):

  • a medical history — paying close attention to  the patient’s medication history and their pain management needs
  • a physical examination
  • investigations (blood tests, urine tests, etc.), according to the patient’s medical history and physical examination.

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 have a comprehensive assessment to investigate cause(s) of delirium during their hospital stay.

Denominator:Help on this term

Number of patients with delirium.

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

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

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
.

National Institute for Health and Clinical Excellence 2010. Delirium: diagnosis, prevention and management; Clinical guideline 103. London: NICE.

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