Delirium clinical care standard indicators: 5b-Proportion of patients with delirium assessed for risk of falls and pressure injuries

Identifying and definitional attributes

Metadata item type:Indicator
Indicator type:Indicator
Short name:Indicator 5b-Proportion of patients with delirium assessed for risk of falls and pressure injuries
METeOR identifier:628106
Registration status:Health, Standard 12/09/2016
Description:

Proportion of patients with delirium 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:

For the numerator, assessment of patients with delirium for the risk of falls and pressure injuries should be systematic, based on a local assessment tool, and 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:

(Numerator ÷ denominator) x 100

Numerator:

Number of patients with delirium assessed for risk of falls and pressure injuries.

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.

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.