Delirium clinical care standard indicators: 5c-Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 5c-Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay|
|Registration status:||Health, Standard 12/09/2016|
Proportion of patients with delirium who have had a fall or a pressure injury during their hospital stay.
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
The numerator includes patients with delirium who have had a fall and/or a pressure injury recorded in the hospital’s incident reporting and management system.
Only count Stage II, III or IV pressure injuries, or unstageable, or suspected deep tissue injury (NPUAP & EPUAP 2009; Australian Wound Management Association 2012):
Only count falls and/or pressure injuries noted as occurring during the hospital stay.
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.
(Numerator ÷ denominator) x 100
Number of patients with delirium who have had a fall or a pressure injury during their hospital stay.
Number of patients with delirium.
This indicator has been sourced from the Key principles for care of confused hospitalised older persons (ACI 2014).
|Unit of measure:||Person|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
ACI (Agency for Clinical Innovation) 2014. Key Principles for care of confused hospitalised older persons. Sydney: ACI.
Australian Wound Management Association 2012. Pan Pacific clinical practice guideline for the prevention and management of pressure injury, WA: Cambridge Media. Viewed 7 August 2016,
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 39-45.
NPUAP (National Pressure Ulcer Advisory Panel) & EPUAP (European Pressure Ulcer Advisory Panel) 2009. Prevention and treatment of pressure ulcers: clinical practice guideline. Washington DC: NPUAP.
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.