Delirium clinical care standard indicators: 7a-Proportion of patients with current or resolved delirium who have an individualised care plan
Identifying and definitional attributes
|Metadata item type:||Indicator|
|Short name:||Indicator 7a-Proportion of patients with current or resolved delirium who have an individualised care plan|
|Registration status:||Health, Standard 12/09/2016|
Proportion of patients with current or resolved delirium who have an individualised care plan.
Effective communication between hospital clinicians and ongoing clinical providers is essential for the ongoing care and recovery of patients with delirium (Clinical Epidemiology and Health Service Evaluation Unit 2006), many of whom may have unresolved symptoms at the time of discharge (Wong et al. 2012). Involving patients and carers in the development of the care plan allows treatment goals to be tailored to the patient’s needs and circumstances.
|Indicator set:||Clinical care standard indicators: delirium Health, Standard 12/09/2016|
|Outcome area:||Transition from hospital care Health, Standard 12/09/2016|
Collection and usage attributes
Both the numerator and the denominator include patients with delirium that is current or resolved at the time of discharge from hospital.
For an individualised care plan to be included for a patient in the numerator, it needs to be developed collaboratively with the patient’s general practitioner, and involving the patient and their carer. It should be documented, and include the following:
It should be provided:
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.
(Numerator ÷ denominator) x 100
Number of patients with current or resolved delirium who have an individualised care plan at discharge.
Number of patients discharged with current or resolved delirium.
This indicator has been sourced from the Key principles for care of confused hospitalised older persons (Wong et al. 2012).
|Unit of measure:||Person|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
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/
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.