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Delirium clinical care standard indicators: 6b-Proportion of patients with delirium who experienced dehydration, malnutrition, a fall resulting in fracture or other intracranial injury, or a pressure injury during their hospital stay

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term6b-Proportion of patients with delirium who experienced dehydration, malnutrition, a fall resulting in fracture or other intracranial injury, or a pressure injury during their hospital stay
METeOR identifier:Help on this term745824
Registration status:Help on this termAustralian Commission on Safety and Quality in Health Care, Standard 09/09/2021
Description:Help on this term

Proportion of patients with delirium who experienced dehydration, malnutrition, a fall resulting in fracture or other intracranial injury, or a pressure injury during their hospital stay.

Indicator set:Help on this termClinical care standard indicators: delirium 2021 Australian Commission on Safety and Quality in Health Care, Standard 09/09/2021

Collection and usage attributes

Computation description:Help on this term

For the numerator and denominator identify patients with delirium using the ICD codes specified in the Hospital-Acquired Complications (HACs) List - Specifications, worksheet 1, where complication group = 11. Delirium.

For the numerator include separations that meet the coding criteria for dehydration, malnutrition, fall resulting in fracture or other intracranial injury and pressure injury (stage III, IV, unspecified, unstageable pressure injury and suspected) acquired in hospital (Table A). Use Episode of admitted patient care—condition onset flag, code N to identify whether a diagnosis occurred during the episode of admitted patient care.

Table A: Numerator criteria

Diagnosis

ICD-10-AM (7th to 11th editions)

diagnosis codes

Additional requirement(s)
Dehydration

E86: Volume depletion

Condition identified as having occurred during episode of admitted patient care
Fall resulting in fracture or other intracranial injury

All ICD codes listed in Hospital-Acquired Complications (HACs) List - Specifications, worksheet 1. HACs list, where

  • Complication group = 2. Falls resulting in fracture or other intracranial injury

Condition identified as having occurred during episode of admitted patient care 

AND any external cause code of (falls): W01x,W03, W04, W05, W061, W062, W063, W064, W066, W068, W069, W07x, W08x, W10x, W130, W131, W132, W135, W138, W139, W18x, W19

Malnutrition

All ICD codes listed in Hospital-Acquired Complications (HACs) List - Specifications, worksheet 1. HACs list, where

  • Complication group = 13. Endocrine complications, and
  • Diagnosis group = 13.1 Malnutrition
Condition identified as having occurred during episode of admitted patient care
Pressure injury 

All ICD codes listed in Hospital-Acquired Complications (HACs) List - Specifications, worksheet 1. HACs list, where

  • Complication group = 1. Pressure injury 
Condition identified as having occurred during episode of admitted patient care

Presented as a percentage.

 

Computation:Help on this term

(Numerator ÷ Denominator) x 100‚Äč

Numerator:Help on this term

The number of patients with delirium who experienced dehydration, malnutrition, a fall resulting in fracture or other intracranial injury, or a pressure injury during their hospital stay.

Denominator:Help on this term

The number of patients with delirium.

Comments:Help on this term

This indicator is based on the Key Principles for Care of Confused Hospitalised Older Persons (ACI, 2014).

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

Agency for Clinical Innovation. Key Principles for Care of Confused Hospitalised Older Persons. Sydney: ACI, 2014.

Australian Commission on Safety and Quality in Health Care. Delirium Clinical Care Standard. Sydney: ACSQHC; 2021.

 

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