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Delirium clinical care standard indicators: 7a-Proportion of patients with delirium who were prescribed antipsychotic medicines in hospital

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term7a-Proportion of patients with delirium who were prescribed antipsychotic medicines in hospital
METeOR identifier:Help on this term745827
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 were prescribed antipsychotic medicines in hospital.

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.

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 were prescribed antipsychotic medicines in hospital.

Denominator:Help on this term

The number of patients with delirium.

Comments:Help on this term

Antipsychotic medicines include (Australian Medicines Handbook, July 2021): amisulpride, aripiprazole, asenapine, brexpiprazole, chlorpromazine, clozapine, droperidol, flupentixol, haloperidol, lurasidone, olanzapine, paliperidone, periciazine, quetiapine, risperidone, trifluoperazine, ziprasidone, and zuclopenthixol.

This indicator is best derived by obtaining information about prescriptions dispensed from the hospital’s pharmacy system. The most practical way to derive this information is to generate a list of all patients with delirium for the period, and obtain a report from the pharmacy dispensing system of the prescriptions of antipsychotic medicines for these patients.

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.

Australian Medicines Handbook Pty Ltd. Psychotropic drugs. In: Australian Medicines Handbook [Internet]. Adelaide, SA: AMH Pty Ltd, 2021. [cited 2021 Sep 1]. Available from: https://amhonline.amh.net.au/chapters/psychotropic-drugs/antipsychotics

 

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