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Delirium clinical care standard indicators: 8a-Proportion of patients with current or resolved delirium who had an individualised comprehensive care plan on discharge

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this term8a-Proportion of patients with current or resolved delirium who had an individualised comprehensive care plan on discharge
METeOR identifier:Help on this term745829
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 current or resolved delirium who had an individualised comprehensive care plan on discharge.

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

Both the numerator and the denominator include patients with delirium that is current or resolved at the time of discharge from hospital. 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 a patient to be included in the numerator their individualised comprehensive care plan needs to be developed collaboratively with the patient and their carer. It should be documented, and include all of the following:

  • A description of the patient’s diagnoses
  • The patient’s goals of care
  • Current list of medicines and the conditions for which they are prescribed
  • Any other medicines that have been discontinued and the reasons for discontinuing them
  • Any ongoing treatments that the patient needs for delirium and any other health conditions
  • Strategies that can reduce the patient’s risk of delirium, or prevent complications from it
  • A plan for review by a specialist clinic, specialist or primary healthcare provider within 10 days of discharge, and
  • Any community support services that the patient is referred to.

Presented as a percentage.

Computation:Help on this term

(Numerator ÷ Denominator) x 100‚Äč

Numerator:Help on this term

The number of patients with current or resolved delirium who had an individualised comprehensive care plan on discharge.

Denominator:Help on this term

The number of patients with current or resolved delirium.

Comments:Help on this term

This indicator is based on the Ontario Senior Friendly Hospital Strategy Delirium and Functional Decline Indicators (Wong et al, 2012).

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

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

Wong K, Tsang A, Liu B & Schwartz R. The Ontario Senior Friendly Hospital Strategy Delirium and Functional Decline Indicators. Toronto: Ontario Local Health Integration Network; 2012.

 

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