Literature DB >> 32297236

Quality improvement and delirium.

Emma R L C Vardy1, Rebecca E Thompson2.   

Abstract

PURPOSE: Quality improvement (QI) is a useful methodology that can be used to make timely improvements in clinical practice. This review gives a broad picture of what QI is and the methodology this entails. An overview of how QI has been applied in the field of delirium to date is provided as well as a discussion of how this area may be developed in the future.
METHODS: As part of the review, a literature search was completed to assess the literature published to date on QI and delirium. Literature relating to delirium in the context of a variety of clinical specialties is also presented as well as a summary of short films that can be used for purposes of awareness raising.
RESULTS: We found that QI has so far been an under-utilized methodology in the context of delirium and that studies that adhere to general guidance on reporting are few.
CONCLUSION: We suggest that well-designed QI studies would be beneficial to improve the assessment, management and care of delirium. The methodology may also be used to embed educational resources. In this review, we describe the theory behind QI and also suggest some resources that may be useful in any QI delirium project.

Entities:  

Keywords:  Assessment; Change; Delirium; Management; Quality improvement; Review

Year:  2019        PMID: 32297236     DOI: 10.1007/s41999-019-00268-z

Source DB:  PubMed          Journal:  Eur Geriatr Med        ISSN: 1878-7649            Impact factor:   1.710


  11 in total

1.  Delirium in an adult acute hospital population: predictors, prevalence and detection.

Authors:  Daniel James Ryan; Niamh Annmarie O'Regan; Ronán Ó Caoimh; Josie Clare; Marie O'Connor; Maeve Leonard; John McFarland; Sheila Tighe; Kathleen O'Sullivan; Paula T Trzepacz; David Meagher; Suzanne Timmons
Journal:  BMJ Open       Date:  2013-01-07       Impact factor: 2.692

2.  Risk Factors and Outcomes for Postoperative Delirium after Major Surgery in Elderly Patients.

Authors:  Jelle W Raats; Wilbert A van Eijsden; Rogier M P H Crolla; Ewout W Steyerberg; Lijckle van der Laan
Journal:  PLoS One       Date:  2015-08-20       Impact factor: 3.240

3.  A quality improvement approach to cognitive assessment on hospice admission: could we use the 4AT or Short CAM?

Authors:  Lucy Baird; Juliet Anne Spiller
Journal:  BMJ Open Qual       Date:  2017-08-31

4.  Incidence of delirium in the Canadian emergency department and its consequences on hospital length of stay: a prospective observational multicentre cohort study.

Authors:  Marcel Émond; Valérie Boucher; Pierre-Hugues Carmichael; Philippe Voyer; Mathieu Pelletier; Émilie Gouin; Raoul Daoust; Simon Berthelot; Marie-Eve Lamontagne; Michèle Morin; Stéphane Lemire; Thien Tuong Minh Vu; Alexandra Nadeau; Marcel Rheault; Lucille Juneau; Natalie Le Sage; Jacques Lee
Journal:  BMJ Open       Date:  2018-03-08       Impact factor: 2.692

5.  A team approach to the introduction of safe early mobilisation in an adult critical care unit.

Authors:  Sanjiv Chohan; Sara Ash; Lorraine Senior
Journal:  BMJ Open Qual       Date:  2018-11-10

6.  A hospital-wide evaluation of delirium prevalence and outcomes in acute care patients - a cohort study.

Authors:  Maria Schubert; Roger Schürch; Soenke Boettger; David Garcia Nuñez; Urs Schwarz; Dominique Bettex; Josef Jenewein; Jasmina Bogdanovic; Marina Lynne Staehli; Rebecca Spirig; Alain Rudiger
Journal:  BMC Health Serv Res       Date:  2018-07-13       Impact factor: 2.655

7.  The incidence and prevalence of delirium across palliative care settings: A systematic review.

Authors:  Christine L Watt; Franco Momoli; Mohammed T Ansari; Lindsey Sikora; Shirley H Bush; Annmarie Hosie; Monisha Kabir; Erin Rosenberg; Salmaan Kanji; Peter G Lawlor
Journal:  Palliat Med       Date:  2019-06-11       Impact factor: 4.762

8.  Improving early recognition of delirium using SQiD (Single Question to identify Delirium): a hospital based quality improvement project.

Authors:  Elaine McCleary; Pamela Cumming
Journal:  BMJ Qual Improv Rep       Date:  2015-01-07

9.  TIME to think about delirium: improving detection and management on the acute medical unit.

Authors:  Yehudit Bauernfreund; Matthew Butler; Sumathi Ragavan; Elizabeth L Sampson
Journal:  BMJ Open Qual       Date:  2018-08-13

10.  Quality improvement of delirium status communication and documentation for intensive care unit patients during daily multidisciplinary rounds.

Authors:  Krishna Aparanji; Shreedhar Kulkarni; Megan Metzke; Yvonne Schmudde; Peter White; Cassie Jaeger
Journal:  BMJ Open Qual       Date:  2018-06-29
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