Falls and delirium in an acute care setting: A retrospective chart review before and after an organisation‐wide interprofessional education

Aim and objectives To describe and compare identification of delirium, length of stay and discharge locations in two patient samples of falls, before and after an organisation‐wide interprofessional delirium education and practice change along with implementation of a policy. Background Delirium is...

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Bibliographic Details
Published in:Journal of clinical nursing 2018-04, Vol.27 (7-8), p.e1429-e1441
Main Authors: Babine, Rhonda L, Hyrkäs, Kristiina E, Hallen, Sarah, Wierman, Heidi R, Bachand, Deborah A, Chapman, Joanne L, Fuller, Valerie J
Format: Article
Language:English
Subjects:
Delirium
education
Falls
inpatient
Inpatient care
Interprofessional education
Nursing
Patient safety
Quantitative analysis
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Summary:Aim and objectives To describe and compare identification of delirium, length of stay and discharge locations in two patient samples of falls, before and after an organisation‐wide interprofessional delirium education and practice change along with implementation of a policy. Background Delirium is a common and severe problem for hospitalised patients, with occurrence ranging from 14%–56%, morbidity and mortality from 25%–33%. Recent studies report that 73%–96% of patients who fell during a hospital stay had symptoms of delirium; however, the delirium went undiagnosed and untreated in 75% of the cases. Design A descriptive, retrospective observational study using a pre/postdesign. Methods Two chart reviews were performed on patient falls as identified in the hospital safety reporting system in 2009–2010 (98 fallers) and 2012 (108 fallers). An organisation‐wide education was planned and implemented with monitoring of policy compliance. Results After the education, documentation of the “diagnosis of delirium” and “no evidence of delirium” increased from 14.3%–29.5% and from 27.6%–44.4%. The documentation of “evidence of delirium” decreased significantly from 58.2%–25.9% (p 
ISSN:0962-1067
1365-2702
DOI:10.1111/jocn.14259