Delirium Collaborative
Jan 28, 2016
Delirium Collaborative
Aim
By July 2013, 100% of inpatients 65 years and older in ward 4 of Middlemore hospital will be screened using the Confusion Assessment Method (CAM) tool for 5 consecutive days from admission. They will have the delirium pathway implemented and documented appropriately to reduce preventable complications associated with delirium.
The Counties Manukau Health Delirium Symbol
Key Changes
A comprehensive education package regarding an overview of delirium, how to use the CAM and how to implement the intervention package was given to all ward staff.
The adaptation of a robust, easy to use screening tool (CAM) allowing for the increased identification of delirium and detection of a potential delirium developing.
An intervention package which is simple, quick to implement, cost effective, encompasses the multi-disciplinary team and improves patient care through promoting best practice. This includes a patient/family information booklet ensuring education and understanding.
A delirium stamp and computer prompts to encourage diagnosis in the patients EDS.
Change
Package
Education Package
Intervention Package
Assessment Package
Champion Package 1A Delirium Education Spread ppt
2A CAM Presentation ppt
3A Intervention Presentation ppt
1B Delirium Patient Story Video
2B Delirium Project Video
3B CAM Intervention Video
1C 3D’s Handout
2C How to..CAM Tool Practice Session
3C CAM Intervention Sheet & Checklist
2D CAM Tool pdf
CMH Guideline
20,000 Days Pamphlet
Role of Delirium Champions
Delirium A Review pdf
Article on Delirium pdf
Brief Guide to Delirium pdf
20,000 Days – Delirium Video
Delirium Management Pathway
CAM Tool
Process Map
CAM Intervention
Check list
Placement of CAM tool
CAM Compliance
Watch Folder
Early Delirium Identification & Management - Change Package
Patient Room sign
Pharmacy review
Environment
Family
Hearing
Vision
Nutrition/hydrationInformation
Pamphlet for Family
CMH Delirium Guideline
Communication/
IT/Coding
Delirium Coding Stamp
Staff Package
Version ControlDate: 5/6/13Owner: D FarrellFolder: 20,000 Days/HOP/Delirium/Change Package
WiMs Prompt
Audit Tool
Delirium as diagnosis in EDS
iPMs flag
Documentation
Lessons Learnt
We learnt the importance of keeping our aim in sight to maintain focus.
The importance of reliability to ensure sustainability – this takes time but ensures a stronger change package.
The importance of “champions” to drive a new concept on the ward.
The importance of staff consultation in the improvement of resources.
Implementation of any concept needs to be flexible to allow sustainability in all clinical areas.
Health Round Table Innovation Award