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