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Improving the Screening and Diagnosis of Delirium for Older adult Patients Admitted to Hillingdon Hospital

Published online by Cambridge University Press:  07 July 2023

Abiram Selladurai*
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
Mirette Habib
Affiliation:
Central and North West London NHS Foundation Trust, London, United Kingdom
Duncan Alston
Affiliation:
Hillingdon Hospital, London, United Kingdom
*
*Corresponding author.
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Abstract

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Aims

The aim was for 80% of adults aged over 65 years to be screened for delirium at the point of admission to hospital.

Methods

We implemented multiple interventions including:

  • Teaching sessions for doctors, nursing staff and healthcare assistants on delirium.

  • Designed a new proforma using a more specific tool for screening delirium (4AT)

  • Making the clerking proforma and delirium screening tool more user friendly

Results

Results have shown statistically significant improvement in the detection of delirium with a sample in October 2022 showing 68% of older adults admitted to Hillingdon Hospital having been appropriately screened for delirium.

Conclusion

Current results suggest significant improvements with our interventions, however further progress is still required to reach our aims with regular data collection being paramount.

Type
Quality Improvement
Creative Commons
Creative Common License - CCCreative Common License - BYCreative Common License - NC
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. This does not need to be placed under each abstract, just each page is fine.
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of the Royal College of Psychiatrists

Footnotes

Abstracts were reviewed by the RCPsych Academic Faculty rather than by the standard BJPsych Open peer review process and should not be quoted as peer-reviewed by BJPsych Open in any subsequent publication.

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