ArticleCanadian geriatrics journal : CGJ2017
Geriatric Delirium Care: Using Chart Audits to Target Improvement Strategies.
Article in Canadian geriatrics journal : CGJ, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- High prevalence of unrecognized postoperative delirium in elderly patients: a prospective cohort study from a resource-limited country.Patient safety in surgery · 2025Article
- Characterizing medical patients with delirium: A cohort study comparing ICD-10 codes and a validated chart review method.PloS one · 2024Article
- Boosting Delirium Identification Accuracy With Sentiment-Based Natural Language Processing: Mixed Methods Study.JMIR medical informatics · 2022Article
- A machine-learning model to predict postoperative delirium following knee arthroplasty using electronic health records.BMC psychiatry · 2022Article
- The frequency and quality of delirium documentation in discharge summaries.BMC geriatrics · 2021Article
- Winter Issue, 2017.Canadian geriatrics journal : CGJ · 2017Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOur hospital identified delirium care as a quality improvement target. Baseline characterization of our delirium care and deficits was needed to guide improvement efforts.
methodsTwo inpatient units were selected: 1) A general internal medicine unit with a focus on geriatrics, and 2) a surgical unit. Retrospective chart audits were conducted for all patients over age 50 admitted during a one-month period to compare delirium care with best practice guideline (BPG) recommendations, and to determine the incidence of missed cases of delirium and negative outcomes in patients with delirium. The aim was to gather local data to prioritize improvement efforts and mobilize stakeholders.
results186 charts were reviewed: 17 patients had physician-diagnosed delirium, 21 patients had missed delirium, and 148 patients had no delirium. Compliance with delirium BPGs was variable, but generally poor. There was a trend towards missed delirium and physician-diagnosed delirium being associated with greater odds of having above-median length of stay and lower odds of discharge home compared to no delirium diagnosis.
conclusionOverall, the chart audits confirmed delirium underrecognition and poor adherence to best practices in delirium management. Granular analysis of this data was used to mobilize stakeholders and prioritize improvement plans.
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