2.50
Hdl Handle:
http://hdl.handle.net/10755/308548
Category:
Abstract
Type:
Presentation
Title:
Linking Evidence to Practice: The Delirium and Fall Connection
Author(s):
Chapman, Joanne; Bachand, Deborah; Honess, Cynthia
Lead Author STTI Affiliation:
Non-member
Author Details:
Joanne Chapman, RN, BSN, MSN, MEd, chapmj1@mmc.org; Deborah Bachand, RN, BSN, CNA, BC; Cynthia Honess, RN, MSN
Abstract:

Session presented on: Tuesday, November 19, 2013

Patient falls continue to present a threat to patient safety and increase morbidity, mortality and the cost of health care.  Falls can be related to many risk factors for patients in a hospital including acute illness, an unfamiliar environment and medications.  After reviewing all data related to patient falls, we posed the question as to whether unrecognized or undiagnosed delirium could possibly link to these falls.   Lakatos, B.E., et al, (2009) work at Massachusetts General Hospital, found 96% of patients who fell had evidence of delirium and 75% of the time the delirium went undiagnosed.  This evidence became the basis of two research studies and a comprehensive plan to integrate evidence related to delirium assessment and interventions into practice.

In 2010, an interdisciplinary collaborative formed to replicate the Lakatos study and found similar results.  Unrecognized delirium occurred in over 60% of our patients, with delirium present 71% of the time.  Members of the team included a geriatrician, Nurse Practitioner, Clinical Nurse Specialists and Nursing Director co-chairs of the falls committee.  These results led to a comprehensive action plan that included education, implementation of the Confusion Assessment Method (CAM) tool, and development of a Delirium Tool Kit, leveraging and purchasing technology and continuous monitoring of practice.  This approach has led to a common language and understanding about delirium among interdisciplinary clinicians which has aided in improved safety for our patients. 

This comprehensive interdisciplinary approach has led to an increase in identification of delirium and, consequently, a consistent decrease in fall rate.  A re-replication study was completed in 2012 to evaluate patient falls and delirium connection. Results indicate an increase in identification of delirium as well as a lower fall rate.

Keywords:
Falls; Delirium
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleLinking Evidence to Practice: The Delirium and Fall Connectionen_GB
dc.contributor.authorChapman, Joanneen_GB
dc.contributor.authorBachand, Deborahen_GB
dc.contributor.authorHoness, Cynthiaen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJoanne Chapman, RN, BSN, MSN, MEd, chapmj1@mmc.org; Deborah Bachand, RN, BSN, CNA, BC; Cynthia Honess, RN, MSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308548-
dc.description.abstract<p>Session presented on: Tuesday, November 19, 2013</p>Patient falls continue to present a threat to patient safety and increase morbidity, mortality and the cost of health care.  Falls can be related to many risk factors for patients in a hospital including acute illness, an unfamiliar environment and medications.  After reviewing all data related to patient falls, we posed the question as to whether unrecognized or undiagnosed delirium could possibly link to these falls.   Lakatos, B.E., et al, (2009) work at Massachusetts General Hospital, found 96% of patients who fell had evidence of delirium and 75% of the time the delirium went undiagnosed.  This evidence became the basis of two research studies and a comprehensive plan to integrate evidence related to delirium assessment and interventions into practice. <p>In 2010, an interdisciplinary collaborative formed to replicate the Lakatos study and found similar results.  Unrecognized delirium occurred in over 60% of our patients, with delirium present 71% of the time.  Members of the team included a geriatrician, Nurse Practitioner, Clinical Nurse Specialists and Nursing Director co-chairs of the falls committee.  These results led to a comprehensive action plan that included education, implementation of the Confusion Assessment Method (CAM) tool, and development of a Delirium Tool Kit, leveraging and purchasing technology and continuous monitoring of practice.  This approach has led to a common language and understanding about delirium among interdisciplinary clinicians which has aided in improved safety for our patients.  <p>This comprehensive interdisciplinary approach has led to an increase in identification of delirium and, consequently, a consistent decrease in fall rate.  A re-replication study was completed in 2012 to evaluate patient falls and delirium connection. Results indicate an increase in identification of delirium as well as a lower fall rate.en_GB
dc.subjectFallsen_GB
dc.subjectDeliriumen_GB
dc.date.available2013-12-19T17:32:46Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:46Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.