DELIRIUM toolbox icon TOOLBOX

OVERVIEW RISK IDENTIFICATION INTERVENTIONS PROTOCOL OTHER CLINICAL PROJECTS

RISK IDENTIFICATION

progress

Ultimate Goal of Funding: Prevent Long Term Care Admissions

Incidence of Delirium
RISK FACTOR OR (95% CI)
Vision impairment 1.70 (1.01 to 2.85)
Infection 2.96 (1.42 to 6.15)
Age over 65 3.03 (1.19 to 7.71)
Illness severity (APACHE) 3.49 (1.48 to 8.23)
Age over 80 5.22 (2.61 to 10.44)
Cognitive impairment 6.30 (2.89 to 13.74)
Fracture on admission 6.57 (2.23 to 19.33)
*National Institute for Health and Clinical Excellence. DELIRIUM: diagnosis, prevention and management Clinical Guideline 103. Regent’s Park, London: National Clinical Guideline Centre, 2010.

When applicable, interventions are given to reduce risk of delirium onset (see Interventions section). After screen is completed, a note is entered into the electronic medical record in order to alert healthcare staff to each individual's level of risk. See below for a sample of a Delirium Risk Assessment note.

Download Risk Assessment Note

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The Delirium Toolbox is a VA quality improvement project developed by James Rudolph that evolved from a VABHS Healthcare Failure Effects-Modes Analysis (HFEMA) and VABHS Delirium Task Force. The Delirium Toolbox is funded via a T21 mechanism administered by the Office of Geriatrics and Extended Care to prevent long-term institutionalization in high-risk veterans.

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