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Delirium in adults [QS63]

Measuring the use of this guidance

Statement: 1

Adults newly admitted to hospital or long-term care who are at risk of delirium are assessed for recent changes in behaviour, including cognition, perception, physical function and social behaviour.

Quality standard measure: Proportion of adults newly admitted to hospital or long-term care who are at risk of delirium who are assessed for recent changes in behaviour, including cognition, perception, physical function and social behaviour.
What was measured: Proportion of patients aged over 65 who were admitted to hospital for a non-elective reason and who had an assessment for the presence or absence of delirium or a documented diagnosis of delirium.
Data collection end: May 2015
36.7%
Number that met the criteria: 1496 / 4846
Data collection end: December 2016
39.7%
Number that met the criteria: 1875 / 5387
Area covered: England and Wales
Source: Royal College of Physicians. National Audit of Inpatient Falls audit report.

Quality standard measure: Proportion of adults newly admitted to hospital or long-term care who are at risk of delirium who are assessed for recent changes in behaviour, including cognition, perception, physical function and social behaviour.
What was measured: Percentage of people with dementia admitted to hospital whose case notes included evidence that an initial assessment for indicators of delirium had been carried out.
Data collection end: November 2016
45%
Number that met the criteria: 4466 / 10047
Area covered: National
Source: Royal College of Psychiatrists. National Audit of Dementia.

Quality standard measure: Proportion of adults newly admitted to hospital or long-term care who are at risk of delirium who are assessed for recent changes in behaviour, including cognition, perception, physical function and social behaviour.
What was measured: Proportion of people with dementia admitted to hospital whose case notes included evidence that an initial assessment for indicators of delirium had been carried out.
Data collection end: November 2017
51%
Number that met the criteria: 1136 / 2228
Area covered: England and Wales
Source: National Audit of Dementia: Spotlight audit

Quality standard measure: Proportion of adults newly admitted to hospital or long-term care who are at risk of delirium who are assessed for recent changes in behaviour, including cognition, perception, physical function and social behaviour.
What was measured: Proportion of people with dementia admitted to hospital who had either an initial assessment for delirium, SQiD, confusion assessment or who had delirium noted on admission.
Data collection end: November 2017
68%
Area covered: England and Wales
Source: National Audit of Dementia: Spotlight audit


Statement: 5

Adults with current or resolved delirium who are discharged from hospital have their diagnosis of delirium communicated to their GP.

Quality standard measure: Proportion of adults with current or resolved delirium who are discharged from hospital who have their diagnosis of delirium communicated to their GP.
What was measured: Proportion of people with dementia admitted to hospital whose case notes indicated delirium or acute confusion during the initial admission and who had this recorded on their discharge letter or summary.
Data collection end: November 2017
48%
Number that met the criteria: 450 / 947
Area covered: England and Wales
Source: National Audit of Dementia: Spotlight audit



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