Comparative Implementation of a Brief App-Directed Protocol for Delirium Identification by Hospitalists, Nurses, and Nursing Assistants : A Cohort Study.

ABSTRACT:

Background

Systematic screening improves delirium identification among hospitalized older adults. Little data exist on how to implement such screening.

Objective

To test implementation of a brief app-directed protocol for delirium identification by physicians, nurses, and certified nursing assistants (CNAs) in real-world practice relative to a research reference standard delirium assessment (RSDA).

Design

Prospective cohort study.

Setting

Large urban academic medical center and small rural community hospital.

Participants

527 general medicine inpatients (mean age, 80 years; 35% with preexisting dementia) and 399 clinicians (53 hospitalists, 236 nurses, and 110 CNAs).

Measurements

On 2 study days, enrolled patients had an RSDA. Subsequently, CNAs p

SUBMITTER: Marcantonio ER 

PROVIDER: S-EPMC8938856 | biostudies-literature | 2022 Jan

REPOSITORIES: biostudies-literature