1775 Delirium education and documentation - Quality improvement project in geriatric assessment unit

Abstract

Abstract Introduction Delirium is a common presentation in older people (>65 Years age) and associated with falls risk, longer inpatient stay, post-discharge institutionalization, accelerated cognitive decline and higher mortality. While median duration of delirium is reported as 1 week but for one third patients, symptoms may persist 3 months or more, even a proportion of patients will never fully recover to their pre-delirium cognitive baseline. It is essential to educate patient and family that staying in the hospital can only make delirium worse and they will need extra support on discharge for usual daily activities to avoid falls and readmissions. Physicians should be aware that delirium sufferers often have an awareness of their experience and for affected person and their family, delirium can be a cause of significant distress. Identification of risk factors, education, and a systematic approach to management can improve the outcome and experience of the syndrome. Aim To provide delirium education and Improve documentation up to 95 % in GAU. Method • Prospective data collection • Jan 2023 to March 2023 • Monthly data analysis of 20 patients in GAU with the confirm diagnosis of delirium. • PDSA 1 Departmental teaching and delirium leaflet awareness and availability • PDSA 2 Poster as Visual prompt Results After 2 PDSA cycles, we noticed significant improvement in delirium education and documentation up to 95%. Another QIP is ongoing to incorporate delirium time bundle in our practice to timely identify diagnosis, manage potential triggers and provide education to better understand its nature. Conclusion Along with prompt diagnosis and management, good educational approach and clear documentation will lead to improve understanding about delirium, reduce distress and facilitate safe early discharge. References https://www.sign.ac.uk/sign-157-delirium.