An Implementation-Effectiveness Study of a Perioperative Delirium Prevention Initiative for Older Adults.

ABSTRACT:

Background

Postoperative delirium is a common and serious problem for older adults. To better align local practices with delirium prevention consensus guidelines, we implemented a 5-component intervention followed by a quality improvement (QI) project at our institution.

Methods

This hybrid implementation-effectiveness study took place at 2 adult hospitals within a tertiary care academic health care system. We implemented a 5-component intervention: preoperative delirium risk stratification, multidisciplinary education, written memory aids, delirium prevention postanesthesia care unit (PACU) orderset, and electronic health record enhancements between December 1, 2017 and June 30, 2018. This was followed by a department-wide QI project to increase uptake of the intervention f

SUBMITTER: Donovan AL 

PROVIDER: S-EPMC7669669 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature