delirium prevention program

How might you go about replicating this approach in your institution or organization? GUIDELINES Post the following: How your population matches the populations in your research articles. The intervention you would implement Define baseline data collection sources (EMR, datasets, etc), method, and measures. Expected outcome (Include a specific plan of how you will measure/evaluate your change in practice: Specifically, Who, What, When, Where, and How).

PICOT Question: In hospitalized adult patients, does the implementation of a multidisciplinary delirium prevention program compared to standard care reduce the incidence of delirium during hospitalization?

Patient Population of Interest: The population of interest for this PICOT question is hospitalized adult patients. Delirium is a common problem among hospitalized patients, especially in older adults, with a prevalence of up to 50% in some studies (Marcantonio et al., 2017). Hospitalization is a vulnerable time for patients, and delirium can cause significant distress, confusion, and even death. Therefore, it is important to investigate strategies to prevent and reduce delirium in this population.

Intervention/Issue: The intervention of interest is a multidisciplinary delirium prevention program. Delirium prevention programs typically involve a comprehensive approach that includes strategies such as reorientation, environmental modification, early mobilization, medication management, and nutritional support (Ramnarain et al., 2023). These programs often involve input from multiple healthcare professionals, including physicians, nurses, physical therapists, and occupational therapists.

Comparison Intervention: The comparison intervention is standard care. Standard care typically involves routine care provided by healthcare professionals during hospitalization, which may or may not include delirium prevention strategies.

Outcomes: The primary outcome of interest is the incidence of delirium during hospitalization. Delirium is a serious complication that is associated with increased morbidity, mortality, length of hospital stay, and healthcare costs (Marcantonio et al., 2017). Therefore, reducing the incidence of delirium during hospitalization is an important goal.

Time: The time frame for this study is the duration of hospitalization. Delirium is a common problem that can occur at any time during hospitalization, and therefore, the entire hospital stay should be considered.

In conclusion, the PICOT question “In hospitalized adult patients, does the implementation of a multidisciplinary delirium prevention program compared to standard care reduce the incidence of delirium during hospitalization?” aims to investigate the effectiveness of a multidisciplinary approach to prevent and reduce delirium in hospitalized adult patients. Delirium is a serious complication that is associated with negative outcomes, and therefore, it is important to investigate strategies to prevent and reduce delirium in this population. The implementation of a multidisciplinary delirium prevention program is a potential strategy that could be effective in reducing the incidence of delirium during hospitalization. By investigating this question, we can determine whether this approach is an effective strategy to improve patient outcomes during hospitalization.

References

Marcantonio, E. R. (2017). Delirium in Hospitalized Older Adults. New England Journal of Medicine, 377(15), 1456–1466. https://doi.org/10.1056/nejmcp1605501

Ramnarain, D., Pouwels, S., Fernández‐Gonzalo, S., Navarra‐Ventura, G., & Balanzá‐Martinez, V. (2023). Delirium–related psychiatric and neurocognitive impairment and the association with post intensive care syndrome‐ a narrative review. Acta Psychiatrica Scandinavica. https://doi.org/10.1111/acps.13534

steps that can be taken to implement a multidisciplinary delirium prevention program in a hospital setting based on the PICOT question and the available evidence.

Population: The first step is to identify the population of interest, which is hospitalized adult patients at risk of developing delirium.

Intervention: The intervention is a multidisciplinary delirium prevention program that involves input from multiple healthcare professionals and includes strategies such as reorientation, environmental modification, early mobilization, medication management, and nutritional support.

Baseline Data Collection: Before implementing the program, baseline data should be collected to establish the incidence of delirium in the hospital population. Data collection sources can include electronic medical records (EMRs), patient charts, and other datasets. The method and measures for data collection should be standardized to ensure consistency across the study period.

Expected Outcome: The expected outcome is a reduction in the incidence of delirium during hospitalization. The program’s effectiveness can be measured by comparing the incidence of delirium between the intervention group (patients receiving the multidisciplinary delirium prevention program) and the control group (patients receiving standard care). The specific plan for measuring and evaluating the change in practice should include:

Who: Patients admitted to the hospital
What: The incidence of delirium during hospitalization
When: Before and after implementing the multidisciplinary delirium prevention program
Where: In the hospital setting
How: By comparing the incidence of delirium between the intervention and control groups and analyzing the data using statistical methods.

In summary, implementing a multidisciplinary delirium prevention program in a hospital setting can reduce the incidence of delirium during hospitalization. To ensure that the program is effective, baseline data should be collected, and the program’s effectiveness should be measured using standardized methods and measures.