delirium

/Tag:delirium

A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

Background: Hospitalized elderly patients are at risk for delirium. Despite the widely recognized importance of avoiding potentially inappropriate medications on the BEERS list, hospitalized patients often receive high-risk medications such as benzodiazepines for insomnia. This [...]

By | 2019-03-11T14:23:21+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on A QUALITY IMPROVEMENT PROJECT TO REDUCE HIGH-RISK MEDICATION USE FOR SLEEP IN HOSPITALIZED PATIENTS AT RISK OF DELIRIUM

BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

Background: The prevalence of delirium among hospitalized patients ranges up to 56% and results in increased hospital mortality and duration of hospitalization. Symptoms of delirium may be subtle in early stages and may present clinically [...]

By | 2018-03-19T13:07:12+00:00 March 19th, 2018|Hospital Medicine 2018, Quality Improvement, Research|Comments Off on BATTLING HOSPITAL DELIRIUM: A STANDARDIZED INTERDISCIPLINARY MODEL FOR THE TREATMENT OF HOSPITAL-ACQUIRED DELIRIUM.

DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

Background: Delirium is a prevalent and dangerous state of confusion that affects millions >65 years of age (1-3). Delirium is underdiagnosed and undertreated due to lack of effective screening methods (4, 5).  Undetected delirium in [...]

By | 2018-03-15T20:51:00+00:00 April 21st, 2017|Geriatrics, Research Abstracts|Comments Off on DELIRIUM DETECTION BY A SIMPLIFIED EEG DEVICE IN GENERAL MEDICINE HOSPITALIST SERVICE AND ORTHOPEDIC SERVICE

DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

Background: The American healthcare system is focused on promoting value; providing high quality care while paying close attention to associated costs. Studies have shown that admission to a teaching hospital is associated with better outcomes, [...]

By | 2018-03-19T13:23:54+00:00 March 19th, 2018|Hospital Medicine 2018, Research, Value in Hospital Medicine|Comments Off on DIFFERENCES IN HEALTHCARE OUTCOMES FOR PATIENTS WITH DELIRIUM BETWEEN TEACHING AND NONTEACHING HOSPITALS

DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

Background: Delirium is associated with increased duration of mechanical ventilation, longer intensive care unit (ICU) length of stay, increased mortality and cognitive impairment after discharge. Quetiapine has been associated with faster resolution but long-term use [...]

By | 2017-04-20T19:17:57+00:00 April 20th, 2017|Patient Safety, Research Abstracts|Comments Off on DON’T BE ATYPICAL – RETHINK QUETIAPINE: REDUCING QUETIAPINE FOR ICU DELIRIUM AT TRANSITIONS OF CARE

HOW DELIRIOUS CAN IT BE TO ‘PREDICT’ DELIRIUM ? – A REVIEW OF DELIRIUM PREDICTION TOOLS FOR HOSPITALIZED PATIENTS

Background: Delirium prevention by multicomponent interventions is proven, with strong evidence confirming its effectiveness in both medical and surgical populations. Identifying high risk patients is very important for resource allocation and utilization. Risk factors for [...]

By | 2019-03-11T14:18:19+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on HOW DELIRIOUS CAN IT BE TO ‘PREDICT’ DELIRIUM ? – A REVIEW OF DELIRIUM PREDICTION TOOLS FOR HOSPITALIZED PATIENTS

INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

Background: Delirium is an acute change in mental status affecting 10-64% of hospitalized patients, and may be preventable in 30-40% cases. There was no standardized protocol for delirium at our hospital prior to 2014. In [...]

By | 2019-03-11T14:24:21+00:00 March 11th, 2019|Hospital Medicine 2019, Quality Improvement, Research|Comments Off on INITIATIVE FOR PREVENTION AND EARLY IDENTIFICATION OF DELIRIUM IN MEDICAL-SURGICAL UNITS: LESSONS LEARNT IN THE PAST FIVE YEARS

PREVENTION OF DELIRIUM IN HOSPITALIZED OLDER ADULTS WITH EYE MASKS AND EARPLUGS WORN AT NIGHT: A PILOT STUDY

Background: Delirium is associated with high morbidity and mortality in hospitalized older adults. Sleep is a modifiable risk factor for delirium. Eye masks (EMs) and earplugs (EPs) have been shown to improve sleep and effective [...]

By | 2019-03-11T14:18:21+00:00 March 11th, 2019|Geriatrics, Hospital Medicine 2019, Research|Comments Off on PREVENTION OF DELIRIUM IN HOSPITALIZED OLDER ADULTS WITH EYE MASKS AND EARPLUGS WORN AT NIGHT: A PILOT STUDY

WHEN YOUR EYES DECEIVE YOU: BROADENING THE DIFFERENTIAL FOR ALTERED MENTAL STATUS

Case Presentation: A 91 year-old female with history of atrial fibrillation on coumadin, hypertension, prior stroke, myeloproliferative disease, polycythemia vera and recently diagnosed macular degeneration presented with complaints of visual hallucinations for two weeks. She [...]

By | 2019-03-11T14:36:56+00:00 March 11th, 2019|Adult, Clinical Vignettes, Hospital Medicine 2019|Comments Off on WHEN YOUR EYES DECEIVE YOU: BROADENING THE DIFFERENTIAL FOR ALTERED MENTAL STATUS

WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS

Background: Hospital-acquired delirium is a common cause of increased morbidity and mortality. In an earlier pilot study, we identified through surveys that adult medicine inpatients slept an average of 4 hours. Also, multiple factors including [...]

By | 2017-04-26T03:17:51+00:00 April 20th, 2017|Quality Improvement, Research Abstracts|Comments Off on WHY SO DELIRIOUS? THE IMPLEMENTATION OF A DELIRIUM PREVENTION PROTOCOL IN HOSPITALIZED ELDERLY PATIENTS