e-Screening revolution: A novel approach …

Eeles, E., et al. (2018). "e-Screening revolution: A novel approach to developing a delirium screening tool in the intensive care unit." Australasian Journal on Ageing 37(2): 147-150.

ObjectivesDelirium is common in the intensive care unit (ICU), often affecting older patients. A bedside electronic tool has the potential to revolutionise delirium screening. Our group describe a novel approach to the design and development of delirium screening questions for the express purpose of use within an electronic device. Preliminary results are presented. MethodsOur group designed a series of tests which targeted the clinical criteria for delirium according to Diagnostic and Statistical Manual of Mental Disorders - Fifth Edition (DSM-5) criteria against predefined requirements, including applicability to older patients. ResultsCandidate questions, including tests of attention and awareness, were devised and then refined by an expert multidisciplinary group, including geriatricians. A scoring scheme was constructed, with testing to failure an indicator of delirium. The device was tested in healthy controls, aged 20-80 years, who were recorded as being without delirium. Conclusione-Screening for delirium requires a novel approach to instrument design but may revolutionise recognition of delirium in ICU. Policy Impact: The e-delirium screening tool will potentially help deliver on the Australian Commission on Safety and Quality in Health Care (ACSQHC) standard for delirium care by improving detection. Improved recognition may have flow on effects to enhance care of delirium in line with ACSQHC management. Practice Impact: The e-delirium screening tool has the potential to revolutionise the practice of delirium screening within the intensive care setting for older patients. The tool's brevity and ease of use may optimise its adoption, whilst releasing time to care for other ICU patients.