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dc.contributor.authorRippon, Daniel
dc.contributor.authorMilisen, Koen
dc.contributor.authorDetroyer, Elke
dc.contributor.authorMukaetova-Ladinska, Elizabeta
dc.contributor.authorHarrison, Beth
dc.contributor.authorSchuurmans, Marieke
dc.contributor.authorPryor, Claire
dc.contributor.authorTeodorczuk, Andrew
dc.date.accessioned2018-06-20T03:28:19Z
dc.date.available2018-06-20T03:28:19Z
dc.date.issued2016
dc.identifier.issn1041-6102
dc.identifier.doi10.1017/S1041610216000983
dc.identifier.urihttp://hdl.handle.net/10072/123883
dc.description.abstractDespite awareness of the negative health and financial outcomes of delirium, systems to routinely assess and manage the condition are absent in clinical practice. We report the development and pilot evaluation of a Delirium Early Monitoring System (DEMS), designed to be completed by non-medical staff to influence clinical processes within inpatient settings. Two versions of the DEMS are described based on a modified Confusion Assessment Method (DEMS-CAM) and Delirium Observation Screening Scale (DEMS-DOSS). Methods: Both versions of DEMS were piloted on a 20-bedded Psychogeriatric ward over 6 weeks. Training was administered to ward staff on the use of each version of the DEMS and data were collected via electronic medical records and completed assessment sheets. The primary outcome was patterns of DEMS use and the secondary outcome was the initiation of delirium management protocols. Data regarding the use of the DEMS DOSS and DEMS CAMS were analyzed using χ 2 tests. Results: Completion rates for the DEMS CAM and DEMS DOSS were 79% and 68%, respectively. Non-medical staff were significantly more likely to use the DEMS-CAM as part of daily practice as opposed to the DEMS-DOSS (p<0.001). However, there was no difference between the use of the DEMS-CAM and DEMS-DOSS in triggering related actions such as documentation of assessment scores in patients’ medical records and implementation of delirium management protocols. Conclusions: This real world evaluation revealed that non-medical staff were able to incorporate delirium monitoring into their practice, on the majority of occasions, as part of their daily working routine. Further research is necessary to determine if the routine use of the DEMS can lead to improved understandings and practice of non-medical staff regarding delirium detection.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherCambridge University Press
dc.relation.ispartofpagefrom1879
dc.relation.ispartofpageto1887
dc.relation.ispartofissue11
dc.relation.ispartofjournalInternational Psychogeriatrics
dc.relation.ispartofvolume28
dc.subject.fieldofresearchPsychology and Cognitive Sciences not elsewhere classified
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchPsychology and Cognitive Sciences
dc.subject.fieldofresearchcode179999
dc.subject.fieldofresearchcode11
dc.subject.fieldofresearchcode17
dc.titleEvaluation of the delirium early monitoring system (DEMS)
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.hasfulltextNo Full Text
gro.griffith.authorTeodorczuk, Andrew


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