Learning Objective 1: Discuss how nurse driven research led to interdisciplinary practice and increased patient safety.
Learning Objective 2: Discuss the process for implementation of research findings into practice
In 2010, an interdisciplinary collaborative formed to replicate the Lakatos study and found similar results. Unrecognized delirium occurred in over 60% of our patients, with delirium present 71% of the time. Members of the team included a geriatrician, Nurse Practitioner, Clinical Nurse Specialists and Nursing Director co-chairs of the falls committee. These results led to a comprehensive action plan that included education, implementation of the Confusion Assessment Method (CAM) tool, and development of a Delirium Tool Kit, leveraging and purchasing technology and continuous monitoring of practice. This approach has led to a common language and understanding about delirium among interdisciplinary clinicians which has aided in improved safety for our patients.
This comprehensive interdisciplinary approach has led to an increase in identification of delirium and, consequently, a consistent decrease in fall rate. A re-replication study was completed in 2012 to evaluate patient falls and delirium connection. Results indicate an increase in identification of delirium as well as a lower fall rate.
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