It occurs in 25 percent of medical inpatients, half of surgical patients, and 75 percent of ICU patients. These patients often incur higher costs, longer hospitalizations, loss of function, and the need for rehabilitation or nursing home care. Prevention strategies, however, can be effective, particularly for individuals at elevated delirium risk. In fact, targeted interventions can reduce the incidence of delirium up to 40 percent.
In the past, the average amount of time required to assess a patient for delirium was 21 minutes. Now that we have much greater ability to assess patients for risk of delirium, we can also take advantage of an array of simple tools and strategies to prevent it. Puzzles, modeling clay and playing cards can provide mental stimulation.
Relaxing music, sleep masks and, yes, those nine cent earplugs can promote restful sleep — and help prevent delirium. This training program focuses on a systems approach to patient safety to ensure adverse events as well as close calls are fully understood in the field and that vulnerabilities are removed from the system. These new recruits then can share important patient safety principles with other VA HTM staff, who in turn build stronger working relationships with their respective facility patient safety managers in order to enhance patient safety and ensure safe operations across all VA facilities.
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