Actionable Patient Safety Solutions (APSS)

8A Post-Operative Delirium in Older Adults

The Post-Operative Delirium in Older Adults APSS Blueprint outlines actionable steps healthcare organizations should take to successfully implement and sustain improvements in order to reduce cases of post-operative delirium in older adults. Actionable steps to improve delirium rates and summaries of available evidence-based practice protocols are included:

  • Leadership checklist guide to determine whether current evidence-based guidelines are being followed in your organization
  • Performance improvement plan to follow if improvements are necessary
  • Clinical workflow from pre-operative delirium risk screening to discharge and post-operative recovery
  • Knowledge base on risk factors and tests for delirium
  • How to educate patients and family members about delirium prevention, recognition, and treatment
  • Delirium resource guide
  • Guidance on how to measure outcomes

The Blueprint is revised annually and is available free of charge on our website.

Hospitals who make a formal commitment to improve delirium and share their successes on the PSMF website have access to an additional level of consulting services.

Executive Summary

The Problem Delirium in older patients following anesthesia and surgery (Postoperative Delirium (POD)) is a frequent occurrence that often goes undiagnosed. Delirium can lead to both short and long-term morbidity and mortality, including cognitive impairment. It is an immensely disturbing experience for patients and families which can lead to long-term neuropsychiatric

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