{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:45:53Z","timestamp":1782816353397,"version":"3.54.5"},"reference-count":35,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100002076","name":"Emergency Medicine Foundation","doi-asserted-by":"publisher","award":["EMCB\u2010332R39\u20102023\u2010JORDAN"],"award-info":[{"award-number":["EMCB\u2010332R39\u20102023\u2010JORDAN"]}],"id":[{"id":"10.13039\/100002076","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018853","name":"Common Good","doi-asserted-by":"publisher","award":["PCHCollab2024\u201012"],"award-info":[{"award-number":["PCHCollab2024\u201012"]}],"id":[{"id":"10.13039\/501100018853","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Delirium is common and serious among older adults in emergency departments (EDs) yet screening often falls short of national expectations. This study evaluated current delirium screening practices in a metropolitan ED and identified barriers and enablers to implementing screening in line with the Australian Delirium Clinical Care Standard.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A mixed\u2010methods quality assurance study was conducted in The Prince Charles Hospital ED. A retrospective audit of 238 medical records for patients aged \u2265\u200965\u2009years examined the frequency of delirium screening and associated clinical or operational factors. Semi\u2010structured interviews with nine staff members explored perceptions, experiences and decision\u2010making processes related to screening. Deductive framework analysis guided integration of quantitative and qualitative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of eligible patients, 4.2% were screened, with most assessments completed by specialist teams during weekday hours. Screened patients had longer ED stays, although this finding should be interpreted as exploratory. Nurses recognised major delirium risk factors but described screening as reactive rather than routine. Reported barriers included time pressures, environmental limitations, lack of digital integration and uncertainty about role responsibilities. Awareness of the Australian Delirium Clinical Care Standard was limited, contributing to inconsistent practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Despite baseline knowledge of delirium risk, ED screening remains inconsistent and specialist\u2010dependent. Strengthening adherence to national standards requires embedding screening into routine nursing workflows through clearer role delineation and the integration of prompts to support systematic assessment for all older patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1742-6723.70303","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:34:34Z","timestamp":1781688874000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Delirium Screening in the Emergency Department: Barriers, Enablers and Alignment With Clinical Standards\u2014A Mixed\u2010Methods Study"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7470-6298","authenticated-orcid":false,"given":"Barbara","family":"Zangerl","sequence":"first","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Queensland University of Technology  Kelvin Grove Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jared\u2010Tyrell","family":"Ah\u2010Leong","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Wilcox","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Jory","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faye","family":"Jordan","sequence":"additional","affiliation":[{"name":"The Prince Charles Hospital  Chermside Queensland Australia"},{"name":"Queensland University of Technology  Kelvin Grove Queensland Australia"},{"name":"Northside Clinical School The University of Queensland  Chermside Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425787"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12206587"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2023.05.006"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.05.024"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.05.058"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13584\u2010024\u201000603\u20101"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.17294\/2694\u20104715.1061"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaf284"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.70097"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2023-077634"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajag.12255"},{"key":"e_1_2_11_13_1","unstructured":"Australian Commission on Safety and Quality in Health Care \u201cDelirium Clinical Care Standard \u201dSydney 2021 https:\/\/www.safetyandquality.gov.au\/standards\/clinical\u2010care\u2010standards\/delirium\u2010clinical\u2010care\u2010standard."},{"key":"e_1_2_11_14_1","volume-title":"Designing and Conducting Mixed Methods Research","author":"Creswell J. W.","year":"2017"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj\u20102022\u2010074256"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_17_1","unstructured":"Lumivero \u201cNVivo [Computer Software] \u201d2023 Version 14. Denver CO: Lumivero https:\/\/www.lumivero.com."},{"key":"e_1_2_11_18_1","volume-title":"Doing Qualitative Data Analysis With NVivo","author":"Mortelmans D.","year":"2024"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316665344"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s43678\u2010022\u201000371\u20104"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_2_11_22_1","unstructured":"National Institute for Health and Care Excellence \u201cDelirium: Prevention Diagnosis and Management in Hospital and Long\u2010Term Care \u201d2023 NICE guideline CG103 London: NICE https:\/\/www.nice.org.uk\/guidance\/cg103."},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2021.626127"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41999\u2010021\u201000558\u20105"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afaa224"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1177\/1471301215591896"},{"key":"e_1_2_11_27_1","unstructured":"Australian Commission on Safety and Quality in Health Care \u201cSepsis Clinical Care Standard \u201d2022 Sydney https:\/\/www.safetyandquality.gov.au\/publications\u2010and\u2010resources\/resource\u2010library\/sepsis\u2010clinical\u2010care\u2010standard\u20102022."},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2022.01.004"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.16018"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.70142"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab256"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.19188"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.aucc.2023.11.006"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjoq\u20102021\u2010001676"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.83361"},{"key":"e_1_2_11_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2022.101250"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70303","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.70303","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.70303","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T10:11:33Z","timestamp":1782814293000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.70303"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":35,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1111\/1742-6723.70303"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.70303","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-17","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70303"}}