{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T10:54:38Z","timestamp":1775818478135,"version":"3.50.1"},"reference-count":27,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,2,5]],"date-time":"2024-02-05T00:00:00Z","timestamp":1707091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australas J Ageing"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>This series of audits aimed to determine current best practice in delirium management in a tertiary teaching hospital and to identify strategies to improve the quality of care in delirium with a focus on prevention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We completed a series of audits following the formation of the Cognitive Impairment Reference Group, a multidisciplinary team that was created to implement delirium management guidelines and monitor compliance. Audit 1 focused on antipsychotic use in patients aged 66\u2009years and older. Audit 2 reviewed delirium care in the Acute Medical Ward. Audit 3 included ethnographic data and investigated the use of non\u2010pharmacological methods to prevent and manage delirium in the Geriatric Ward. Two years on, Audit 4 is a repeat of Audit 1.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were improved rates of cognitive screening between Audits 2 and 3 from 65% <jats:italic>n<\/jats:italic>\u2009=\u200940 to 86% <jats:italic>n<\/jats:italic>\u2009=\u2009102, respectively. Most patients had one form of non\u2010pharmacological strategy in place to prevent delirium however few had a multicomponent approach. Fewer patients were prescribed benzodiazepines alongside antipsychotics 28.57% <jats:italic>n<\/jats:italic>\u2009=\u200935 in Audit 1 compared to Audit 4 12.5% <jats:italic>n<\/jats:italic>\u2009=\u200932.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Improved quality of care in delirium management is achievable via a co\u2010ordinated multidisciplinary approach. These audits demonstrated improvements in both rates of cognitive screening, and use of non\u2010pharmacological strategies prior to antipsychotic medication use and better adherence to guidelines for antipsychotic prescribing. Areas for further development in delirium prevention include the uptake of screening and individualised non\u2010pharmacological strategies.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajag.13266","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T02:56:12Z","timestamp":1707274572000},"page":"175-182","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Assessment and management of delirium in a tertiary hospital\u2014Improvements in cognitive screening and use of non\u2010pharmacological strategies with a multidisciplinary approach"],"prefix":"10.1111","volume":"43","author":[{"given":"Emily","family":"Clarke","sequence":"first","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ellie","family":"Newman","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Madhu","family":"Dravid","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Ricciardello","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Jones","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Caudle","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Kilshaw","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samantha","family":"Hilmi","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3650-0475","authenticated-orcid":false,"given":"Leon","family":"Flicker","sequence":"additional","affiliation":[{"name":"Royal Perth Hospital  Perth Western Australia Australia"},{"name":"Western Australian Centre for Health &amp; Ageing, Medical School University of Western Australia  Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,5]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Hospital\u2010Acquired Complications Information Kit","author":"ACSQHC","year":"2018"},{"issue":"3","key":"e_1_2_10_3_1","article-title":"Interventions for preventing delirium in hospitalised non\u2010ICU patients","volume":"3","author":"Siddiqi N","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"issue":"4","key":"e_1_2_10_4_1","article-title":"Interventions for preventing delirium in older people in institutional long\u2010term care","volume":"4","author":"Woodhouse R","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_10_5_1","volume-title":"Delirium Clinical Care Standard","author":"ACSQHC","year":"2016"},{"key":"e_1_2_10_6_1","unstructured":"World Health Organization.ICD\u201010: international statistical classification of diseases and related health problems: tenth revision 2004. 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