{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:29:20Z","timestamp":1786123760916,"version":"build-2736575974"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100032091","name":"Royal Free Charity","doi-asserted-by":"crossref","award":["1357PE"],"award-info":[{"award-number":["1357PE"]}],"id":[{"id":"10.13039\/100032091","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of the Intensive Care Society"],"abstract":"<jats:p>Prevention and management of delirium is important for patients on intensive care units (ICU). National Guidelines recommend visible 24-hour clocks for ICU patients. Multi-modal approaches including improved orientation help prevent delirium, but literature on specific impacts of clocks on orientation in ICU patients is limited. This quality improvement project in a tertiary ICU introduced clocks at each bedspace and assessed impact on patient orientation. Proportion of patients orientated to time improved from 45% initially, to 70% post-implementation, then 94% following clock repositioning. Feedback was positive. Clocks are effective in aiding re-orientation which may support delirium prevention and management in ICUs.<\/jats:p>","DOI":"10.1177\/17511437261474732","type":"journal-article","created":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T03:38:47Z","timestamp":1785901127000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Clocks on the intensive care unit: A quality improvement initiative to improve patient orientation"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-6924-8189","authenticated-orcid":false,"given":"Alice","family":"Worrall","sequence":"first","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8596-1768","authenticated-orcid":false,"given":"Tom Cliff","family":"Lyne","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lester","family":"Sarmiento","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamara","family":"Banerjee","sequence":"additional","affiliation":[{"name":"Royal Free Hospital, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"Intensive Care Society. 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