{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:00:46Z","timestamp":1780524046785,"version":"3.54.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T00:00:00Z","timestamp":1517529600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Technology"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:p>Background: The Ontario Senior Friendly Hospital Strategy recognizes delirium prevention and management as a top priority and recommends implementation of delirium screening as well as management protocols. This strategy proposes that hospitals monitor 2 specific indicators: (1) rate of baseline delirium screening and (2) rate of hospital-acquired delirium. Objective: To (1) determine compliance with the Ontario Senior Friendly Hospital Strategy indicators; (2) describe the use of pharmacological and nonpharmacological interventions for management of delirious patients; and (3) identify predictors of screening compliance. Methods: We conducted a retrospective review of patients aged \u226565 years admitted to 4 different inpatient units for \u226548 hours. Data were extracted for 7 two-month time blocks chosen between September 2010 and October 2013, following the implementation of various geriatric and delirium related initiatives at the hospital. Results: A total of 786 patients met study inclusion criteria. Overall, 68.2% had baseline delirium screening (indicator 1), with screening rates increasing over time ( P &lt; .001). Inpatient unit and year of study were both statistically significant predictors of delirium screening. Among those screened, the overall rate of hospital-acquired delirium was 17.2% (indicator 2). Early mobilization and device removal were the most common nonpharmacological interventions, while initiation of an antipsychotic and discontinuation of benzodiazepines were the most common pharmacological interventions. Conclusions: Although the rates of baseline delirium screening have significantly increased over the sampled time period, rates are still below the averages referenced in other literature. Our study suggests we need additional efforts to improve compliance with delirium screening in our institution.<\/jats:p>","DOI":"10.1177\/8755122518756331","type":"journal-article","created":{"date-parts":[[2018,2,2]],"date-time":"2018-02-02T09:26:45Z","timestamp":1517563605000},"page":"91-98","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Detecting Delirium in Hospitalized Elderly Patients: A Review of Practice Compliance"],"prefix":"10.1177","volume":"34","author":[{"given":"Cassandra","family":"Turchet","sequence":"first","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda B.","family":"Canfield","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Williamson","sequence":"additional","affiliation":[{"name":"Hopital due Sacr\u00e9-Coeur de Montr\u00e9al, Montr\u00e9al, Quebec, Canada"},{"name":"Universit\u00e9 de Montr\u00e9al, Montreal, Quebec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chris","family":"Fan-Lun","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Najla","family":"Tabbara","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioanna","family":"Mantas","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samir","family":"Sinha","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Burry","sequence":"additional","affiliation":[{"name":"Mount Sinai Hospital, Toronto, Ontario, Canada"},{"name":"University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,2,2]]},"reference":[{"key":"bibr1-8755122518756331","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2005.53120.x."},{"key":"bibr2-8755122518756331","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1208705."},{"key":"bibr3-8755122518756331","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-006-0399-8."},{"key":"bibr4-8755122518756331","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199903043400901."},{"key":"bibr5-8755122518756331","doi-asserted-by":"publisher","DOI":"10.1046\/j.1532-5415.2001.49108.x."},{"key":"bibr6-8755122518756331","unstructured":"Location Health Integration Network Ontario. Wong K, Ryan D, Lui B. Senior friendly hospital care across Ontario: summary report and recommendations. http:\/\/seniorfriendlyhospitals.ca\/sites\/default\/files\/SFH%20Provincial%20Report%20-%20FINAL_2.pdf. Published September 2011. Accessed January 15, 2018."},{"key":"bibr7-8755122518756331","unstructured":"Local Health Integration Network Ontario. Wong K, Tsang A, Liu B, Schwartz R. The Ontario senior friendly hospital strategy: delirium and functional decline indicators. http:\/\/seniorfriendlyhospitals.ca\/files\/SFH%20Delirium%20and%20Functional%20Decline%20Indicators%20Report.pdf. Published November 2012. Accessed January 15, 2018."},{"key":"bibr8-8755122518756331","unstructured":"The Commonwealth Fund. Designing a high-performing health care system for patients with complex needs: ten recommendations for policymakers. http:\/\/www.commonwealthfund.org\/publications\/other\/2017\/ten-recommendations. 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