Delirium days

Nurse reported CAM positive days

Indicators
Indicator:	Delirium days
Created/Raw:	created
Program:	Critical Care
Start Date:
End Date:
Reports:	Critical Care Program Quality Indicator Report, STB ICUs VAP Rate, CLIBSI Rate Summary

• Cargo

• SMW:
  • "created" is not in the list (Created, Raw) of allowed values for the "IndicatorCreatedRaw" property.

• Categories

• Default form:

QI domain

• Safe

Significance

Delirium is associated with worse patient outcomes and higher costs. Factors associated with delirium prevalence include patient mix and severity of illness, and structural and process related aspects of ICU care. Need to examine compliance with CAM testing in each unit when interpreting delirium prevalence.

Sampling Plan / Procedure

Inclusion Criteria

100 % of all patients monitored for CAM positive as indicated by the presence of this TISS items: T9 - CAM positive (TISS Item)

Exclusion Criteria

Patients who are not on delirious consition.

Frequency

• Daily recording of dates of patient monitored with CAM positive
• Total number of ICU discharges monitored with CAM positive on a monthly, quarterly or yearly basis based on the daily data.
  • Time Reference for month, quarter or year is based on ICU discharge dates.
• Total number of days having CAM positive on a monthly, quarterly or yearly basis based on the daily data.
  • Time Reference for month, quarter or year is based on calendar dates.

Definition and Derivation

Number of days that a patient had a positive CAM score per 1000 patient-days.

Numerator

Total CAM positive days in a given period

Denominator

Total Patient Days in a given period

Data Sources

• CAM positive (TISS Item)
• Bed occupancy

SAS Program

• The SAS program to get the Acquired Delirium is X:\Julie\SAS_CFE\CFE_macros\Pre_ICD10_AcqDx.sas
• The SAS program to get the Delirium (CAM Plus) Days is X:\Julie\SAS_CFE\CFE_macros\Read_TISS76_TISS28_TISSinCCI.sas
• The SAS program to get the Delirium rate is X:\Julie\SAS_CFE\CFE_macros\VAPCLICAM.sas