A-B-C-Delirium: Fighting the Dysfunction Head On

Fox Chase Cancer Center (Philadelphia, Pennsylvania)

CSI Summary

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Project Topic

Prevention and early detection of ICU delirium

CSI Participants

Kaitlyn Gregory, RN, BSN
Allyson Lloret, RN, BSN
Erin Longstreth-Papsun, RN, BSN, MSN, OCN
Ashley Moyer, RN, BSN

Project Goals/Objectives

  1. To achieve 100 percent compliance in delirium assessments (CAM-ICU and checklist)
  2. To decrease Haldol usage 50 percent
  3. To decrease ICU length of stay (LOS) related to delirium management one day
  4. To increase nurse comfort level in caring for the delirious patient 80 percent

Project Outcomes

  1. Decreased the number of Haldol doses 49 percent
  2. Increased nurse comfort in caring for delirious patients from 45 to 80 percent
  3. Achieved 100 percent CAM-ICU compliance in July 2014
  4. Decreased patient LOS 0.1 day
  5. These outcomes resulted in a projected annual fiscal impact of $766,500.

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The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.