Solving the Delirium Dilemma

St. David's Medical Center (Austin, Texas)

CSI Summary

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CSI Presentation

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Project Topic

Delirium prevention and reduction

CSI Participant

Dillon Gerdhardt, RN, BSN, CCRN
Greg Greenberg, RN, BSN, CCRN
Bethany Grittman, RN, BSN, PCCN
Oscar Padron, RN

Project Goals/Objectives

  1. To prevent and reduce the incidence of delirium in the ICU and Intermediate Care Unit
  2. To educate staff about and begin using the Confusion Assessment Method for the ICU (CAM-ICU) delirium assessment tool
  3. To educate staff on and begin using the ABCDE bundle

Project Outcomes

  1. Reduced mean ventilator days 0.3 day overall
  2. Reduced mean ventilator days 1.1 days when excluding independently rapid or prolonged extubations
  3. These outcomes resulted in a projected annual fiscal impact of $718,300.

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Permission to Reuse Materials
The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

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.