Prevention and Early Detection of ICU Delirium

Abstract

Delirium in the intensive care unit is a frequent complication occurring in critical care patients. It is associated with increased mortality, prolonged length of stay, increased disability, and increased healthcare costs. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) is a validated screening tool used to assess patients for the presence of delirium. The use of the CAM-ICU screening tool is currently included in the required daily assessment and documentation; however, there is inconsistency in the use of this screening tool. This identified phenomenon leads to under-detection, under-reporting, and delayed treatment for patients suffering from ICU delirium. The purpose of this quality improvement project was to increase the utilization of the CAM-ICU screening tool and increase the detection of ICU delirium. Adequate education for nursing staff and collaboration between nurses and advanced practice providers were utilized to optimize ICU delirium screening and documentation of interventions.