20 February 2019
HSJ patient safety award
The introduction of a new digital assessment for patients at risk of delirium at Salford Royal NHS Foundation Trust has been recognised for a top patient safety award.
The innovative new system, which is the first of its kind in NHS England, was developed by staff at the hospital to help identify and manage patients with delirium early. It involves the introduction of a gold standard, electronic assessment tool, embedded in the Electronic Patient Record to screen at risk patients for possible delirium.
Salford Royal NHS Foundation Trust Consultant Geriatrician Dr Emma Vardy said: “Delirium is treatable and one in three cases is preventable. We know that delirium is highly prevalent in hospital but is often poorly diagnosed. It has high readmission rates and longer length of stay. So we worked hard to implement screening for delirium on admission to hospital for all patients aged 65 years and over here at Salford Royal.”
“We’re now seeing some excellent results, with delirium screening improved significantly and clinical coding for a diagnosis of delirium dramatically improved. This work has also seen a reduction in length of stay for people with delirium admitted to hospital over the busy winter months. In parallel we have raised staff awareness and delirium is now seen as a medical emergency across the healthcare organisation.”
“It is a credit to the hard work of the whole team that the Early Detection for Delirium (ED4D) project has been shortlisted in the HSJ Patient Safety Awards Quality Improvement Initiative of the year category and we hope to be successful at the final in July.”