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• W2124135067 abstract "Objective: To review delirium screening tools available for use in the adult ICU and PICU, to review evidence-based delirium screening implementation, and to discuss common pitfalls encountered during delirium screening in the ICU. Data Sources: Review of delirium screening literature and expert opinion. Results: Over the past decade, tools specifically designed for use in critically ill adults and children have been developed and validated. Delirium screening has been effectively implemented across many ICU settings. Keys to effective implementation include addressing barriers to routine screening, multifaceted training such as lectures, case-based scenarios, one-on-one teaching, and real-time feedback of delirium screening, and interdisciplinary communication through discussion of a patient’s delirium status during bedside rounds and through documentation systems. If delirium is present, clinicians should search for reversible or treatable causes because it is often multifactorial. Conclusion: Implementation of effective delirium screening is feasible but requires attention to implementation methods, including a change in the current ICU culture that believes delirium is inevitable or a normal part of a critical illness, to a future culture that views delirium as a dangerous syndrome which portends poor clinical outcomes and which is potentially modifiable depending on the individual patients circumstances." @default.
• W2124135067 created "2016-06-24" @default.
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• W2124135067 creator A5074852854 @default.
• W2124135067 date "2013-09-01" @default.
• W2124135067 modified "2023-10-16" @default.
• W2124135067 title "Implementing Delirium Screening in the ICU" @default.
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• W2124135067 doi "https://doi.org/10.1097/ccm.0b013e31829a6f1e" @default.
• W2124135067 hasPubMedCentralId "https://www.ncbi.nlm.nih.gov/pmc/articles/3772682" @default.
• W2124135067 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23896832" @default.
• W2124135067 hasPublicationYear "2013" @default.
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