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Use of the acute confusion protocol - A research utilization project

Journal

JOURNAL OF NURSING CARE QUALITY
Volume 23, Issue 4, Pages 331-337

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.NCQ.0000336673.02725.ec

Keywords

acute confusion; delirium; elderly; falls; gerontology; restraints

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This evidence-based project was undertaken to implement research-based preventive protocols to decrease the negative outcomes associated with delirium/acute confusion. After implementation, the medical-surgical unit experienced a 62% reduction in falls and a 100% decrease in sitter usage the first year. The use of medications known to cause acute confusion was decreased by more than 50%. Since implementation, the fall rate as well as the use of restraints has decreased by 25%.

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