Aug 2021 - Foresight Newsletter

Aug 2021 - Foresight Newsletter

AUGUST 2 0 2 1

ED I T I ON 8

Useful Information and resources for patients and families to better understand delirium is now available on the NSLHD website.

IN THIS ISSUE :

Cognitive Impairment 'Real-time' patient experience survey Consumer and patient experience resources Quality Improvement Toolkits Project Spotlight - The ARRT of Telehealth Prompt is now operational What did you think of this issue? Give us your feedback.

Comprehensive Care Standard

COGNITIVE IMPAIRMENT

Patients with a cognitive impairment are at increased risk of preventable complications and adverse events, such as falls and pressure injuries, and require precautions to prevent harm. Cognitive impairment is not confined to older people and can result from various causes. People might be cognitively impaired due to younger onset dementia, delirium due to critical illness, an acquired brain injury, a stroke, a medical condition, a psychiatric condition, intellectual disability or substance use disorders. Any form of cognitive impairment needs to be recognised, the causes of it understood, any risks of harm identified, and action is taken to prevent harm from occurring. The emphasis for managing delirium at NSLHD has been placed on early detection and partnering with consumers to help improve health literacy around delirium. There has been a focus on increasing clinical staff knowledge of risk factors and presenting behaviours of delirium with targeted education involving case studies to give clinical relevance.

The following guidelines have been updated to meet the changing needs of the patients of the district. 1.

Delirium in Adults - Clinical Practice Guidelines for the Management of- NSLHD The Cognitive Impairment (Delirium, Mental Disorders, Intellectual Disability, Dementia) – Clinical Practice Guidelines for Care of Adults in NSLHD Hospitals

2.

The main changes include:

Reducing the initial delirium screening window down to eight hours from 24 hours. The six item screener (SIS) has also been replaced with the Abbreviated Mental Test Score (AMTS) as the preferred cognitive screening tool for NSLHD. The AMTS should be attended for all adults aged 65 and above and also attended for all Aboriginal and Torres Strait Islander peoples over the age of 45.

AUGUST 2 0 2 1

ED I T I ON 8

Partnering with Consumers Standard

IMMEDIATE PATIENT FEEDBACK - 'REAL-TIME' PATIENT EXPERIENCE SURVEY

Capturing immediate feedback from patients following discharge in near 'real-time' to drive service improvement, is planned to be trialled in a small number of wards across our hospitals over the coming months. Discharged patients will receive a text message inviting them to rate how likely they are to recommend the health service to friends and family members and the reason for their answer. There is the opportunity for the feedback to be followed up by the nursing unit manager on a timely basis and provides opportunities for improvement. This approach will enable NSLHD to elevate the human experience for our patients and staff. NSLHD has partnered with the Clinical Excellence Commission to develop the survey tool and reporting dashboards housed in the Quality Improvement >Page 1 Page 2 Page 3 Page 4 Page 5

www.nslhd.health.nsw.gov.au

Made with FlippingBook - professional solution for displaying marketing and sales documents online