Yesterday, one of our best resident physicians, Dr. Paul Thisayakorn, MD, dropped by our staff psychiatric consultation office just before our Clinical Problems in Consultation Psychiatry (CPCP) case conference to tell us about a new quality improvement project he’s involved in. He’s rotating through the Palliative Care Medicine service and the director asked Paul to come up with a way to raise awareness about our hospital’s new order set for managing and preventing delirium. Hardly anyone seems to know about it. This post is divided into a few pages so look for page numbers at the bottom below the Like button.
The delirium order set has been an ongoing initiative of the Delirium Early Detection and Prevention Committee which I started a couple of years ago and which a colleague assumed leadership of eventually. A clinical pharmacist, electronic health record expert (we use Epic here), nurse manager are also on the team. The resulting order set as a finished product contains clear guidance for non-psychiatric physicians on what drugs to prefer and avoid, relevant diagnostic tests and other assessments for investigating medical causes, and behavioral management approaches.
Our Epic liaison expert was immensely helpful by integrating this into the Epic interface. It’s easy to find–if you know it’s there.