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July 4, 2026BMJ Open QualityOpen Access

Closing the gap in postoperative delirium detection: addressing low screening rates in the surgical recovery room

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Authors

SDShubham DaveMVMarcela VizcaychipiJPJohn Paul

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Overview

Quality improvement project increases screening rates and nursing confidence for postoperative delirium in high-risk patients, suggesting effective intervention strategies.

Key Points

  • The project aims to enhance postoperative delirium screening rates in surgical recovery rooms through systematic implementation of guidelines.
  • Implemented a routine POD screening program using the PDSA cycle methodology.
  • Formalized a trust-wide guideline for delirium assessment and improved access to delirium tools.
  • Compared baseline and post-intervention POD screening rates using Fisher’s exact test.
  • POD screening rates increased from a baseline of 2.3% to 71.64% after the intervention (p<0.0001).
  • 17.5% of screened patients tested positive for POD.
  • Nursing confidence and guideline clarity improved significantly, achieving a median score of 10/10 (p<0.0001).

Cite This Study

Dave et al. (2026) studied this question.

synapsesocial.com/papers/6a48a51b89561a0c2d78dfd6https://doi.org/10.1136/bmjoq-2025-003647
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