Vardy Emma R L C, Thompson Rebecca E
Department of Ageing and Complex Medicine, Salford Royal NHS Foundation Trust, Salford Care Organisation, Part of Northern Care Alliance NHS Group, Stott Lane, Salford, M6 8HD, UK.
Department of Information and Business Intelligence, Salford Royal NHS Foundation Trust, Salford Care Organisation, Part of Northern Care Alliance NHS Group, Stott Lane, Salford, M6 8HD, UK.
Eur Geriatr Med. 2020 Feb;11(1):33-43. doi: 10.1007/s41999-019-00268-z. Epub 2019 Dec 3.
Quality improvement (QI) is a useful methodology that can be used to make timely improvements in clinical practice. This review gives a broad picture of what QI is and the methodology this entails. An overview of how QI has been applied in the field of delirium to date is provided as well as a discussion of how this area may be developed in the future.
As part of the review, a literature search was completed to assess the literature published to date on QI and delirium. Literature relating to delirium in the context of a variety of clinical specialties is also presented as well as a summary of short films that can be used for purposes of awareness raising.
We found that QI has so far been an under-utilized methodology in the context of delirium and that studies that adhere to general guidance on reporting are few.
We suggest that well-designed QI studies would be beneficial to improve the assessment, management and care of delirium. The methodology may also be used to embed educational resources. In this review, we describe the theory behind QI and also suggest some resources that may be useful in any QI delirium project.
质量改进（QI）是一种有用的方法，可用于及时改进临床实践。本综述全面介绍了质量改进是什么以及其所涉及的方法。概述了迄今为止质量改进在谵妄领域的应用情况，并讨论了该领域未来可能的发展方向。
作为综述的一部分，完成了文献检索，以评估迄今为止发表的关于质量改进和谵妄的文献。还介绍了与各种临床专科背景下的谵妄相关的文献，以及可用于提高认识的短片总结。
我们发现，到目前为止，质量改进在谵妄背景下是一种未得到充分利用的方法，并且遵循报告一般指南的研究很少。
我们建议，精心设计的质量改进研究将有助于改善谵妄的评估、管理和护理。该方法还可用于嵌入教育资源。在本综述中，我们描述了质量改进背后的理论，并提出了一些可能对任何质量改进谵妄项目有用的资源。
