Additional Delirium Resources

We've compiled a list of additional resources related to delirium research, treatment and care. All links will open in a new tab. If you are aware of additional resources that may be helpful, please submit your suggestions via our contact page.
The information at these links was prepared by a variety of health and research organizations and do not necessarily reflect the views of NIDUS.

Links to Resources

AHRQ Screening for delirium, dementia, and depression in older adults
The National Guideline Clearinghouse, an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services, developed this website containing clinical practice guidelines and related documents.

American Journal of Health: Clinical Practice Guidelines for the Sustained Use of Sedatives and Analgesics in the Critically Ill Adult
Published in the American Journal of Health-System Pharmacist (Volume 59, Jan 15, 2002), provides clinical practice guidelines for the sustained use of sedatives and analgesics in the critically ill adult.

American Psychiatric Association (APA) Practice Guideline for Delirium
This practice guideline, developed by the APA in 1999, provides an overview to approaches for delirium as of 1999.

Australian Clinical Practice Guidelines for Delirium Management 
This is a 121 page guideline developed specifically for the Australian health care environment by the Clinical Epidemiology and Health Service Evaluation Unit, Melbourne Health in collaboration with the Delirium Clinical Guidelines Expert Working Group. The first set of national (Australian) clinical practice guidelines for the management of delirium in older people. (2006)

Australian Commission on Safety and Quality in Healthcare - Delirium Clinical Care Standard
The Delirium Clinical Care Standard is one of several clinical care standards developed by the Australian Commission on Safety and Quality in Healthcare. The standard was developed by a working group of clinicians, researchers and consumers using current evidence from standards and guidelines, evidence gaps in the scientific literature, and consideration of issues that are important to consumers.

The British Geriatric Society: Delirium Diagnosis and Management
A 2006 update to previous version of “Guidelines for the diagnosis and management of delirium in the elderly,” Guidelines focus on initial identification of cognitive impairment, use of the CAM to screen high-risk patients, and to investigate possible cause of delirium

Clinical Practice Guidelines for the Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption  in Adult Patients in the Intensive Care Unit (SCCM)
In 2018, SCCM published the Clinical Practice Guidelines for the Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the Intensive Care Unit.  The guidelines provide a road map for developing integrated, evidence-based, and patient-centered protocols for preventing and treating pain, agitation and delirium in critically ill patients.

Critical Care Innovations Group at UCSF: Preventing Delirium
The Critical Care Innovations Group has created this guide on preventing ICU Delirium for critical care providers. It includes information on delirium risk factors, preventing, screening for and treating delirium.

Confusion Assessment Method (CAM) Training Manual and Forms
The instrument, training manuals and recommendations for use of the CAM, CAM-S, 3D-CAM and FAM-CAM are available for free through the Hopsital Elder Life Program. Free, quick registration with the site is required to view the materials.

Delirium ABCDEF Bundle Program Implementation Toolkit Version 1.0, Society of Hospital Medicine
The Baylor Research Institute and the Society of Hospital Medicine (SHM) are pleased to provide this resource to help accelerate adoption of a specific set of patient safety practices (collectively termed the ABCDEF bundle) to mitigate delirium in the intensive care unit (ICU). This Guide will allow you to impact care at both the individual patient and the institutional levels. It is intended for the broad, multidisciplinary spectrum of personnel involved in hospital based quality improvement and patient safety efforts, ranging from frontline care providers to executive leaders.

Delirium Care Network
The Delirium Care Network is an online resource for health care professionals, patients or family members to learn more about delirium prevention, treatment and research. This site also includes useful infographics and other media that can be downloaded and shared for educational purposes.

Delirium Reduction Initiative at University of California San Francisco Medical Center
The UCSF Medical Center is implementing an interdisciplinary delirium care pathway with the goal of reducing delirium on adult acute and transitional care units. The website contains educational resources on delirium screening, diagnosis and treatment as well as clinical information about their delirium reduction program.

Delirium Awareness Video (#Icanpreventdelirium)
This short, 5 minute video is designed to help improve recognition and management of delirium in healthcare settings. It may be useful for healthcare workers, patients and family caregivers, as well as the general public.

Emergency Department Delirium (Vanderbilt ED Delirium Study Group)
The Vanderbilt University Emergency Department Delirium Study Group has developed this website with information specific to delirium in the ED setting, including brief screening and triage tools, background information and additional resources.

Hospital Elder Life Program
The Hospital Elder Life Program (HELP) is a comprehensive, evidence-based, patient-care program that provides optimal care for older persons in the hospital. Dr. Sharon K. Inouye and her colleagues at the Yale University School of Medicine originally designed HELP to prevent delirium among hospitalized older persons.

Hospital Medicine Reengineering Network (HOMERuN)
The Hospital Medicine Reengineering Network (HOMERuN) was established in 2011 to advance the field of Hospital Medicine by facilitating and conducting collaborative, rigorous, inter-professional, multi-site, research studies which improve outcomes of patients with acute illnesses. HOMERuN research focuses on developing, evaluating, and disseminating innovations in healthcare delivery that encompass the entirety of patients’ acute illness.

Isle of Wight Cinical Guideline for Delirium Care
This is a summary guideline produced by Isle of Wight Healthcare, NHS Trust, to assist clinicians in routinely screening patients at risk for developing delirium and for developing appropriate plans of care and treatment.

MindEd for Families: Delirium
Guide on what delirium is, how to identify it, and what to expect during a delirium episode for patients, family, caregivers and the general public. MindEd also has informative resources for other common mental health concerns for older people.

Minnesota Hospital Association Quality and Patient Safety Initiatives: Delirium
The Minnesota Hospital Association has collected a variety of resources to educate health professionals about delirium, including free online videos on delirium care, fall prevention, recognizing, assessing and managing delirium, and a delirium toolkit of online resources for family education, delirium assessment and management in a variety of hospital settings including the ED and ICU.
Mobilization-Network is an open forum for all professionals interested in early mobilization and rehabilitation of mechanically ventilated intensive care patients to share information and experiences, find resources, create and implement clinical guidelines, and develop new and better approaches to the care of ICU patients. The network website contains news, updates and resources from the field, including a publication list of ICU and Delirium publications.

National Cancer Institute - Supportive Care Statement for Health Professionals
The information contained on the website from NCI discusses the prevalence of delirium in elderly patients with comorbid diagnoses of cancer. The content of the site includes definitions, epidemiology, and etiology of delirium, information on the impact of delirium on patient, family, and healthcare personnel, diagnosis and monitoring of delirious patients, and disease management.

National Guidelines for Seniors' Mental Health: The assessment and treatment of delirium
The Canadian Coalition for Seniors' Mental Health facilitated the development of this 87 page document. Clinical practice guideline to improve the assessment, treatment, management and prevention of key mental health issues for seniors. Written by interdisciplinary teams of health care professionals.

NICE Guidelines for Delirium
Clinical Guidelines for Delirium published by the NHS National Institute for Health and Clinical Excellence. The recommendations in the NICE guideline cover the care of adults (18 and over) with, or at risk of, delirium in hospital and in long-term residential care or a nursing home. The guidelines describe methods of preventing, identifying, diagnosing and managing delirium.

Optimal Perioperative Management of the Geriatric Patient: Best Practice Guidelines from ACS NSQIP/American Geriatrics Society 
Best practice guidelines to prevent and treat postoperative delirium in older patients, developed in collaboration by the American College of Surgeons and American Geriatrics Society.

Outcomes after Critical Illness and Surgery Group, Johns Hopkins Medicine
Outcomes After Critical Illness and Surgery (OACIS) is a multidisciplinary clinical and research group focused on understanding and improving patient outcomes after critical illness and surgery. OACIS activities include clinical quality improvement projects and research focused on longitudinal, long-term patient outcomes assessments, both locally and nationally, with evaluation of physical, cognitive, and mental health outcomes.

Quality Improvement in Neurology: Inpatient and Emergency Care Quality Measure Set
In 2015, the American Academy of Neurology (AAN), Neurocritical Care Society (NCS), and Neurohospitalist Society (NHS) formed an Inpatient and Emergency Neurology Work Group to review existing guidelines, current evidence, and gaps in care to develop a measurement set for inpatient and emergency neurology. This quality measurement set (published Aug. 2017) aims to promote quality improvement and drive better outcomes for neurologically ill patients in inpatient and emergency settings while providing a roadmap for improving care at national, regional, and local levels. Two of the proposed quality metrics focus specifically on delirium.

Scottish Delirium Association Delirium Management Pathways
Care pathways for the management of delirium in adult patients in a hospital setting, developed by the Scottish Delirium Association in collaboration with Health Improvement Scotland (HIS).

The 4AT Rapid Assessment Test for Delirium
A brief, validated instrument for delirium detection. More information and instrument download available at this site.

Think Delirium
An educational website on delirium for patients, family, caregivers and healthcare professionals

Vanderbilt ICU Delirium and Cognitive Impairment Study Group
This site, developed by Vanderbilt University Medical Center, Veterans Affairs TN Valley Geriatric Research Education and Clinical Center (GRECC), provides information on delirium in the intensive care setting. Also included is an online training manual for the Confusion Assessment Method for the ICU (CAM-ICU), a delirium monitoring instrument for ICU patients.

Delirium Bibliography

This searchable delirium bibliography page created by the Hospital Elder Life Program is an index of  over 2,000 delirium-related research articles, updated on a monthly basis. It can allow you to quickly gain access to the literature on delirium and acute care of older persons.  It is primarily intended for clinicians and researchers interested in exploring these topics.
Click here to open the Delirium Bibliography
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