Background Dementia care in acute hospital settings requires targeted quality improvement initiatives based on national standards. This poster highlights key interventions to enhance care, aligning with local hospital group key performance indicators (KPIs), in one large teaching hospital. Methods Delirium screening (4AT) was implemented in the Emergency Department and geriatric ward, with education to increase staff awareness of delirium screening, prevention, and management. Audits assessed compliance with the 4AT tool. An audit evaluated the geriatric ward environment, including dementia-friendly painting, decorating, and signage, at baseline. Psychotropic prescribing practices were audited in 20 inpatient charts. A Life story Information tool (Sunflower Tool) was implemented to display personalized patient information at the end of the bed. Semi-annual audits assessed usage and effectiveness in the geriatric ward. Results The initial audit showed 85% compliance with the 4AT tool, dropping to 40% in a repeat audit after 6 months. Initially, 17 of 20 charts had complete 4AT scores; in the re-audit, 11 of 20 had scores recorded, with only 8 fully completed. The first environmental audit revealed poor compliance with dementia-friendly standards, especially in signage, clutter, and bedroom colour contrasts. Best compliance was seen with colour contrast in bathroom toilets and handrails. A quality improvement plan was developed to address gaps. The adoption and impact of the Sunflower tool improved patient-staff interactions and personalized care. All ward staff were trained in using the Sunflower tool. Conclusion A robust quality improvement plan, with measurable, achievable, relevant, and time-defined actions, aligned with national standards and local KPIs, is crucial to achieve and sustain positive audit results. Continuous education, resource allocation, and regular audits are required to ensure high-quality care for patients with dementia. Future efforts will focus on addressing identified challenges, refining interventions based on audit feedback, and maintaining care improvements.

中文翻译：

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急性医院环境中痴呆症护理质量的提高


背景 急性医院环境中的痴呆症护理需要根据国家标准采取有针对性的质量改进措施。这张海报重点介绍了一家大型教学医院为加强护理而采取的关键干预措施，与当地医院集团关键绩效指标 (KPI) 保持一致。方法在急诊科和老年病房开展谵妄筛查（4AT），并进行教育，提高工作人员对谵妄筛查、预防和管理的认识。审计评估了 4AT 工具的合规性。一项审计评估了老年病房环境的基线，包括适合痴呆症的绘画、装饰和标牌。精神药物处方实践在 20 个住院患者图表中进行了审核。实施了生活故事信息工具（向日葵工具），以在床尾显示个性化的患者信息。每半年一次的审计评估了老年病房的使用情况和有效性。结果 初次审核显示 4AT 工具的合规性为 85%，在 6 个月后的重复审核中降至 40%。最初，20 个图表中有 17 个具有完整的 4AT 分数；在重新审核中，20 项中有 11 项记录了分数，只有 8 项完全完成。第一次环境审计显示，该公司对痴呆症友好标准的遵守情况不佳，特别是在标牌、杂乱和卧室色彩对比方面。浴室厕所和扶手的颜色对比具有最佳的合规性。制定了质量改进计划来弥补差距。 Sunflower 工具的采用和影响改善了患者与工作人员的互动和个性化护理。所有病房工作人员都接受了使用向日葵工具的培训。 结论 稳健的质量改进计划，包括可衡量、可实现、相关且有时限的行动，并与国家标准和当地 KPI 保持一致，对于实现和维持积极的审计结果至关重要。需要持续教育、资源分配和定期审核，以确保痴呆症患者获得高质量的护理。未来的工作将集中于解决已发现的挑战、根据审计反馈完善干预措施以及保持护理改进。