Table 3 Final quantitative quality statement and PM results (N = 22)
Quality Statement (QS) or PM | Round 3 Median Scores by tertile (%) | ||
|---|---|---|---|
Low | Mid | Upper | |
Screening | |||
 QS 01 (Screen for non-modifiable risk factors): Important | 8 | ||
0.00 | 4.55 | 95.45 | |
 QS 01 (Screen for non-modifiable risk factors): Actionable | 8 | ||
0.00 | 0.00 | 100.00 | |
 PM 01 (Evidence of structures to support screening): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM02 (Older adults documented at risk): Necessary | 8 | ||
0.00 | 18.18 | 81.82 | |
 PM03 (Non-modifiable risk factor screen): Necessary | 8 | ||
0.00 | 9.09 | 90.91 | |
 QS 02 (Screen for delirium): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 02 (Screen for delirium): Actionable | 8 | ||
0.00 | 9.09 | 90.91 | |
 PM 04 (Evidence of 4AT tool availability): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 05 (Screened on arrival): Necessary | 8 | ||
0.00 | 13.64 | 86.36 | |
 PM 06 (Repeat screening every shift): Necessary | 9 | ||
0.00 | 27.27 | 72.73 | |
Diagnosis | |||
 QS 03 (Assess and diagnose): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 03 (Assess and diagnose): Actionable | 9 | ||
0.00 | 4.55 | 95.45 | |
 PM 07 (Diagnosis documented): Necessary | 9 | ||
0.00 | 0.00 | 100.00 | |
 PM 08 (Diagnosis in discharge summary): Necessary | 8.5 | ||
0.00 | 0.00 | 100.00 | |
Risk Reduction | |||
 QS 04 (Multicomponent risk reduction): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 04 (Multicomponent risk reduction): Actionable | 8 | ||
4.55 | 22.73 | 72.73 | |
 PM 09 (Evidence of protocol/pathway): Necessary | 9 | ||
0.00 | 0.00 | 100.00 | |
 PM 10 (Clinical risk factor assessment): Necessary | 8 | ||
0.00 | 0.00 | 100.00 | |
 PM 11 (Risk reduction interventions): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 QS 05 (Medication review): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 05 (Medication review): Actionable | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 12 (Evidence of medication review tools): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 13 (Medication review completed): Necessary | 8 | ||
0.00 | 0.00 | 100.00 | |
 QS 06 (Reduce unnecessary within-ED transfers): Important | 8 | ||
4.55 | 4.55 | 90.91 | |
 QS 06 (Reduce unnecessary within-ED transfers): Actionable | 4 | ||
31.82 | 40.91 | 27.27 | |
 PM 14 (Number of within-ED transfers): Necessary | 6.5 | ||
9.09 | 40.91 | 50.50 | |
Management | |||
 QS 07 (Identify and treat causes): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 07 (Identify and treat causes): Actionable | 9 | ||
0.00 | 4.55 | 95.45 | |
 PM 15 (Evidence of protocol/pathway): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 16 (Assess and identify causes): Necessary | 8 | ||
0.00 | 0.00 | 100.00 | |
 QS 08 (Multicomponent management): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 08 (Multicomponent management): Actionablea | 7 | ||
9.09 | 27.27 | 63.64 | |
 PM 17 (Evidence of protocol/pathway): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 18 (Management plan initiated): Necessary | 8 | ||
0.00 | 0.00 | 100.00 | |
 PM 19 (Evidence of low stimulus care spaces): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |
 PM 20 (Placed in low stimulus care space): Necessary | 8 | ||
0.00 | 13.64 | 86.36 | |
 QS 09 (Cautious use of antipsychotic medications): Important | 9 | ||
0.00 | 0.00 | 100.0 | |
 QS 09 (Cautious use of antipsychotic medications): Actionable | 7 | ||
0.00 | 27.27 | 72.73 | |
 PM 21 (Evidence of risk of harm if antipsychotic given): Necessary | 8 | ||
0.00 | 13.64 | 86.36 | |
 QS 10 (Communicate with patient and family/carers): Important | 9 | ||
0.00 | 0.00 | 100.00 | |
 QS 10 (Communicate with patient and family/carers): Actionable | 8 | ||
0.00 | 18.18 | 81.82 | |
 PM 22 (Evidence of communication tools): Necessary | 8.5 | ||
0.00 | 0.00 | 100.00 | |
 PM 23 (Evidence of availability in other languages): Necessary | 8 | ||
0.00 | 0.00 | 100.00 | |
 PM 24 (Patient and family/carers given information): Necessary | 8 | ||
0.00 | 4.55 | 95.45 | |