The Commission is developing a Stillbirth Clinical Care Standard to improve the appropriateness of care for stillbirth prevention, and the quality of bereavement care following perinatal loss.
Information for health service organisations to guide practice and monitor improvement using the clinical care standard, and resources to support implementation.
This standard describes the care you should expect to receive if you are at risk of, or experience delirium. Find out more about what the standard says for consumers.
Information about the Delirium Clinical Care Standard for clinicians
The standard has been endorsed by a number of key health organisations.
Indicators have been developed to support monitoring of the care recommended in the Delirium Clinical Care Standard. Clinicians and health service organisations can use the indicators to support local quality improvement activities.
Quality statement 8
Before a patient with persistent or resolved delirium leaves hospital, an individualised comprehensive care plan is developed collaboratively with the patient and their family or carer. The plan describes the patient’s post-discharge care needs and includes strategies to help reduce the risk of delirium and related complications, a summary of changes in medicines and any other ongoing treatment. This plan is provided to the patient and their family or carer before discharge, and to their general practitioner and other regular clinicians within 48 hours of discharge.
Quality statement 7
Antipsychotic medicines are not recommended to treat delirium. Behavioural and psychological symptoms in a patient with delirium are managed using non-drug strategies.
Quality statement 6
A patient with delirium receives care to prevent functional decline, dehydration, malnutrition, falls and pressure injuries, based on their risk.
Quality statement 5
A patient with delirium is offered a set of interventions to treat the causes of delirium, based on a comprehensive assessment that includes relevant multidisciplinary consultation.
Quality statement 4
A patient with cognitive impairment on presentation to hospital, or who has an acute change in behaviour or cognitive function during a hospital stay, is promptly assessed using a validated tool by a clinician trained to assess delirium. The patient and their family or carer are asked about any recent changes in the patient’s behaviour or thinking.
A diagnosis of delirium is determined and documented by a clinician working within their scope of practice.
Quality statement 3
A patient at risk of delirium and their family or carer are encouraged to be active participants in care. If a patient is at significant risk or has, delirium, they and their family or carer are provided with information about delirium and its prevention in a way that they can understand. When delirium occurs, they receive support to cope with the experience and its effects.
Quality statement 2
A patient at risk of delirium is offered a set of interventions to prevent delirium and is regularly monitored for changes in behaviour, cognition and physical condition. Appropriate interventions are determined before a planned admission or on admission to hospital, in discussion with the patient and their family or carer.
Quality statement 1
A patient with any key risk factor for delirium is identified on presentation and a validated tool is used to screen for cognitive impairment, or obtain a current score if they have known cognitive impairment. Before any planned admission, the risk of delirium is assessed and discussed with the patient, to enable an informed decision about the benefits and risks.
The Delirium Clinical Care Standard includes eight quality statements describing the key components of care to improve the prevention of delirium in patients at risk and the early diagnosis and treatment of patients with delirium.
The Commission is developing an Opioid Analgesic Stewardship in Acute Pain Clinical Care Standard. This standard will guide clinicians and health service organisations on the appropriate use and review of opioid analgesics for managing acute pain in acute care settings. It will also inform consumers about the care they can expect to receive when opioid analgesics are prescribed for acute pain.
These case studies showcase best practice and innovation in cataract care. They are provided as examples to health services to assist in implementing the Cataract Clinical Care Standard.
The Commission is developing a Sepsis Clinical Care Standard to provide guidance to clinicians and health service organisations when investigating and managing sepsis, and information to consumers about the care they can expect to receive.
Information for health service organisations – Third and Fourth Degree Perineal Tears Clinical Care Standard
This clinical care standard sets out the components of care that health service organisations can use to guide practice and monitor improvement in hospitals and other services where the Third and Fourth Degree Perineal Tears Clinical Clinical Care Standard applies.
Information about the Third and Fourth Degree Perineal Tears Clinical Care Standard and resources for clinicians.