3D-CAM
Authors: Rex Wilford, Sue Fosnight, Kyle Allen
Journal: Annals of Internal Medicine (2015)

Letters7 April 20153D-CAMRex Wilford, DO, RPh, Sue Fosnight, RPh, CGP, BCPS, and Kyle Allen, DORex Wilford, DO, RPhFrom Summa Health System, Akron, Ohio, and Riverside Health System, Newport News, Virginia.Search for more papers by this author, Sue Fosnight, RPh, CGP, BCPSFrom Summa Health System, Akron, Ohio, and Riverside Health System, Newport News, Virginia.Search for more papers by this author, and Kyle Allen, DOFrom Summa Health System, Akron, Ohio, and Riverside Health System, Newport News, Virginia.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5073 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read Marcantonio and colleagues' article (1) with great interest. The early recognition of delirium across all hospital settings is an important factor in patient safety and care. Nurses caring for patients have the best opportunity to recognize a disorder that fluctuates over time, such as this condition. The ultimate goal of having a brief and accurate tool to aid nurses in the early detection of delirium without adding excess burden to ever-increasing nurse charting time is important. Marcantonio and colleagues did, indeed, show that the 3D-CAM (3D-Confusion Assessment Method) decreases the time to complete delirium assessment ...References1. Marcantonio ER, Ngo LH, O'Connor M, Jones RN, Crane PK, Metzger ED, et al. 3D-CAM: derivation and validation of a 3-minute diagnostic interview for CAM-defined delirium: a cross-sectional diagnostic test study. Ann Intern Med. 2014;161:554-61. [PMID: 25329203] doi:10.7326/M14-0865 LinkGoogle Scholar2. Gaudreau JD, Gagnon P, Harel F, Tremblay A, Roy MA. Fast, systematic, and continuous delirium assessment in hospitalized patients: the nursing delirium screening scale. J Pain Symptom Manage. 2005;29:368-75. [PMID: 15857740] CrossrefMedlineGoogle Scholar3. Radtke FM, Franck M, Schust S, Boehme L, Pascher A, Bail HJ, et al. A comparison of three scores to screen for delirium on the surgical ward. World J Surg. 2010;34:487-94. [PMID: 20066416] doi:10.1007/s00268-009-0376-9 CrossrefMedlineGoogle Scholar4. Allen KR, Fosnight SM, Wilford R, Benedict LM, Sabo A, Holder C, et al. Implementation of a system-wide quality improvement project to prevent delirium in hospitalized patients. J Clin Outcomes Manag. 2011;18:253-8. Google Scholar5. Solberg LM, Plummer CE, May KN, Mion LC. A quality improvement program to increase nurses' detection of delirium on an acute medical unit. Geriatr Nurs. 2013;34:75-9. [PMID: 23614146] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Rex Wilford, DO, RPh; Sue Fosnight, RPh, CGP, BCPS; Kyle Allen, DOAffiliations: From Summa Health System, Akron, Ohio, and Riverside Health System, Newport News, Virginia.Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOf InterestForms.do?msNum=L15-0018. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee Also3D-CAM: Derivation and Validation of a 3-Minute Diagnostic Interview for CAM-Defined Delirium Edward R. Marcantonio , Long H. Ngo , Margaret O'Connor , Richard N. Jones , Paul K. Crane , Eran D. Metzger , and Sharon K. Inouye 3D-CAM: Derivation and Validation of a 3-Minute Diagnostic Interview for CAM-Defined Delirium Edward R. Marcantonio , Long H. Ngo , Margaret O'Connor , Richard N. Jones , Paul K. Crane , Eran D. Metzger , and Sharon K. Inouye 3D-CAM Edward R. Marcantonio and Sharon K. Inouye 3D-CAM Edward R. Marcantonio and Sharon K. Inouye Metrics 7 April 2015Volume 162, Issue 7Page: 527KeywordsClinical trialsConflicts of interestDeliriumDisclosureForecastingIntensive care unitsNursesPatientsSafetySpecificity ePublished: 7 April 2015 Issue Published: 7 April 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...