Evaluation of the delirium early monitoring system (DEMS)

Daniel Rippon, Koen Milisen, Elke Detroyer, Elizabeta Mukaetova-Ladinska, Beth Harrison, Marieke Schuurmans, Claire Pryor, Andrew Teodorczuk*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

6 Citations (Scopus)


Despite awareness of the negative health and financial outcomes of delirium, systems to routinely assess and manage the condition are absent in clinical practice. We report the development and pilot evaluation of a Delirium Early Monitoring System (DEMS), designed to be completed by non-medical staff to influence clinical processes within inpatient settings. Two versions of the DEMS are described based on a modified Confusion Assessment Method (DEMS-CAM) and Delirium Observation Screening Scale (DEMS-DOSS). Both versions of DEMS were piloted on a 20-bedded Psychogeriatric ward over 6 weeks. Training was administered to ward staff on the use of each version of the DEMS and data were collected via electronic medical records and completed assessment sheets. The primary outcome was patterns of DEMS use and the secondary outcome was the initiation of delirium management protocols. Data regarding the use of the DEMS DOSS and DEMS CAMS were analyzed using χ2 tests. Completion rates for the DEMS CAM and DEMS DOSS were 79% and 68%, respectively. Non-medical staff were significantly more likely to use the DEMS-CAM as part of daily practice as opposed to the DEMS-DOSS (p
Original languageEnglish
Pages (from-to)1879-1887
Number of pages9
JournalInternational Psychogeriatrics
Issue number11
Early online date22 Jul 2016
Publication statusPublished - 1 Nov 2016
Externally publishedYes


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