Evidence mapPaperPMID 39997608Full record

ArticleRevista da Escola de Enfermagem da U S P2025

Prevention and management of postoperative delirium in adult patients: a best practice implementation project.

Juliana Rizzo Gnatta, Sarha de Oliveira Gonçalves Paes, Maria Fernanda de Oliveira Faria, Domingos Dias Cicarelli, Renata Veloso Silva Laurino, Lina Hamano, Vilanice Alves de Araújo Püschel, Vanessa de Brito Poveda

Abstract read
In one paragraph

Article in Revista da Escola de Enfermagem da U S P, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Juliana Rizzo GnattaUniversidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.ORCID 0000-0001-8689-5762
Sarha de Oliveira Gonçalves PaesUniversidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.ORCID 0000-0002-0087-2920
Maria Fernanda de Oliveira FariaUniversidade de São Paulo, Escola de Enfermagem, São Paulo, SP, Brazil.ORCID 0009-0003-6689-6196
Domingos Dias CicarelliUniversidade de São Paulo, Hospital Universitário, São Paulo, SP, Brazil.ORCID 0000-0001-5508-4019
Renata Veloso Silva LaurinoUniversidade de São Paulo, Hospital Universitário, São Paulo, SP, Brazil.ORCID 0000-0002-7243-687X
Lina HamanoUniversidade de São Paulo, Hospital Universitário, São Paulo, SP, Brazil.ORCID 0000-0003-4802-9817
Vilanice Alves de Araújo PüschelUniversidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.ORCID 0000-0001-6375-3876
Vanessa de Brito PovedaUniversidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Médico-Cirúrgica, São Paulo, SP, Brazil.ORCID 0000-0002-5839-7253

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the process of implementing evidence-based best practices to improve the prevention and management of Postoperative Delirium in the Post-Anesthesia Care Unit.

methodReport on an evidence implementation project applying the JBI based on the audit and feedback process, with a structured approach to identifying and managing barriers in accordance with recommended clinical practices. Medical records, electronic nursing record systems, and staff interviews were used to assess compliance rates.

resultsIn the baseline audit, a zero compliance rate was found in most criteria in relation to the best evidence. Following this phase, interprofessional training was carried out, a validated tool was provided to identify patients at risk of delirium, and changes were made to the electronic nursing records system. In the first follow-up audit, there was an increase in the compliance rate in four of the nine criteria audited. Four criteria achieved 100% compliance in the second follow-up audit.

conclusionBest practices were implemented that contributed to improving the prevention and management of Postoperative Delirium. Subsequent to new training and re-auditing after one year, an increase in adherence to best practices was observed.

Indexed as

DeliriumPostoperative ComplicationsPractice Guidelines as TopicAdultEvidence-Based PracticeFollow-Up StudiesGuideline AdherenceHumans

Identifiers

PMID39997608
PMCPMC11853671

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.