Table 3.
Word† Source |
Total Charts with Word (N=63) | Delirious Charts with Word (n=35) | Non-Delirious Charts with Word (n=28) | PPV |
---|---|---|---|---|
‘AMS’ or ‘Mental Status’ | ||||
Nurse | 8 (13) | 8 (23) | 0 (0) | 100 |
Physician | 11 (18) | 11 (31) | 0 (0) | 100 |
Other | 1 (2) | 0 (0) | 1 (4) | 0 |
| ||||
‘Deliri*’ | ||||
Nurse | 9 (14) | 9 (26) | 0 (0) | 100 |
Physician | 10 (16) | 9 (26) | 1 (4) | 90 |
Other | 2 (3) | 2 (6) | 0 (0) | 100 |
| ||||
‘Alert and Oriented’ (< 3) | ||||
Nurse | 17 (27) | 14 (40) | 3 (11) | 82 |
Physician | 2 (3) | 2 (6) | 0 (0) | 100 |
Other | 0 (0) | 0 (0) | 0 (0) | 0 |
| ||||
‘Hallucin*’ | ||||
Nurse | 5 (8) | 4 (11) | 1 (4) | 80 |
Physician | 1 (2) | 1 (3) | 0 (0) | 100 |
Other | 0 (0) | 0 (0) | 0 (0) | 0 |
| ||||
‘Confus*’ | ||||
Nurse | 39 (62) | 27 (77) | 12 (43) | 69 |
Physician | 18 (29) | 17 (49) | 1 (4) | 94 |
Other | 3 (5) | 0 (0) | 3 (11) | 0 |
| ||||
‘Reorient*’ | ||||
Nurse | 31 (49) | 20 (57) | 11 (39) | 65 |
Physician | 1 (2) | 1 (3) | 0 (0) | 100 |
Other | 0 (0) | 0 (0) | 0 (0) | 0 |
| ||||
‘Disorient*’ | ||||
Nurse | 15 (24) | 9 (26) | 6 (21) | 60 |
Physician | 3 (5) | 3 (9) | 0 (0) | 100 |
Other | 1 (2) | 1 (3) | 0 (0) | 100 |
| ||||
‘Encephalopathy‡’ | ||||
Nurse | 0 (0) | 0 (0) | 0 (0) | 0 |
Physician | 3 (5) | 3 (9) | 0 (0) | 100 |
Other | 1 (2) | 1 (3) | 0 (0) | 100 |
| ||||
Any Word | ||||
Nurse | 51 (81) | 32 (91) | 19 (68) | 63 |
Physician | 24 (38) | 22 (63) | 2 (7) | 92 |
Other | 7 (11) | 3 (9) | 4 (14) | 43 |
| ||||
No Word | ||||
Nurse | 12 (19) | 3 (9) | 9 (32) | 25 |
Physician | 39 (62) | 13 (37) | 26 (93) | 33 |
Other | 56 (89) | 32 (91) | 24 (86) | 57 |
Note. All values are n (%)
These words triggered an abstraction, and thus, they never appeared in the non-abstracted (n=237) charts;
indicates multiple different endings, such as ‘um’, ‘ous’, etc.
Metabolic encephalopathy; toxic encephalopathy; drug-induced encephalopathy; toxic-metabolic (and all with “encephalopathy”) PPV= Positive Predictive Value