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Use of the Acute Confusion Protocol: A Research Utilization Project

Kratz, Ann MSN, RN, CS, APNP

Journal of Nursing Care Quality:
doi: 10.1097/

This evidence-based project was undertaken to implement research-based preventive protocols to decrease the negative outcomes associated with delirium/acute confusion. After implementation, the medical-surgical unit experienced a 62% reduction in falls and a 100% decrease in sitter usage the first year. The use of medications known to cause acute confusion was decreased by more than 50%. Since implementation, the fall rate as well as the use of restraints has decreased by 25%.

Author Information

Aurora Medical Center, Washington County, Hartford, Wisconsin.

Corresponding Author: Ann Kratz, MSN, RN, CS, APNP, Aurora Medical Center, Washington County, 1032 East Sumner St, Hartford, WI 53027 (

It is very rewarding to be part of a medical-surgical team, whose top priority is patient care. The nursing team always goes above and beyond in all of their interventions; they are rapid adopters of new technology and research. It is my distinct honor to work with these extraordinary individuals. The author thanks Brenda Jochem, Senior Administrative Assistant, for her help in producing the tables.

Accepted for publication: February 19, 2008

© 2008 Lippincott Williams & Wilkins, Inc.