ARTICLEUse of the Acute Confusion Protocol A Research Utilization ProjectKratz, Ann MSN, RN, CS, APNPAuthor 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 ([email protected]). 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 Journal of Nursing Care Quality: October 2008 - Volume 23 - Issue 4 - p 331-337 doi: 10.1097/01.NCQ.0000336673.02725.ec Buy Metrics Abstract 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%. © 2008 Lippincott Williams & Wilkins, Inc.