Table 2 Documentation of delirium in patients’ charts
From: Documentation of delirium in the VA electronic health record
Document type | Diagnosis | Signs/symptoms | Diagnosis or symptoms |
|---|---|---|---|
DMH consult notes | 11 (44%) | 13 (52%) | 13 (52%) |
Physician notes | 1 (.06%) | 8 (32%) | 8 (32%) |
Discharge summary | 4 (16%) | 11 (44%) | 11 (44%) |
Nursing Notes | - | 14 (56%) | 14 (56%) |
ICD-9 diagnosis code | 7 (28%) | - | 7 (28%) |
Unique veterans including DMHC notes | 14 (56%) | 16 (64%) | 16 (64%) |
Unique veterans excluding DMHC notes | 9 (36%) | 16 (64%) | 16 (64%) |