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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%)
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