Development and pilot evaluation of ACE-T, a nurse-focused delirium initial-response tool, across three health systems

Background A positive delirium screen should trigger timely assessment and care, but the initial bedside response is not always clearly defined. ACE-T (Acute Triggers / Patient Experience / Treatments) is a nurse-led tool (www.theace-t.com) that sets out initial care actions and supports documentation and team communication. Objectives To assess perceived usability and utility, refine the tool, and describe documentation before and after its introduction at three hospitals. Methods In this developmental pilot, 53 multidisciplinary staff completed a structured survey and provided free-text feed

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