Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital

Aims: This audit aimed to increase the use of the 4AT (4 A’s Test) within the Mental Health Liaison Team (MHLT) at Southend Hospital to enhance delirium awareness and recognition, thereby facilitating early discharge and improving patient outcomes. The 4AT is a validated and sensitive delirium detec...

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Main Authors: Roxana Farcasan, Mohamed Ibrahim, Fiona McDowall
Format: Article
Language:English
Published: Cambridge University Press 2025-06-01
Series:BJPsych Open
Online Access:https://www.cambridge.org/core/product/identifier/S2056472425105851/type/journal_article
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author Roxana Farcasan
Mohamed Ibrahim
Fiona McDowall
author_facet Roxana Farcasan
Mohamed Ibrahim
Fiona McDowall
author_sort Roxana Farcasan
collection DOAJ
description Aims: This audit aimed to increase the use of the 4AT (4 A’s Test) within the Mental Health Liaison Team (MHLT) at Southend Hospital to enhance delirium awareness and recognition, thereby facilitating early discharge and improving patient outcomes. The 4AT is a validated and sensitive delirium detection tool, specifically designed for ease of clinical use, and supported by extensive diagnostic accuracy data from over 24 studies involving more than 5,000 observations. It is particularly useful as it can be administered to patients who are too sleepy or restless for traditional cognitive testing. Despite its advantages, compliance with 4AT documentation within the MHLT was initially low.
format Article
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issn 2056-4724
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publishDate 2025-06-01
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series BJPsych Open
spelling doaj-art-aef235e6c6bd4cb3a149261201615b2e2025-08-20T03:15:30ZengCambridge University PressBJPsych Open2056-47242025-06-0111S234S23410.1192/bjo.2025.10585Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend HospitalRoxana Farcasan0Mohamed Ibrahim1Fiona McDowall2Essex Partnership University NHS Foundation Trust, Rochford, United KingdomEssex Partnership University NHS Foundation Trust, Rochford, United KingdomEssex Partnership University NHS Foundation Trust, Southend, United KingdomAims: This audit aimed to increase the use of the 4AT (4 A’s Test) within the Mental Health Liaison Team (MHLT) at Southend Hospital to enhance delirium awareness and recognition, thereby facilitating early discharge and improving patient outcomes. The 4AT is a validated and sensitive delirium detection tool, specifically designed for ease of clinical use, and supported by extensive diagnostic accuracy data from over 24 studies involving more than 5,000 observations. It is particularly useful as it can be administered to patients who are too sleepy or restless for traditional cognitive testing. Despite its advantages, compliance with 4AT documentation within the MHLT was initially low.https://www.cambridge.org/core/product/identifier/S2056472425105851/type/journal_article
spellingShingle Roxana Farcasan
Mohamed Ibrahim
Fiona McDowall
Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
BJPsych Open
title Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
title_full Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
title_fullStr Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
title_full_unstemmed Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
title_short Enhancing Delirium Recognition: A 4AT Implementation Audit by the Mental Health Liaison Team at Southend Hospital
title_sort enhancing delirium recognition a 4at implementation audit by the mental health liaison team at southend hospital
url https://www.cambridge.org/core/product/identifier/S2056472425105851/type/journal_article
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AT mohamedibrahim enhancingdeliriumrecognitiona4atimplementationauditbythementalhealthliaisonteamatsouthendhospital
AT fionamcdowall enhancingdeliriumrecognitiona4atimplementationauditbythementalhealthliaisonteamatsouthendhospital