IndraLab

Statements



sparser
"This suggests that delirium screening can be performed efficiently by nurses and CNAs operating within their scope of practice, using for example the nurse two-step protocol with skip (UB-CAM), or the CNA UB-2 followed by nurse 3D-CAM with skip (not explicitly tested in our study)."

sparser
"These strategies include the ultra-brief CAM (UB-CAM) xref or the months of the year backwards test xref , where delirium is associated with the inability to engage and complete the task."

sparser
"Bien qu'ils aient un niveau de preuve plus limité, d'autres outils ayant une durée de passation plus rapide, comme la 4AT, la 3D-CAM et l'UB-CAM, semblent prometteurs, notamment en raison d'excellentes performances diagnostiques."

sparser
"Clinicians described a need for delirium screening and appreciated the ease of delivering the UB-CAM two-step process with an App; they reported built-in prompts and direct electronic data entry on the iPad simplified the process."

sparser
"Assessments like the UB-CAM or the delirium triage screen (DTS) address this limitation by combining a short screening with a focus on inattention, followed by a second assessment that includes collateral history [ xref , xref ]."

sparser
"This poster describes the development and pilot testing of an iOS-based app that incorporates the Ultra-Brief Confusion Assessment Method (UB-CAM), a two-step, delirium detection protocol that combines the UB-2 (2-item screener) and 3D-CAM."
| PMC

sparser
"The UB-2 can effectively rule out delirium in less than 40 seconds, with a 93% sensitivity in persons with and without dementia. xref , xref If the person correctly answers both items in the UB-2, the protocol is complete; if not, the 3D-CAM is administered as step two. xref , xref The 3D-CAM is a validated diagnostic interview for delirium that can be completed in three minutes. xref We refer to this two-step process as the UB-CAM. (See xref , xref , xref )"

sparser
"This study describes the barriers and facilitators related to the implementation of the Ultra-brief Confusion Assessment Method (UB-CAM), a rapid two-step delirium identification protocol (ultra-brief screen, followed by CAM in positives), field tested with hospitalized older adults (70+)."

sparser
"Paper versions of the 3D-CAM, UB-2, and UB-CAM, along with training materials, are available at."

sparser
"A delirium screening protocol consisting of the UB-2, followed in “positives” by the 3D-CAM with skip pattern, or Ultra-Brief CAM (UB-CAM) has high sensitivity and specificity and can be completed in slightly over 1 minute."

sparser
"We review a number of delirium screening instruments that have shown promise for use in DSD, including the 4-DSD, combined Six Item Cognitive Impairment Test (6-CIT) and 4 'A's Test (4AT), Confusion Assessment Method (CAM), and the combined UB2 and 3D-CAM (UB-CAM)."

sparser
"Next steps include testing effectiveness in a pragmatic trial with clinician users (physicians, nurses, CNAs), integrating the UB-CAM app into the routine hospital care of all older patients."
| PMC

sparser
"A pilot study testing the iOS UB-CAM delirium app."

sparser
"The UB-CAM, consisting of the UB-2, followed in positives by the 3D-CAM with skip pattern, is a time-efficient delirium screening protocol that holds promise for increasing systematic screening for delirium in hospitalized older adults."

sparser
"Physicians and nurses completed the two-step Ultra-brief Confusion Assessment Method (UB-CAM) protocol (with or without a skip pattern), while certified nursing assistants completed only the UB-2 ultra-brief screen."

sparser
"Field researchers guided by a modified multi-level implementation framework, collected observational data as participants administered the UB-CAM (n = 767)."

sparser
"The enthusiasm for the UB-CAM’s utility, and its facilitation of systematic assessment , promoted clinician engagement in its use."

sparser
"Field researchers at two sites (an urban academic medical center and a community teaching hospital) collected observational data from 322 clinical staff (50 physician hospitalists, 189 registered nurses, and 83 nursing assistants [NAs]) as they administered the UB-CAM."

sparser
"Among them, the 4AT, the 3D-CAM and the UB-CAM seem particularly promising."

sparser
"The systematic nature of the protocol and its perceived sensitivity was also valued, with one hospitalist noting the UB-CAM had picked up delirium where he had missed it."

sparser
"All clinician types described the ability to integrate the UB-CAM into their role and routine, without adjustments in workflow, assignments or deployment."

sparser
"Mean administration times were 3 minutes 13 seconds for 3D-CAM, 2 minutes 19 seconds for 3D-CAM with skip, 1 minute 52 seconds for UB-2 + 3D-CAM in positives, and 1 minute 14 seconds for UB-2 + 3D-CAM with skip in positives, which was 1 minute 59 seconds faster than the 3D-CAM (P < ."

sparser
"Delirium is underdiagnosed by clinicians, but there are excellent diagnostic tools using history and physical examination that can assist clinicians in making the diagnosis in multiple settings (ie, CAM, CAM-ICU, 3D-CAM, bCAM, 4AT, and UB-CAM)."

sparser
"A more purposeful approach is to educate patients and families about the brain as a critical organ, and the UB-CAM as a vital sign of brain function. xref , xref This finding corroborates other research that identifies the need for both intellectual and interpersonal skills to attend to the patient’s emotional needs while providing evidence-based care. xref "

sparser
"Our field team examined protocol implementation in real time to understand the conditions and environments under which delirium assessment occurs, and the challenges associated with implementing the UB-CAM into practice."

sparser
"The UB-CAM was generally positively received by all three clinician types."

sparser
"Dieser wird u. a. dadurch begegnet, dass ein kurzes Screening einem ausführlicheren Assessment vorgeschaltet wird (z. B. ultra-brief CAM, UB-CAM)."

sparser
"The UB-2, followed by 3D-CAM with skip pattern, is called the ultra-brief CAM (UB-CAM) ( xref )."

sparser
"For the UB-CAM with skip (UB-CAM), costs per protocol were $1.10 for nurses vs. $3.61 for physicians."

sparser
"Previous work tested a RedCAP-based UB-CAM app in 527 patients with 399 physicians, nurses, and certified nursing assistants (CNAs) showing it can be successfully completed by all three disciplines in 97% of eligible patients in 80 seconds on average with over 85% accuracy relative to a gold standard."
| PMC

sparser
"Mean administration times were 3 minutes 13 seconds for 3D-CAM, 2 minutes 19 seconds for 3D-CAM with skip, 1 minute 52 seconds for UB-2 + 3D-CAM in positives, and 1 minute 14 seconds for UB-2 + 3D-CAM with skip in positives, which was 1 minute and 59 seconds faster than the 3D-CAM (p<."

sparser
"The sensitivity of our app-directed protocol was lower than previously reported 3D-CAM or simulated UB-CAM validation results ( xref , xref )."

sparser
"The purpose of this study was to explore the barriers and facilitators of implementing the UB-CAM in acute care, to inform its implementation."

sparser
"To improve accessibility to the clinical setting, our research team now collaborated with a computer scientist to develop and refine an iOS-based UB-CAM app for the iPhone and iPad through iterative “laboratory” testing."
| PMC

sparser
"The UB-CAM provides a brief cognitive assessment and observer rating which can be completed in under one minute to screen for delirium in high risk settings for older adults, such as emergency department, hospital, intensive care unit (ICU), and nursing home. xref "

sparser
"The annual salary-related costs of hospital-wide implementation of a nurse-based UB-CAM protocol in a medium-sized (300-bed) hospital was $63,015 plus $4356 for initial and annual training."

sparser
"Among them, the 4AT, the 3D-CAM and the UB-CAM seem particularly promising."