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Research Snapshot Theater: Pediatric III

Implementation of a Multidisciplinary Education Program to Improve Delirium Management in the PICU

Sunday, March 22, 2026
12:15 PM - 1:15 PM Central Time
Location: Connections Central - RST 07

  • Laaibah Ejaz, MD

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • JB

    Jamie Bell, MD

    Assistant Professor
    Children’s Hospital of Michigan / Central Michigan University College of Medicine

    Disclosure information not submitted.

  • Lauren Yagiela, MD MS

    Children's Hospital of Michigan, Michigan

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • Andrew Prout, MD

    Children's Hospital of Michigan, Michigan

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • MK

    Mohammad Bilal Khan, MD

    Staff Intensivist
    Children’s Hospital of Michigan / Central Michigan University College of Medicine

    Disclosure information not submitted.

Introduction: Delirium is a frequent complication of critical illness and is associated with increased duration of hospitalization and worsened neuro-developmental outcomes in children. A daily light schedule and delirium screening may increase detection and reduce incidence of delirium. We hypothesized that a brief multidisciplinary delirium education program will improve adherence with delirium screening and a daily light schedule in a quaternary care pediatric intensive care unit (PICU).


Methods: Pre-intervention data was collected on 8 preselected days over 3 months for all PICU patients except patients on ECMO. A multidisciplinary education program on delirium was then delivered to PICU nurses, fellows and attendings. The education program included a short presentation on delirium, screening for delirium using the Cornell Assessment of Pediatric Delirium (CAPD) score, and a daily light and TV schedule. Daily schedules of light and TV on/off times were posted in each PICU room. Finally, post-intervention data was collected on 6 preselected days over 2 months. The primary outcomes were adherence with CAPD scoring and adherence with a daily light/TV schedule.


Results: 228 instances across 8 days of pre-intervention data and 153 instances across 6 days of post-intervention data were collected. Documentation of CAPD scores improved from the pre- to post-intervention group (morning scores: 4.8% to 39.8%, p< 0.05; evening scores 5.7% to 44.4%, p< 0.05). Adherence to the daily light schedule did not improve from the pre- to post-intervention group (morning: 63.1% to 62.7%, p=0.93; evening: 65.8% to 70%, p=0.39).


Conclusions: Our study demonstrated that our education program led to a significant improvement in adherence with CAPD scoring in our quaternary PICU. However, there was no change in adherence to a daily light/TV schedule. Future work will focus on identifying barriers and solutions to adherence with a daily light/TV schedule.