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

ACE-T, a nurse-led delirium initial-response tool, was rated easy to use by 75% (39/52) of staff and very/extremely helpful by 71% (37/52) across three hospitals.

• Why it matters: A positive delirium screen needs timely assessment and care, but bedside initial actions are often unclear, risking inconsistent documentation and team communication.
• What they did: In a developmental pilot, 53 multidisciplinary staff completed a structured survey and free-text feedback, and 60 non-random records (10 before and 10 after per site) were reviewed for delirium-care actions within 48 hours.
• The result: Delirium or suspected delirium documentation increased after ACE-T at each site: Germany 1/10 to 10/10, UK 0/10 to 10/10, and USA 3/10 to 9/10, supporting further prospective evaluation.

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