Mini PINCHME multidisciplinary team (MDT) meetings improve fluid balance documentation for orthopaedic patients with delirium: A quality improvement project.

Orthopaedic patients are at risk of delirium, which is managed according to the mnemonic PINCHME and involves monitoring hydration. Fluid balance measures hydration, therefore we aimed to improve fluid balance documentation using ward round plans, posters and mini PINCHME multidisciplinary team meetings. Results demonstrated improved fluid balance documentation for patients with delirium from 63.33% to 100%. The most significant intervention was mini PINCHME multidisciplinary team meetings, which may also reduce rates of delirium; however, further work is required.