Table 1 Screening tool for vulnerable elderly of the Dutch Safety Management System

Delirium risk

Single questions

Assessing whether: 1) the patient has memory problems; 2) the patient needed help with self-care in the last 24 h; 3) the patient has previously had a delirium

>  1 point

1

Fall risk

Single question

Have you fallen in the last 6 months?

yes

1

Functional impairment

KATZ-6 [17]

Assessing whether the patient currently needs help with 1) bathing, 2) dressing, 3) toileting, 4) transferring from bed to a chair, 5) eating, and 6) whether the patient uses incontinence material

>  2 points

1

Malnutrition

SNAQ [18]

Assessing whether the patient: 1) lost weight unintentionally in the last month (> 3 kg) or last 6 months (> 6 kg) and/or 2) has poor appetite in the last month and 3) used supplemental drinks or tube feeding in the last month.

Question 1 = yes and/or question 2 + 3 = yes

1

Total score

0–4