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Objective: This study aimed to examine whether the 10-item Risk Score List (RSL) accurately predicts delirium in patients admitted to inpatient hospice care and whether this instrument can be simplified. Determining the risk for developing delirium can help to treat these patients in a timely manner. Methods: This was a retrospective medical record study in patients who died in 2019 or 2020 in three hospices. Predictive values were examined using Cox regression analysis, crosstabs, and C-statistic. Results: In total, 240 patients were included. Median age at admission was 78 (IQR 70-84) years. Primary diagnosis most often was cancer (n = 186, 78%); 173 (72%) patients had an increased risk of delirium according to RSL, of whom 120 (69%) developed delirium. Overall, 147 (61%) patients developed delirium. The RSL significantly predicted future delirium (HR 3.25, CI 1.87-5.65, p < 0.01) and had a sensitivity of 85%, a specificity of 43%, positive predictive value of 62%, negative predictive value of 73%, and a C-statistic of 0.64. Simplifying the RSL to four items still significantly predicted future delirium, with similar predictive values. Conclusion: Delirium occurs in more than half of patients admitted to hospice care. The RSL can be simplified to four items, without compromising on predictive accuracy.

Organizational partnerships exist in various forms to create mutual benefits such as a focus on core activities, improved service quality, a reduction in costs, or creating strategic innovations. A general belief among researchers is that information transparency, interdependence, and trustworthiness help improving the performance of partnerships. However, traditionally, more attention is given to formulating contractual agreements, while less consideration is afforded to the relational and operational realm. Despite that partners often put significant efforts into drafting contractual agreements, dissimilarities are acknowledged. Failing factors such as a shortage of clarity and perceived obligations in partnerships are common, and therefore partnerships often do not produce what they are projected to deliver. This research applied academic knowledge with managerial relevance in the development of a prototype. This prototype facilitates to create clarification on mutually perceived obligations and interdependencies and assesses mutually perceived trustworthiness among the partnership through a survey. The results of the workability of the prototype were evaluated through the examination of the design requirements. As with many first attempts, some design requirements were operational, and some need to be further refined. Indeed, the prototype provides a first move towards a systematic method of requesting cooperation objectives and interdependencies, as it aids in identifying the collaboration objectives, interdependencies, and phasing of the collaboration.

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