The goal of CAM is to improve delirium screening. "In some studies, the reliability of the MDS 2.0 delirium items has been worse than chance. In addition, independent evaluation shows significant underdetection of delirium with unstructured observation," she said. "CAM is increasingly recognized as a valid approach to identifying delirium. It has improved sensitivity and specificity for detecting delirium in frail older adults in hospitals and in postacute care settings."
