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Global Accessibility Rating

1985

A historical single global judgement of cognitive accessibility evaluated on one general medical ward in 1985. It showed promising accuracy but lacks a contemporary manual, operational definition and independent validation programme.

At a glance

Purpose
Domain-specific or adjunctive measure
Population
Adult
Setting
General / acute hospital
Time
brief global judgement; exact time not reported
Items
1
Score or threshold
Study-defined positive threshold; numerical boundary not available from the abstract

Format: The method records one global accessibility judgement rather than a set of symptom ratings. The numerical threshold and operational anchors are not available in the abstract and should not be reconstructed.

Primary validation papers

1 identified diagnostic-accuracy paper

Other forms of validation are described in the evidence section. What is counted?

Large-scale clinical implementation

Not yet reviewed.

A focused implementation review has not yet been completed for this profile.

Training and instructions

Public training resources have not yet been confirmed in this review. Check the linked developer or original source for instructions.

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Tool and original sources

This record describes a method rather than a downloadable bedside form. The main source is linked below.

Original paper

  • Original paperAnthony JC, LeResche LA, Von Korff MR, Niaz U, Folstein MF. Screening for delirium on a general medical ward: the tachistoscope and a global accessibility rating. General hospital psychiatry. 1985;7(1):36-42. doi: 10.1016/0163-8343(85)90008-8. PMID: 3967822.

    This is the original published source for Global Accessibility Rating. It reported sensitivity of 90% and specificity of 95% against psychiatrist standardised clinical delirium diagnosis (criteria not specified in accessible abstract).

    Open PubMed ↗
One DTA study identifiedHistorical context
Classification

Classification

Domain-specific or adjunctive measureCognitive tests designed for delirium

A tool may belong to more than one category. Select a linked category to see other relevant profiles.

Evidence

Diagnostic-accuracy evidenceOne DTA study identified

Reported sensitivity and specificity

Headline metric source

Original/source study · 1985; pmid:3967822

Denominator
Reported source unit: 97 (analysis unit not fully reconciled)
Reference standard
Psychiatrist standardised clinical delirium diagnosis (criteria not specified in accessible abstract)
90%
Sensitivity
95%
Specificity

Earliest DTA evaluation identified in the current audit; see the linked source and methodological caveats.

More evidence and citation details
Full name
Global Accessibility Rating
Also known as
accessibility rating
Evidence summary
single-DTA
Diagnostic-accuracy evaluations
1
Reference standard
Psychiatrist standardised clinical delirium diagnosis (criteria not specified in accessible abstract)
Citation
Anthony JC, LeResche LA, Von Korff MR, Niaz U, Folstein MF Screening for delirium on a general medical ward: the tachistoscope and a global accessibility rating General hospital psychiatry. 1985;7(1):36-42. PMID 3967822
Download RIS ↗ Download BibTeX ↗

Primary validation studies

Distinct primary publications from the current diagnostic-accuracy audit. Reviews and repeated evaluations within one paper are not counted again. Overlapping cohorts have not all been reconciled. Read the counting rules and limitations.

Open 1 identified paper
  1. Anthony JC, LeResche LA, Von Korff MR, Niaz U, Folstein MF (1985). Screening for delirium on a general medical ward: the tachistoscope and a global accessibility rating. General hospital psychiatry.

    Reference category: other comparator or secondary accuracy evidence.

Copyright and reuse
Information checked
2026-07-19

Instrument-specific terms apply. See the access and copyright policy or send a correction.

Base clinical review: 2026-07-29. Instrument description source check: 2026-09-05. Scope and limitations.