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.

Classification

Domain-specific or adjunctive measureCognitive tests designed for delirium

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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

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.

Evidence

Evidence maturityOne 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 studies: 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

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Information checked: 2026-07-19

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Sources checked 2026-07-29. How profiles are prepared.