These efforts helped prevent needless disruptions. UNDISTURBED SLEEP HOW TOThey interviewed patients about barriers to sleep, integrated SIESTA’s sleep-friendly nudges into the EHR, and taught physicians and nurses how to use the sleep-friendly tools in the computer system. In the January 2019 issue of the Journal of Hospital Medicine, Arora and colleagues describe their experiment, designed to measure the effects of SIESTA. “Efforts to improve patients’ sleep are not new, but they do not often stick because they rely on staff to remember to implement the changes,” said the study’s lead author Vineet Arora, MD, professor of medicine at the University of Chicago and an authority on optimizing patient care in teaching hospitals, including disrupted sleep. SIESTA uses “nudges” through the patients’ EHRs, urging doctors and nurses to avoid disruptions that are only minimally valuable, such as awakening patients overnight to measure their vital signs or to administer non-urgent medications. To ameliorate this problem, researchers at the University of Chicago Medicine designed a study known as SIESTA (Sleep for Inpatients: Empowering Staff To Act). This can cause grogginess, delirium and falls. Nighttime awakenings for various tests can disrupt sleep. Selective tinkering with the medical center’s electronic health records (EHR) system, plus a 20-minute presentation to doctors and nurses on the consequences of in-hospital sleep deprivation, was able to change the behavior of caregivers in ways that allowed more patients to sleep undisturbed through the night.Īlthough patients may spend much of their time sitting in a chair or recovering in bed, hospitalization is seldom restful.
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