An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients

Christine Soong, Lisa Burry, Hyung J. Cho, Evelyn Gathecha, Flora Kisuule, Cara Tannenbaum, Abi Vijenthira, Timothy Morgenthaler

Research output: Contribution to journalArticle

Abstract

Sedative-hypnotic medications are frequently prescribed for hospitalized patients with insomnia, but they can result in preventable harm such as delirium, falls, hip fractures, and increased morbidity. Furthermore, sedative-hypnotic initiation while in the hospital carries a risk of chronic use after discharge. Disrupted sleep is a major contributor to sedative-hypnotic use among patients in the hospital and other institutional settings. Numerous multicomponent studies on improving sleep quality in these settings have been described, some demonstrating an associated reduction of sedative-hypnotic prescriptions. This selected review summarizes effective interventions aimed at promoting sleep and reducing inappropriate sedative-hypnotic initiation and proposes an implementation strategy to guide quality improvement teams.

Original languageEnglish (US)
JournalJAMA internal medicine
DOIs
StatePublished - Jan 1 2019

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Hypnotics and Sedatives
Inpatients
Sleep
Delirium
Hip Fractures
Sleep Initiation and Maintenance Disorders
Quality Improvement
Prescriptions
Morbidity

ASJC Scopus subject areas

  • Internal Medicine

Cite this

An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients. / Soong, Christine; Burry, Lisa; Cho, Hyung J.; Gathecha, Evelyn; Kisuule, Flora; Tannenbaum, Cara; Vijenthira, Abi; Morgenthaler, Timothy.

In: JAMA internal medicine, 01.01.2019.

Research output: Contribution to journalArticle

Soong, Christine ; Burry, Lisa ; Cho, Hyung J. ; Gathecha, Evelyn ; Kisuule, Flora ; Tannenbaum, Cara ; Vijenthira, Abi ; Morgenthaler, Timothy. / An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients. In: JAMA internal medicine. 2019.
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