TY - JOUR
T1 - An Implementation Guide to Promote Sleep and Reduce Sedative-Hypnotic Initiation for Noncritically Ill Inpatients
AU - Soong, Christine
AU - Burry, Lisa
AU - Cho, Hyung J.
AU - Gathecha, Evelyn
AU - Kisuule, Flora
AU - Tannenbaum, Cara
AU - Vijenthira, Abi
AU - Morgenthaler, Timothy
N1 - Publisher Copyright:
© 2019 American Medical Association. All rights reserved.
PY - 2019/7
Y1 - 2019/7
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=85066606834&partnerID=8YFLogxK
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U2 - 10.1001/jamainternmed.2019.1196
DO - 10.1001/jamainternmed.2019.1196
M3 - Review article
C2 - 31157831
AN - SCOPUS:85066606834
SN - 2168-6106
VL - 179
SP - 965
EP - 972
JO - JAMA internal medicine
JF - JAMA internal medicine
IS - 7
ER -