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Search Results for Sle
Abstract Number: 161
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Sleep is generally poor in hospitalized patients and sleep deprivation has many harmful effects, including delirium, insulin resistance, hypertension, and impaired function of the immune system. In this quality improvement (QI) project, our goal was to delay early morning phlebotomy blood collections to improve sleep for our patients, while not negatively impacting hospitalists’ perception […]
Abstract Number: 174
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Hospitalized patients get fewer than five hours of sleep a night. Poor sleep leads to increased rates of delirium, falls, and hypertension, and decreased patient satisfaction. Purpose: To improve sleep among hospitalized patients through a resident-led project aimed at minimizing nighttime disruptions and changing culture. Description: In a needs assessment survey, hospitalized patients reported […]
Abstract Number: 178
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Baystate Children’s Hospital serves a population that is vulnerable to unsafe sleep practices. By July 2017, there were 6 cases of accidental infant deaths in Hampden County MA, attributed to unsafe sleeping practices, primarily due to co-sleeping. In Springfield, MA, infant mortality rate (9.2%) is double that of the state rate (4.4%). Rates of […]
Abstract Number: 182
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Children with sleep apnea are at increased risk for adverse respiratory events following surgical procedures involving the airway such as tonsillectomy. Risk following sedation for non-invasive procedures is unclear. The objective of this study was to identify risk factors for overnight desaturation events (ODE) in patients with sleep apnea admitted after sedated magnetic resonance […]
Abstract Number: 185
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rapid Response System (RRS) was designed as a safety tool for early detection and intervention of a deteriorating patient on a general floor in a hospital and Modified Early Warning System (MEWS) scores can be used to identify these patients. Obstructive Sleep Apnea (OSA) has been described as an independent risk factor for long […]
Abstract Number: 195
SHM Converge 2023
Background: Hospital-associated sleep loss and poor overall sleep efficiency are associated with poor glycemic control and exacerbated insulin resistance. in diabetic patients. The relationship between sleep, sleep hygiene, and diabetes is confounded by social determinants of health, such as health literacy. The evaluation of insomnia often utilizes complex sleep diaries or logs that may not […]
Abstract Number: 200
SHM Converge 2024
Background: Routine patient care including vital signs checks, lab draws, medication administration, during the night contributes to the already disturbed sleep of inpatients. This study aimed to assess the performance of automated risk scores to stratify the risk of an overnight deterioration to better inform letting low-risk patients sleep and more intensively monitoring and/or intervening […]
Abstract Number: 213
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Acute hospitalization can precipitate insomnia- the insomnia being related to the underlying illness, medications, change from usual nighttime routines and a sleep disruptive hospital environment. Both insomnia and the drugs used to treat it may contribute to delirium, increased fall rates, increased restraint use, increased length of stay and lower patient/ customer satisfaction. In […]
Abstract Number: 216
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Despite the importance of sleep to recovery from acute illness and the patient experience, hospitalizations are far from restful. Currently, Medicare focuses on noise, but other disruptions to patient sleep such as lab draws, vitals and pain must also be considered. In order to improve in-hospital sleep via a patient-centered approach, it is important […]
Abstract Number: 227
Hospital Medicine 2020, Virtual Competition
Background: Interventions to improve inpatient sleep rely on the ability to objectively quantify sleep; however existing methods of measurement (wrist actigraphy and patient survey) are resource intensive and impose a burden on patients. To overcome these barriers, we developed “sleep opportunity” (SLOP), a surrogate metric for sleep derived solely from the electronic health record (EHR). […]