Sleep Quality
Conditions
Brief summary
Currently, all patients in the hospital are woken up throughout the night to check for vital signs, no matter how sick they are. The investigators are doing this study to determine whether skipping routine vital sign checks at night improves participant sleep quality and satisfaction without increasing the risk of adverse events.
Detailed description
The purpose of this study is: 1. To determine the correlation between subjective and objective sleep quality measures. 2. To compare the objective and subjective measures of sleep quality and satisfaction between the intervention group and the control group. 3. To compare the adverse event rates in the intervention group and the control group, defined as ICU transfer or cardiac arrest occurring within 24 hours of risk stratification.
Interventions
Every night, subjects will be risk stratified into low-risk or medium- to high-risk using a physiologic risk score, eCART. Subjects who meet the low-risk criteria will not be woken up for routine nighttime vitals (typically at midnight and at 4 am). However, subjects will continue to be woken up for laboratory draws, procedures, or treatments as per usual. Subjects who are medium- to high-risk will continue to be woken up at night for routine nighttime vitals. Alarms for all subjects, including low-risk subjects, will continue to alert nurses in real-time. If the primary nurse of a low-risk subject is alerted of an alarm, the nurse will have to go into the subject's room to turn off the alarm and therefore check on the patient.
The subject will continue to receive routine vital sign measurements and charting, standard for the ward or according to the physician orders, including routine spot-check vital signs, regardless of risk level.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years and older * Hospitalized on study unit
Exclusion criteria
* Inability to provide consent * Non-English speaking * Order for physical wound checks * Order for cardiac telemetry monitoring
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sleep Quality | 5 days | Pittsburgh Sleep Quality Index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adverse Event Rate | within 24 hours of risk stratification | ICU transfer or cardiac arrest |
Countries
United States