Yuna Lee & Christine Soong" class="rev-slidebg" data-no-retina> INNOVATION FUND Technology and AI in Healthcare Implementation and Integration SHOWCASE 2019

Reducing unnecessary sedative-hypnotic use among hospitalized patients in 5 hospitals: A multicentre quality improvement collaboration

Implementation & Integration


Yuna Lee

leeyuna@smh.ca

416-864-6060 x 3109

St. Michael’s Hospital, Sinai Health System, University of Toronto

Highlights

SMH-17-005 Inappropriate prescription of potentially harmful sedatives continues to be a widespread problem among hospitalized patients despite recommendations against their use. Based on the effective quality improvement initiative aimed to reduce sedative use at Mount Sinai Hospital, we implemented a multi-faceted intervention study across five hospitals consisting of 30,000 inpatients to assess its impact on sedative use. The interventions included education of physicians, nurses and patients, sleep friendly environmental changes, clinical pharmacist engagement and revision of existing order-sets. This initiative increased awareness of the potential complications of sedatives and engaged and enabled front-line providers to drive change forward resulting in high adoptability. Preliminary data from St. Michael’s Hospital suggest the reduction of sedative use by greater than 38 % with similar reduction rates across all sites.

Abstract

SMH-17-005 Inappropriate prescription of potentially harmful sedatives continues to be a widespread problem among hospitalized patients despite recommendations against their use. Based on the effective quality improvement initiative aimed to reduce sedative use at Mount Sinai Hospital, we implemented a multi-faceted intervention study across five hospitals consisting of 30,000 inpatients to assess its impact on sedative use. The interventions included education of physicians, nurses and patients, sleep friendly environmental changes, clinical pharmacist engagement and revision of existing order-sets. This initiative increased awareness of the potential complications of sedatives and engaged and enabled front-line providers to drive change forward resulting in high adoptability. Preliminary data from St. Michael’s Hospital suggest the reduction of sedative use by greater than 38 % with similar reduction rates across all sites.

Themes & Abstracts

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