Very proud to see our #QI work published this week in @AAPpediatrics's journal Pediatrics! We describe our efforts to improve pediatric inpatient #sleep by modifying overnight monitoring practices. A little bit about our study... https://pediatrics.aappublications.org/content/early/2020/08/17/peds.2019-2217

BP checks are disruptive and wake kids up. They're also not as useful as other vital signs for most pediatric patients. Inspired by @ABIMFoundation's #ChoosingWisely Campaign, and the @AAN_Nursing which states "do not wake patients for routine care"

We gathered a multidisciplinary team of attending physicians, residents, nurses, and medical students to devise a list of suggestions for which kids needed overnight BP monitoring (along with other individual cases of clinical concern)

We modified the vital sign order set in our EHR to #nudge clinicians towards considering forgoing overnight BP checks

Our results show a 50.7% increase in proportion of patients forgoing overnight BP monitoring after the intervention

This correlated to an 83 min increase in caregiver-reported patient sleep duration and a 19% decrease in reported clinician disruptions

We utilized the EHR as a tool to #nudge clinicians to consider sleep and to improve #PatientExperience. A huge thanks to my mentors @FutureDocs @NicolaOrlov for their guidance along the way @UCM_HDS @comerpedschiefs @UChicagoMed #MedTwitter #Pediatrics

This research evolved out of @UChiPritzker's MS1 Summer Research Program, which gave me the funding, resources, mentors, and research skills to make it happen!