Don’t Get Delirious: Take Sleep Serious

Baystate Medical Center (Springfield, Massachusetts)

CSI Summary

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CSI Presentation

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CSI Toolkit

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Project Topic

Delirium prevention

CSI Participants

Deb Baker, RN, BSN, CCRN
Kim Connly, RN, BSN, CCRN
Cathie Manning, RN, BSN, CCRN
Linda Pellegrino, RN, BSN, CCRN

Project Goals/Objectives

  1. To decrease delirium by promoting sleep
  2. To decrease delirium by increasing collaboration

Project Outcomes

  1. Multidisciplinary team use of the THINK mnemonic for every patient to determine causative factors for delirium
  2. Addressed sleep on daily multidisciplinary rounds
  3. Decreased overall average noise levels in MICU/SICU
  4. Decreased the incidence of CAM-ICU positive scores in the MICU 5 percent
  5. These outcomes resulted in an incremental cost savings per patient of $410, with a projected annual fiscal impact of $860,895 (based on an annual census of 2,100 patients).

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The materials associated with this AACN Clinical Scene Investigator (CSI) Academy project are the property of the participating hospital noted above, not AACN. Requests to use content contained in the CSI team’s summary, presentation or toolkit should be directed to the hospital. We suggest reaching out to the hospital’s Communications, Marketing or Nursing Education department for assistance.

The AACN CSI Academy program supports change projects based on quality improvement methods. Although CSI teams seek to ensure linkage between their project and clinical/fiscal outcomes, data cannot be solely attributed to the project and are estimations of impact.