H.U.S.H. – Helping Understand Sleep Heals

Lehigh Valley Hospital–Muhlenberg Campus (Bethlehem, Pennsylvania)

CSI Summary

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Project Topic

Noise reduction in the ICU

CSI Participants

Marion Daku, BSN, RN, CCRN
Eva Fox, BSN, RN
Heather Koch, RN

Project Goals/Objectives

  1. To increase patients' sleep quality
  2. To reduce decibel readings to safe levels
  3. To improve HCAHPS and Press Ganey scores
  4. To introduce new "quiet time" initiatives
  5. To decrease controllable alarms
  6. To increase staff satisfaction with decreased noise levels and alarm fatigue

Project Outcomes

  1. Improved patient and nurse sleep ratings (improved Richard Campbell Sleep Questionnaire scores)
  2. Decreased overall decibel levels by turning off hallway ventilator alarm registering 90+ dB
  3. Decreased false alarms 69 percent (65.8 percent of alarms are true)
  4. Decreased EKG alarms 75 percent (overall, 24 percent of our alarms are EKG)
  5. Decreased length of stay (LOS) 0.74 day (LOS reduction cannot be solely attributed to the CSI Academy project, as there are many factors impacting LOS beyond sleep)
  6. These outcomes resulted in a project annual fiscal impact of $5,045,320.

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.

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