CSI Summary
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CSI Project
Massachusetts General Hospital (Boston, Massachusetts)
CSI Summary
Available only to registered AACN.org users.
CSI Presentation
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CSI Toolkit
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Quiet at night
Hospital UnitCardiac Surgical Step Down Unit – Ellison 8
CSI Participants
Kelly Hutchinson, BSN, RN
Melissa Pace, BSN, RN
Carolyn LaMonica Velez, RN, ACCNS-AG-BC, CARN
Project Goals/Objectives
Project Outcomes
Project Overview
Our floor’s “quiet at night” HCAHPS score was the lowest in the hospital. This meant our patients were not getting the quality of sleep needed to promote healing, and our hospital was losing reimbursement funds related to HCAHPS scores it by not meeting national target goals.
Our floor did not have a formal program aimed at improving patient sleep or our HCAHPS scores for quietness at night, so our CSI team researched the benefits of sleep and how sleep impacts patients in the hospital. Once we completed our research, we created a PowerPoint presentation to educate staff about the importance of our patients’ sleep. We created a sleep kit for patients to aid them in achieving a good night’s rest. We also surveyed patients at the start of the project to see what they felt impacted their sleep at night.
Based on their responses, our team implemented a variety of interventions, such as labeling light switches, adjusting volumes on monitors and bundling care when possible, in hopes of improving sleep. Along with these interventions, we rewarded staff on a job well done when it was appropriate to do so.
Permission to Reuse Materials
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.
Disclaimer
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.