Introduction

The purpose of this quality improvement project was to improve health-care provider consistency in addressing and documenting the use of sleep hygiene in children with neurodevelopmental disorders in alignment with evidence-based strategies.

Method

The project took place over 12 weeks and used a parent-completed screening tool and SmartPhrase technology incorporated into the patient note and discharge summary. A preimplementation and postimplementation query of the electronic medical record was used to determine change effectiveness.

Results

The postimplementation query found a 42% increase in documentation of sleep hygiene. In addition, a 55% increase in documentation of sleep hygiene with the initiation of melatonin was noted.

Discussion

The increase in documentation supports success of this initial practice change and demonstrates adherence to evidence-based sleep hygiene strategies. The project provided evidence of a significant improvement in electronic medical record documentation, highlighting an increased awareness of sleep issues in children with neurodevelopmental disorders.

中文翻译：

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使用褪黑激素治疗神经发育障碍儿童睡眠障碍的睡眠卫生记录：质量改进项目

介绍

该质量改进项目的目的是提高医疗保健提供者在处理和记录神经发育障碍儿童睡眠卫生使用情况方面的一致性，与循证策略保持一致。

方法

该项目历时 12 周，使用了家长完成的筛查工具和 SmartPhrase 技术，并将其纳入患者记录和出院总结。使用电子病历的实施前和实施后查询来确定变更有效性。

结果

实施后查询发现睡眠卫生记录增加了 42%。此外，注意到随着褪黑激素的启动，睡眠卫生记录增加了 55%。

讨论

文档的增加支持了这一初始实践改变的成功，并证明了对循证睡眠卫生策略的遵守。该项目提供了电子病历文件显着改进的证据，突出表明神经发育障碍儿童对睡眠问题的认识有所提高。