Improving Sleep in the Neurology In-Patient Population

Improving Sleep in the Neurology In-Patient Population

We aim to test multiple interventions to improve sleep for Neurology inpatients, including 1) a sleep-friendly order set, and 2) a sleep menu. We will collect patient sleep data, including duration and quality, via actigraphy devices (FitBits). We will also conduct qualitative patient surveys to understand the impact of these interventions.

Inclusion Criteria:

• Age ≥ 18
• 24 hours after admission to the general neurology (ward) service at the Hospital of the University of Pennsylvania
• Patients who are determined by the primary team to be clinically stable enough to forego serial overnight vital signs monitoring and neuro checks.
• Clinical stability criteria:
• Symptomatic stability >24h after admission (no new or progressive neurologic symptoms for >24 hours)
• Vital signs stability on admission for > 24h while admitted
• Ability to verbally consent to study participation

Exclusion Criteria:

• Any medical or psychological conditions that, in the opinion of the investigator, would compromise the subject's safety or successful participation in the study.
• Any additional clinical factors felt by the team to be incompatible with specific orders including requiring serial vital signs monitoring and neuro checks overnight