
Activity ID
4471Expires
July 1, 2022Format Type
Journal-based CMECME Credit
1Fee
$30CME Provider
JAMA Internal Medicine
Description
Sedative-hypnotic medications are frequently prescribed for hospitalized patients with insomnia, but they can result in preventable harm such as delirium, falls, hip fractures, and increased morbidity. Furthermore, sedative-hypnotic initiation while in the hospital carries a risk of chronic use after discharge. Disrupted sleep is a major contributor to sedative-hypnotic use among patients in the hospital and other institutional settings. Numerous multicomponent studies on improving sleep quality in these settings have been described, some demonstrating an associated reduction of sedative-hypnotic prescriptions. This selected review summarizes effective interventions aimed at promoting sleep and reducing inappropriate sedative-hypnotic initiation and proposes an implementation strategy to guide quality improvement teams.
doi:10.1001/jamainternmed.2019.1196
Disclaimers
1. This activity is accredited by the American Medical Association.
2. This activity is free to AMA members.
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ABMS MOC Part II CME Activity
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Commercial Support?
NoNOTE: If a Member Board has not deemed this activity for MOC approval as an accredited CME activity, this activity may count toward an ABMS Member Board’s general CME requirement. Please refer directly to your Member Board’s MOC Part II Lifelong Learning and Self-Assessment Program Requirements.
Educational Objectives
To summarize effective interventions aimed at promoting sleep and reducing inappropriate sedative-hypnotic initiation among inpatients and to propose an implementation strategy to guide quality-improvement teams.
Keywords
Health Care Quality, Health Care Safety, Sleep Medicine
Competencies
Medical Knowledge
CME Credit Type
AMA PRA Category 1 Credit
Additional Information
doi:10.1001/jamainternmed.2019.1196