"My Patient Can't Sleep": Resident-Led Curriculum Development for Insomnia Management

Area of Science:

• Psychiatry
• Sleep Medicine
• Medical Education

Background:

• Insomnia is a common issue in acute psychiatric units.
• Unmanaged insomnia leads to increased "as needed" medication requests, burdening on-call residents and reducing personalized care.

Purpose of the Study:

• To assess the impact of a new educational curriculum and electronic order set on inpatient insomnia management.
• To evaluate changes in resident comfort levels and sleep medication ordering patterns.

Main Methods:

• A quality improvement project involving curriculum development and an electronic medical record (EMR) order set.
• Resident surveys and EMR data analysis for sleep medication orders pre- and post-intervention.

Main Results:

• Residents reported significantly increased comfort in ordering various sleep medications.
• Primary team sleep medication orders increased from 938 to 1801 post-intervention (p < 0.001).
• Orders placed by on-call teams decreased substantially.

Conclusions:

• The educational intervention enhanced residents' confidence in managing inpatient sleep disorders.
• The "Sleep Order set" effectively reduced on-call resident workload related to "as needed" sleep medication orders.