Efforts to Standardize in Hospital Treatment of Insomnia with the Aim of Preventing Falls and Stumbles

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  • KIKUTA Yasunori
    Department of Pharmacy, Osaka Medical and Pharmaceutical University Hospital Division of Patient Safety, Osaka Medical and Pharmaceutical University Hospital
  • NITTA Masahiko
    Division of Patient Safety, Osaka Medical and Pharmaceutical University Hospital Department of Healthcare Safety and Quality, Osaka Medical and Pharmaceutical University Hospital
  • HAMADA Takeshi
    Department of Pharmacy, Osaka Medical and Pharmaceutical University Hospital
  • NISHIHARA Masami
    Department of Pharmacy, Osaka Medical and Pharmaceutical University Hospital Department of Healthcare Safety and Quality, Osaka Medical and Pharmaceutical University Hospital
  • KANKI Sachiko
    Department of Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital
  • MORITA Michiyo
    Division of Patient Safety, Osaka Medical and Pharmaceutical University Hospital
  • EGUCHI Hiromi
    Regional Medical Cooperation Center, Osaka Medical and Pharmaceutical University Hospital
  • UEDA Eiichiro
    Department of Healthcare Safety and Quality, Osaka Medical and Pharmaceutical University Hospital
  • NEO Masashi
    Department of Pharmacy, Osaka Medical and Pharmaceutical University Hospital
  • KATSUMATA Takahiro
    Department of Cardiovascular Surgery, Osaka Medical and Pharmaceutical University Hospital Department of Healthcare Safety and Quality, Osaka Medical and Pharmaceutical University Hospital

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Other Title
  • 転倒転落防止を目的とした不眠症治療の院内標準化への取り組み
  • テントウ テンラク ボウシ オ モクテキ ト シタ フミンショウ チリョウ ノ インナイ ヒョウジュンカ エ ノ トリクミ

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Abstract

Summary: Sleeping pills is one of multiple factors that cause falls. We report the development of a standardized flowchart for the treatment of insomnia using sleeping pills which lowers the risk of falling. Methods: A standardized flowchart for the treatment of insomnia was developed by checking the prescription status of sleep medications in the hospital, so that safer medications could be selected. In addition, the clinical path and the number of medications assigned to each ward were also adjusted and reviewed to ensure more appropriate treatment. After the modified treatment, the prescription status was examined again to see how it had affected sleep medication treatment. Conclusion: The standardization of insomnia treatment through the creation of a standardized flowchart and hospital maintenance has significantly reduced the prescription of sleeping pills which can cause falls and stumbles. However, because it has only been in operation for a short period of time, the causal relationship between falls and stumbles has not yet been analyzed. In the future, we plan to expand our studies and initiatives to include the entire community as well as partner medical institutions.

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