{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T22:15:26Z","timestamp":1780438526959,"version":"3.54.1"},"reference-count":37,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100006093","name":"Patient-Centered Outcomes Research Institute","doi-asserted-by":"publisher","award":["P30HS029745"],"award-info":[{"award-number":["P30HS029745"]}],"id":[{"id":"10.13039\/100006093","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["P30HS029745"],"award-info":[{"award-number":["P30HS029745"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["shmpublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Hospital Medicine"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hospitalized patients often experience poor sleep, which is associated with worse health outcomes, increased rates of delirium, and readmissions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To improve overnight sleep for clinically stable general neurology patients at a single academic center.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a quasi\u2010experimental pre\u2010post clinical trial of two sleep\u2010protective interventions: (1) a sleep\u2010friendly order set that reduced overnight interruptions by discontinuing vital sign checks\/neurological examinations and retiming medications\/blood draws; and (2) a \u201csleep menu\u201d of comfort items. The primary outcome measure was sleep duration. Secondary outcomes were awakenings and patient responses to the Richards\u2010Campbell Sleep Questionnaire. Safety outcomes were rates of delirium, ICU transfers, and 30\u2010day readmissions. We compared the groups using linear mixed\u2010effects models to account for repeated measures (multiple nights per participant).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      We analyzed data from 66 pre\u2010intervention participants (238 nights) and 61 post\u2010intervention participants (244 nights). The interventions did not increase sleep duration (pre\u2010intervention median 5.5\u2009h [interquartile range (IQR) 4.0,6.6], post\u2010intervention median 5.4\u2009h [4.1, 6.7],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.84). There was marginal improvement in nightly awakenings (pre\u2010intervention 2 [1, 4], post\u2010intervention 2 [1, 3],\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.04). There were no significant differences in subjective sleep measures or safety outcomes. Targeted care team interruptions all significantly decreased post\u2010intervention, though staff intrusions remained a common patient\u2010reported barrier to sleep.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fragmented and reduced sleep was common in our general neurology population. Although our interventions did not improve sleep outcomes\u2014apart from a modest drop in nocturnal awakenings\u2014there was a significant decrease in care team interruptions. Poor inpatient sleep is multifactorial, and meaningful change likely requires comprehensive interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jhm.70223","type":"journal-article","created":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T07:30:48Z","timestamp":1770708648000},"page":"612-619","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Improving sleep on the inpatient general, non\u2010stroke neurology service: A quasi\u2010experimental interventional trial"],"prefix":"10.1002","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9336-4238","authenticated-orcid":false,"given":"Noor F.","family":"Shaik","sequence":"first","affiliation":[{"name":"Department of Neurology University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Denison","sequence":"additional","affiliation":[{"name":"Department of Neurology University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. 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