転倒転落予防を目的とした不眠時指示薬標準化のための睡眠導入剤使用フローチャートの評価

抄録

We developed a flowchart for standardizing insomnia treatment to prevent falls associated with hypnotic drug dosing in Yamaguchi University Hospital, and implemented it from April 2019. The first recommended drug was suvorexant, followed by eszopiclone. In November 2019, we conducted a questionnaire survey involving doctors and nurses regarding the effectiveness and convenience of the flowchart. Eighty-one percent of the participants responded positively. We also investigated the incidence of falls within 24 h after dosing hypnotics. The fall rate before and after the introduction of the flowchart was no significant difference as determined by propensity score matching of the patient background. However, the fall rate for patients who received the recommended drugs was 3.1％ and that for patients who received the deprecated drugs was 5.7％. Therefore, the fall rate of patients receiving the recommended drugs was significantly lower than that of patients receiving the deprecated drugs. The introduction of this flowchart may thus help prevent patient falls.