Abstract Introduction Orders such as vital signs (VS) and neurological checks (NC) contain frequency options to help clinicians align workflows with patient needs. However, these clinical decision support (CDS) systems often default around-the-clock, may over-accept leading unnecessary sleep disruptions. Methods We added two radio buttons VS/NC orders: q4 hour while awake (q4WA) TID (TIDWA). ga...

Abstract Introduction Because of the high risk for obstructive sleep apnea syndrome (OSAS) in youth with Down (DS), in-lab polysomnogram (PSG) is recommended by age 4-years and if symptom screening warrants. Unfortunately, “traditional” OSAS symptoms has been considered unreliable DS. Further, while polysomnography gold standard assessment OSAS, undergoing PSG time cost intensive often stressfu...