Safety

A noisy OR puts more than patients at risk

Hospital Safety Insider, January 11, 2018

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Excessive noise can be distracting in any work environment. You might expect that to be an issue on a construction site or at an airport, but not in the OR.

A recent story published online by OR Today serves as a reminder that it can get loud in the OR, too, adding another degree of difficult to already-challenging tasks.

“Noise is a distraction that interrupts patient care and potentially increases the risk for error,” Mary J. Ogg, MSN, RN, CNOR, senior perioperative practice specialist with the Association of periOperative Registered Nurses (AORN), told OR Today. “It may minimize the ability of OR team members to communicate effectively, making it difficult to understand content and contributing to miscommunication.”

And that not only puts patients in peril, but potentially your employees, too.

A lack of focus in the OR could result in accidental injuries to surgeons or one of their assistants via needlestick injuries or knife cuts, for example.

Plus, as Ogg told OR Today, excess noise in the OR can negatively impact employees because it “is associated with job dissatisfaction, irritability, tachycardia, anxiety, fatigue, illnesses, stress, emotional exhaustion, burnout and injury.”

The article cited one study that found that the average noise level during OR trauma procedures was 85 decibels, nearly double the EPA-recommended limit of 45.

In addition to medical equipment such as powered surgical instruments and clinical and alert alarms, Ogg said common sources of noise in the OR include HVAC systems, phones and audio players, and non-case-relevant chitchat.

OR Today offered suggestions for reducing noise and distractions in the OR. The list included turning off cell phones and personal music devices (or leaving them outside the OR), limiting the amount of foot traffic in and out of the OR, and evaluating the noise level of medical equipment while deciding which devices to purchase.



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