The emergence noise reduction quality improvement initiative to enhance patient safety and quality of care

被引:3
作者
Crockett, Christy J. [1 ]
Nylander, Veronica E. [1 ]
Wooten, Elizabeth J. [1 ]
Menser, Carrie C. [1 ]
机构
[1] Vanderbilt Univ, Med Ctr, Dept Anesthesiol, 2200 Childrens Way,Suite 3116, Nashville, TN 37232 USA
关键词
general anesthesia; healthcare; operating room; patient safety; quality improvement; safety culture;
D O I
10.1111/pan.14553
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
Background Operating room noise levels may hinder staff communication and cause distractions for providers, endangering patient safety. Owing to concerns of unacceptable noise levels during emergence from general anesthesia, our institution developed a quality improvement project. The SMART aim of this initiative was to decrease the average decibel noise level measured during emergence from general anesthesia in our operating rooms from 65.65 to 63 decibels and the maximum decibel noise level from 81.64 to 75 decibels over approximately 3 months. Methods A multidisciplinary team completed this project utilizing improvement science methodology from The Model for Improvement, including interventions tested via Plan-Do-Study-Act cycles. Data were measured, collected manually, and entered in an Excel spreadsheet. Data were analyzed using statistical process control methods, including a Run Chart. Our measures were the average and maximum decibel noise levels during emergence from general anesthesia. Results Several interventions were associated with a decrease in the average and maximum decibel noise levels. Interventions included educational presentations to perioperative staff; the operating room nurse taking the role of pausing any music; and the utilization of an audible and visual decibel alarm meter to sound and blink lights when the noise level is too high. During the initiative, the average (and maximum) decibel noise levels during emergence from general anesthesia in our operating rooms decreased from 65.65 (81.84) to 61.5 (76.44). Conclusions This improvement project was associated with a decrease in decibel noise levels during emergence. We enhanced a process and encouraged culture change at an academic pediatric hospital to enhance the safety of our care.
引用
收藏
页码:1262 / 1269
页数:8
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