Impact of a visual indicator on the noise level in an emergency medical dispatch center - a pilot study

Abstract

Background A maximum of 52 to 55 dB(A) is recommended in order to prevent adverse events in call centres. We aimed at assessing the noise level and the impact of a visual noise indicator on the ambient noise level in a French Regional Emergency Medical Dispatch Centre (EMDC). Methods We conducted an observational study in the EMDC of the SAMU25 (University Hospital of Besancon). We measured the noise level using a SoundEarII® noise indicator (Dräger Medical SAS, France). The measurement took place in two phases on three consecutive days from 00:00 to 11:59 PM. At baseline, phase 1, the device recorded the average ambient noise for each minute without visual indication. Secondly, phase 2 included a sensor mounted with a light that would turn on if noise ever exceeded 65 and 75 dB(A). Results The sound level was greater than 52 dB(A) in 97.2% and 66.8% of the time in phases 1 and 2 respectively; this level was greater than 55 dB(A) in 84.9% and 43.9% of the time in phases 1 and 2 respectively.Conclusions The noise levels were higher than recommended and sometimes close to legal limits, requiring preventive measures. The noise indicator had a positive effect on the ambient noise level. This work will allow the implementation of effective prevention solutions and, based on future assessments, could improve operators’ well-being and better care for patient.