Noise in the Pediatric Intensive Care Unit

Berens, Richard J.

doi:10.1046/j.1525-1489.1999.00118.x

Cited by 5 publications

(1 citation statement)

References 75 publications

(75 reference statements)

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“…Studies in paediatric intensive care units have shown that noise routinely disrupts sleep that is necessary for patient comfort or recovery. 18 The nature of sound and its reverberation rate (how long the sound remains) has a direct effect on the noise level. When the reverberation rate is long there is greater opportunity for sounds to blend together, increasing the noise level.…”

Section: Noise Reductionmentioning

confidence: 99%

Safe design of healthcare facilities

Reiling¹

2006

Qual Saf Health Care

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The physical environment has a significant impact on health and safety; however, hospitals have not been designed with the explicit goal of enhancing patient safety through facility design. In April 2002, St Joseph’s Community Hospital of West Bend, a member of SynergyHealth, brought together leaders in healthcare and systems engineering to develop a set of safety-driven facility design recommendations and principles that would guide the design of a new hospital facility focused on patient safety. By introducing safety-driven innovations into the facility design process, environmental designers and healthcare leaders will be able to make significant contributions to patient safety.

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Section: Noise Reductionmentioning

confidence: 99%

Safe design of healthcare facilities

Reiling¹

2006

Qual Saf Health Care

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Noise in the postanaesthesia care unit

Allaouchiche

Duflo

Debon

et al. 2002

British Journal of Anaesthesia

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Quality improvement of doctors' shift-change handover in neuro-critical care

Lyons

Standley

Gupta

2010

BMJ Quality & Safety

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Background Clinical handover is a necessary process for the continuation of safe patient care; however, deficiencies in the handover process can introduce error. While the number of handover studies increases, few have validated implemented improvements with repeated audit. Objective To improve the morning handover round on a busy critical care unit and assess sustainability of improvement through repeated audit. Design/Methods A quality improvement process based on prospective observational assessment of the doctor's shift-change handover was carried out, assessing the content of clinical information and effects of distractions, location and timing. The effect of a training session for the junior doctors with the introduction of a standardised handover protocol was assessed. Results The content of clinical information improved after the training session with introduction of a standardised protocol, but returned to baseline with a new cohort of untrained doctors. Distractions were associated with increased handover times for individual patients and for total handover time. Overall, handover time was shortest in the coffee room compared with ward and lecture theatre handovers. Individual patient handover time was positively correlated with clinical content scores. Four indices of critical illness all positively correlated with increased handover time. Conclusions Early specific training is vital for quality clinical handover. Distractions during handover cause inefficiency and can adversely affect information transfer. Changing handover location according to local environment can yield improved efficiency, structure and ease of management. Adequate time must be allocated for clinical handover especially when dealing with very sick and complex patients.Clinical handover between shift changes is a necessary process to ensure seamless continuity of patient care. However, deficiencies in the handover process can introduce error. The accurate transfer of a necessary amount of clinical information to allow the continuation of safe care and, in addition, bring fresh intelligence to clinical problems, requires an efficient, clear and comprehensive system of communication.Despite awareness that handover systems were inadequate as long ago as 1996 in the UK, 1 it has taken several years for action to be taken, prompting the production of guidelines for handover. 2Despite the large number of handover studies conducted in the past two decades ( We wished to improve the morning handover round on our 21-bed Neurosciences Critical Care Unit (NCCU), a busy unit with a bed occupancy rate of approximately 90%, caring for neurosurgical/neurology and general patients requiring intensive care. Our specific aim was to improve the quality of the whole process. We felt that a goodquality handover would use the most appropriate setting, where the environment enhanced information transfer in addition to maximising the time utilised so that pertinent and complete clinical information was presented and discussed without unnecessary ...

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Noise in the Pediatric Intensive Care Unit

Cited by 5 publications

References 75 publications

Safe design of healthcare facilities

Safe design of healthcare facilities

Noise in the postanaesthesia care unit

Quality improvement of doctors' shift-change handover in neuro-critical care

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