Effect of Trauma Bay Curtains on Ambient Noise and Number of Staff Present During Trauma Resuscitations.
Jan Serrano, Anastacia Azor, Fanglong Dong, Michael M Neeki, David T Wong
Author Information
Jan Serrano: Author Affiliations: Department of Trauma Services, Arrowhead Regional Medical Center, Colton, California (Dr Serrano); School of Medicine, St.George University, Grenada, West Indies (Dr Azor); Office of Research and Biotechnology, Western University of Health Sciences, College of Graduate Medical Science, Pomona, California (Dr Dong); Department of Emergency Medicine, Arrowhead Regional Medical Center, Colton, California (Dr Neeki); and Department of Surgery, Arrowhead Regional Medical Center, Colton, California (Dr Wong). ORCID
BACKGROUND: Elevated ambient noise levels during Trauma resuscitation can disrupt team member communication, yet limited research has examined interventions to mitigate these noise levels. OBJECTIVE: This study aims to measure the effect of Trauma bay curtains on noise levels and the number of staff present during Trauma resuscitations. METHODS: This single-center prospective randomized study was conducted at a U.S. Western Pacific State Level I Trauma center from April 2019 through September 2023. The population inclusion was adult Traumapatients meeting alert or activation criteria. The designated Trauma bay secondary outer curtain was closed at the end of 2 min in the intervention group and at the end of 4 min in the control group. A t-test was used to compare control and intervention groups. The outcome variables were decibel levels, and the number of people in the designated area was recorded at the end of each minute for 6 min. RESULTS: A total of n = 45 participants were included in this study. The control group (n = 19) had a mean of 9.89 decibels (SD = 8.42) compared to the intervention group (n = 24) with a mean of -1.50 decibels (SD = 5.29). These two groups had a statistically significant difference in average decibels and the total number of people between the first and fourth minute. CONCLUSIONS: We found that visual interruption using a secondary curtain effectively reduced the number of people and noise levels in the periphery during resuscitation.
References
Antoniadis S., Passauer-Baierl S., Baschnegger H., & Weigl M. (2014). Identification and interference of intraoperative distractions and interruptions in operating rooms. Journal of Surgical Research, 188(1), 21���29. https://doi.org/10.1016/j.jss.2013.12.002
[DOI: 10.1016/j.jss.2013.12.002]
Basner M., Babisch W., Davis A., Brink M., Clark C., Janssen S., & Stansfeld S. (2014). Auditory and non-auditory effects of noise on health. Lancet, 383(9925), 1325���1332. https://doi.org/10.1016/S0140-6736(13)61613-X
[DOI: 10.1016/S0140-6736(13)61613-X]
Berglund B., Lindvall T., & Schweia D. H. (1999). Guidelines for community noise. World Health Organization. Retrieved December 12, 2023, from https://www.who.int/publications/i/item/a68672
Beyea S. C. (2007). Noise: a distraction, interruption, and safety hazard. AORN Journal, 86(2), 281���285. https://doi.org/10.1016/j.aorn.2007.07.017
[DOI: 10.1016/j.aorn.2007.07.017]
Busch-Vishniac H., & Ryherd E. (2019). Hospital soundscapes: characterization, impacts, and interventions. Acoustics Today. Retrieved December 12, 2023, from https://acousticstoday.org/wp-content/uploads/2019/09/Hospital-Soundscapes-Characterization-Impacts-and-Interventions-Ilene-Busch-Vishniac.pdf
Choiniere D. B. (2010). The effects of hospital noise. Nursing Adminstration Quarterly, 34(4), 327���333.
de Lima Andrade E., da Cunha E Silva D. C., de Lima E. A., de Oliveira R. A., Zannin P. H. T., & Martins A. C. G. (2021). Environmental noise in hospitals: A systematic review. Environmental Science Pollution Research International, 28(16), 19629���19642. https://doi.org/10.1007/s11356-021-13211-2
[DOI: 10.1007/s11356-021-13211-2]
Filus W., Lacerda A. B., & Albizu E. (2015). Ambient noise in emergency rooms and its health hazards. International Archives of Otorhinolaryngology, 19(3), 205���209. https://doi.org/10.1055/s-0034-1387165
[DOI: 10.1055/s-0034-1387165]
Getto L. P., Marco D., Papas M. A., Fort C. W., & Fredette J. (2016). The effect of noise distraction on emergency medicine resident performance during intubation of a patient simulator. Journal of Emergency Medicine, 50(3), e115���e119. https://doi.org/10.1016/j.jemermed.2015.09.048
[DOI: 10.1016/j.jemermed.2015.09.048]
Gyllensten K., Fredriksson S., Widen S., & Persson Waye K. (2023). The experience of noise in communication-intense workplaces: A qualitative study. PLoS One, 18(1), e0280241. https://doi.org/10.1371/journal.pone.0280241
[DOI: 10.1371/journal.pone.0280241]
Hogan L. J., & Harvey R. L. (2015). Creating a culture of safety by reducing noise levels in the OR. AORN Journal, 102(4), 410.e1���410.e4107. https://doi.org/10.1016/j.aorn.2015.08.005
[DOI: 10.1016/j.aorn.2015.08.005]
Janagama S. R., Strehlow M., Gimkala A., Rao G. V. R., Matheson L., Mahadevan S., & Newberry J. A. (2020). Critical communication: a cross-sectional study of signout at the prehospital and hospital interface. Cureus, 12(2), e7114. https://doi.org/10.7759/cureus.7114
[DOI: 10.7759/cureus.7114]
Kamdar B. B., Martin J. L., & Needham D. M. (2017). Noise and light pollution in the hospital: A call for action. Journal of Hospital Medicine, 12(10), 861���862. https://doi.org/10.12788/jhm.2838
[DOI: 10.12788/jhm.2838]
Konkani A., & Oakley B. (2012). Noise in hospital intensive care units���A critical review of a critical topic. Journal of CriticalCare, 27(5), 522.e1���522.e5229. https://doi.org/10.1016/j.jcrc.2011.09.003
[DOI: 10.1016/j.jcrc.2011.09.003]
Messingher G., Ryherd E., & Ackerman J. (2012). Hospital noise and staff performance. Journal of Acoustic Society of America, 132(3_Suppl.), 2031���2031. https://doi.org/10.1121/1.4755468
[DOI: 10.1121/1.4755468]
Nassiri P., Monazam M., Fouladi Dehaghi B., Ibrahimi Ghavam Abadi L., Zakerian S. A., & Azam K. (2013). The effect of noise on human performance: A clinical trial. International Journal of Occupational Environental Medicine, 4(2), 87���95.
Nightengale F. (1859). Notes on nursing. Dover Publishing.
Page D. (2017). The science behind why we can���t look away from tragedy: why death and destruction command our attention and how to stop the news from negatively affecting your health. Retrieved December 5, from https://www.nbcnews.com/better/health/science-behind-why-we-can-t-look-away-disasters-ncna804966
Ratnapalan S., Cieslak P., Mizzi T., McEvoy J., & Mounstephen W. (2011). Physicians��� perceptions of background noise in a pediatric emergency department. Pediatric Emergency Care, 27(9), 826���833. https://doi.org/10.1097/PEC.0b013e31822c1357
[DOI: 10.1097/PEC.0b013e31822c1357]
Schulz K. F., Altman D. G. Moher D. CONSORT Group. (2010) CONSORT 2010 statement: updated guidelines for reporting parallel group randomized trials. BMJ, 340, c332. https://doi.org/10.1136/bmj.c332
[DOI: 10.1136/bmj.c332]
Soundproof Living. (2024). Best soundproofing insulation for walls and ceilings in 2024. https://soundproofliving.com/soundproof-insulation/
Tainter C. R., Levine A. R., Quraishi S. A., Butterly A. D., Stahl D. L., Eikermann M., Kaafarani H. M., & Lee J. (2016). Noise levels in surgical ICUs are consistently above recommended standards. Critical Care Medicine, 44(1), 147���152. https://doi.org/10.1097/CCM.0000000000001378
[DOI: 10.1097/CCM.0000000000001378]
United States Environmental Protection Agency. (1974). Information on levels of environmental noise is requisite to protect public health and welfare with an adequate margin of safety. Retrieved from 2024, from http://www.nonoise.org/library/levels74/levels74.htm
United States Environmental Protection Agency. (2023). Clean Air Act Title IV���noise pollution. Retrieved from December 6, 2023, from https://www.epa.gov/clean-air-act-overview/clean-air-act-title-iv-noise-pollution
Urbaniak G. C., & Plous S. (2013). Research Randomizer (Version 4.0) [Computer software]. Retrieved on March 2019, from http://www.randomizer.org/
Vaish A., Grossmann T., & Woodward A. (2008). Not all emotions are created equal: The negativity bias in social-emotional development. Psychology Bulletin, 134(3), 383���403. https://doi.org/10.1037/0033-2909.134.3.383
[DOI: 10.1037/0033-2909.134.3.383]
Zun L. S., & Downey L. (2005). The effect of noise in the emergency department. Academic Emergency Medicine, 12(7), 663���666. https://doi.org/10.1197/j.aem.2005.03.533
[DOI: 10.1197/j.aem.2005.03.533]