As loud as a construction site: Noise levels in the emergency department

IF 2.1 4区 医学 Q2 EMERGENCY MEDICINE Australasian Emergency Care Pub Date : 2023-07-31 DOI:10.1016/j.auec.2023.07.004
Corey Adams , Ramya Walsan , Rebecca McDonnell , Anthony Schembri
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Abstract

Background

The Emergency Department (ED), while being an integral part of healthcare systems, frequently experiences noise levels surpassing the World Health Organization's recommended thresholds. These excessive noise levels could considerably compromise the safety and wellbeing of both patients and staff.

Methods

To evaluate noise levels throughout the ED environment, this study utilized dosimeters to measure noise levels over a 24-hour period in six distinct locations, including the ED Waiting Room and Treatment areas.

Results

The study found that noise exceeded the WHO recommendations in all six areas of the ED for the entire 24-hour period. Peak noise levels were recorded up to 102.8 dB, which is as loud as noise levels at a construction site. The ED Waiting Room exhibited high peak and average noise levels, indicating the urgent need for quality improvement efforts. These findings align with the results of previous research, thereby suggesting that noise levels in the ED have remained problematic for more than a decade.

Conclusion

The findings of this study underscore the importance of addressing excessive noise levels in the ED to create a safe and therapeutic hospital environment for both patients and staff. Healthcare organizations must implement proactive measures to address excessive noise levels in the ED.

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像建筑工地一样吵闹急诊室的噪音水平
背景急诊科(ED)是医疗保健系统中不可或缺的一部分,但其噪音水平经常超过世界卫生组织建议的阈值。为了评估整个急诊室环境的噪音水平,本研究使用剂量计测量了急诊室候诊室和治疗区等六个不同地点 24 小时的噪音水平。记录到的噪音峰值高达 102.8 分贝,与建筑工地的噪音水平相当。急诊室候诊室的峰值和平均噪音水平都很高,这表明急需提高质量。这些发现与之前的研究结果一致,从而表明急诊室的噪音水平十多年来一直存在问题。结论本研究的结果强调了解决急诊室噪音水平过高问题的重要性,以便为患者和员工创造一个安全和治疗性的医院环境。医疗机构必须采取积极措施解决急诊室噪音过大的问题。
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来源期刊
Australasian Emergency Care
Australasian Emergency Care Nursing-Emergency Nursing
CiteScore
3.30
自引率
5.60%
发文量
82
审稿时长
37 days
期刊介绍: Australasian Emergency Care is an international peer-reviewed journal dedicated to supporting emergency nurses, physicians, paramedics and other professionals in advancing the science and practice of emergency care, wherever it is delivered. As the official journal of the College of Emergency Nursing Australasia (CENA), Australasian Emergency Care is a conduit for clinical, applied, and theoretical research and knowledge that advances the science and practice of emergency care in original, innovative and challenging ways. The journal serves as a leading voice for the emergency care community, reflecting its inter-professional diversity, and the importance of collaboration and shared decision-making to achieve quality patient outcomes. It is strongly focussed on advancing the patient experience and quality of care across the emergency care continuum, spanning the pre-hospital, hospital and post-hospital settings within Australasia and beyond.
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