2.50
Hdl Handle:
http://hdl.handle.net/10755/157105
Category:
Abstract
Type:
Presentation
Title:
Do your Best Quietly!
Author(s):
Gebrehiwot, Ariam
Author Details:
Ariam Gebrehiwot, Washington Hospital Center, Washington, DC, USA, email: ariam.gebrehiwot@medstar.net
Abstract:
PURPOSE: In May of 2007, through analysis of the Patient Satisfaction survey on 4D the dedicated Heart Failure Unit, it was identified that an opportunity existed to address the noise level on the unit. Additionally, during rounds conducted by the Department Head the patients would state "I cannot get any sleep on this unit." Physicians and other clinical staff commented on the high level of ambient noise and "chatter" that resulted in an environment that was not conducive to healing. Description: An interdisciplinary team met where the Department Head shared the "burning platform." This involved the case for change based upon patient satisfaction data and patient safety information focusing on creating a healthy work environment that minimized distractions. The team then brainstormed ideas to reduce the noise level. The first item implemented was to actually measure the decibels of noise on the unit. A "noise traffic light" was installed near the nursing station. This traffic light provided a visual in which a green light meant <90 decibels, yellow was 90-110 decibels and red was >110. Data from the traffic light could be downloaded and provides a graphic display of decibels over time. Another strategy consisted of turning off the telemetry station audible alarm located in the nursing station. Satellite STAT phones were installed throughout the unit, in which the Centralized Telemetry staff would call if a lethal state existed. All phones ring simultaneously and all nursing staff are required to answer immediately. This was a change from dedicated phones near the nursing station. Other strategies included "siesta time" daily between 2 PM-4 PM. During this time the lights are dimmed and quietness is encouraged. EVALUATION: Traffic Light baseline data from a random 48 hour period show 1 episode of >110 decibels, 52 episodes of 90-110 decibels and all other recorded noise level was < 90 decibels. After telemetry alarms were silenced noise level recorded decreased. During a 48 hour period there were no recorded episodes of >110 decibels, 30 episodes of 90-110 decibels and all other time, noise level was <90 decibels. The unit's Press Ganey Score for "Noise level in and around room" before implementation was at Mean Score of 64.8 which is 4% ranking. After implementation Mean Score improved to 88.6 which is 99% ranking. There have been no patient safety issues related to reliance on centralized telemetry rather than unit alarms.
Repository Posting Date:
26-Oct-2011
Date of Publication:
26-Oct-2011
Citation:
2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.
Conference Date:
2009
Conference Name:
National Teaching Institute and Critical Care Exposition
Conference Host:
American Association of Critical-Care Nurses
Conference Location:
New Orleans, Louisiana, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleDo your Best Quietly!en_GB
dc.contributor.authorGebrehiwot, Ariamen_GB
dc.author.detailsAriam Gebrehiwot, Washington Hospital Center, Washington, DC, USA, email: ariam.gebrehiwot@medstar.neten_GB
dc.identifier.urihttp://hdl.handle.net/10755/157105-
dc.description.abstractPURPOSE: In May of 2007, through analysis of the Patient Satisfaction survey on 4D the dedicated Heart Failure Unit, it was identified that an opportunity existed to address the noise level on the unit. Additionally, during rounds conducted by the Department Head the patients would state "I cannot get any sleep on this unit." Physicians and other clinical staff commented on the high level of ambient noise and "chatter" that resulted in an environment that was not conducive to healing. Description: An interdisciplinary team met where the Department Head shared the "burning platform." This involved the case for change based upon patient satisfaction data and patient safety information focusing on creating a healthy work environment that minimized distractions. The team then brainstormed ideas to reduce the noise level. The first item implemented was to actually measure the decibels of noise on the unit. A "noise traffic light" was installed near the nursing station. This traffic light provided a visual in which a green light meant <90 decibels, yellow was 90-110 decibels and red was >110. Data from the traffic light could be downloaded and provides a graphic display of decibels over time. Another strategy consisted of turning off the telemetry station audible alarm located in the nursing station. Satellite STAT phones were installed throughout the unit, in which the Centralized Telemetry staff would call if a lethal state existed. All phones ring simultaneously and all nursing staff are required to answer immediately. This was a change from dedicated phones near the nursing station. Other strategies included "siesta time" daily between 2 PM-4 PM. During this time the lights are dimmed and quietness is encouraged. EVALUATION: Traffic Light baseline data from a random 48 hour period show 1 episode of >110 decibels, 52 episodes of 90-110 decibels and all other recorded noise level was < 90 decibels. After telemetry alarms were silenced noise level recorded decreased. During a 48 hour period there were no recorded episodes of >110 decibels, 30 episodes of 90-110 decibels and all other time, noise level was <90 decibels. The unit's Press Ganey Score for "Noise level in and around room" before implementation was at Mean Score of 64.8 which is 4% ranking. After implementation Mean Score improved to 88.6 which is 99% ranking. There have been no patient safety issues related to reliance on centralized telemetry rather than unit alarms.en_GB
dc.date.available2011-10-26T19:25:32Z-
dc.date.issued2011-10-26en_GB
dc.date.accessioned2011-10-26T19:25:32Z-
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.conference.date2009en_GB
dc.conference.nameNational Teaching Institute and Critical Care Expositionen_GB
dc.conference.hostAmerican Association of Critical-Care Nursesen_GB
dc.conference.locationNew Orleans, Louisiana, USAen_GB
dc.identifier.citation2009 National Teaching Institute Research Abstracts. American Journal of Critical Care, 18(3), e1-e17.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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