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- W4313639264 abstract "Intra-operative noise exposure has been associated with increased risk of complications, communication errors, and stress among surgical team members. This study evaluates intra-operative noise levels during different shift times, e.g. night shift, day shift, and handoff times between shifts. This prospective observational study measured volume (decibel level, dB), startle events, percentage of time sound was above safe levels ( > 60dB) and peak levels ( > 75dB) for cesarean deliveries during a three month period. Noise data was evaluated for cases occurring during day shift (0631-1659), night shift (1801-0529), and handoff times (0530-0630, 1700-1800) using independent Kruskal-Wallis tests. Correlates and postoperative complications were additionally analyzed using Chi Square testing. Noise data was collected for a total of 312 cesarean deliveries; 203 occurred during day shift, 94 during night shift, and 15 during handoff times. Median noise in dB, number of startle events, percentage of time above 60 dB, above 75dB had no significant differences throughout the various shift times. Significantly larger numbers of postpartum hemorrhages, surgical complications, unscheduled, urgent and stat cesarean deliveries, occurred at handoff times and on night shifts. Noise levels during cesarean deliveries did not significantly vary when comparing night shift, day shift, and handoff times, despite significantly higher numbers of urgent and stat cases occurring overnight and during handoff times. However, greater than 60% of case time had noise levels greater than those considered safe. This suggests that ambient background noise may be contributing more to overall noise levels rather than the clinical scenario at hand.View Large Image Figure ViewerDownload Hi-res image Download (PPT)" @default.
- W4313639264 created "2023-01-07" @default.
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- W4313639264 date "2023-01-01" @default.
- W4313639264 modified "2023-09-26" @default.
- W4313639264 title "The effects of timing on cesarean delivery outcomes and operative noise levels" @default.
- W4313639264 doi "https://doi.org/10.1016/j.ajog.2022.11.818" @default.
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