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A targeted noise reduction observational study for reducing noise in a neonatal intensive unit
Background: Excessive noise in neonatal intensive care units (NICUs) can interfere with infants’ growth, development and healing. Local problem: Sound levels in our NICUs exceeded the recommended levels by the World Health Organization. Methods: We implemented a noise reduction strategy in an urban,...
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| Published in: | Journal of perinatology 2017-09, Vol.37 (9), p.1060-1064 |
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| container_end_page | 1064 |
| container_issue | 9 |
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| container_title | Journal of perinatology |
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| creator | Chawla, S Barach, P Dwaihy, M Kamat, D Shankaran, S Panaitescu, B Wang, B Natarajan, G |
| description | Background:
Excessive noise in neonatal intensive care units (NICUs) can interfere with infants’ growth, development and healing.
Local problem:
Sound levels in our NICUs exceeded the recommended levels by the World Health Organization.
Methods:
We implemented a noise reduction strategy in an urban, tertiary academic medical center NICU that included baseline noise measurements. We conducted a survey involving staff and visitors regarding their opinions and perceptions of noise levels in the NICU. Ongoing feedback to staff after each measurement cycle was provided to improve awareness, engagement and adherence with noise reduction strategies. After widespread discussion with active clinician involvement, consensus building and iterative testing, changes were implemented including: lowering of equipment alarm sounds, designated ‘quiet times’ and implementing a customized education program for staff.
Interventions:
A multiphase noise reduction quality improvement (QI) intervention to reduce ambient sound levels in a patient care room in our NICUs by 3 dB (20%) over 18 months.
Results:
The noise in the NICU was reduced by 3 dB from baseline. Mean (s.d.) baseline, phase
2
,
3
and 4 noise levels in the two NICUs were: LAeq: 57.0 (0.84), 56.8 (1.6), 55.3 (1.9) and 54.5 (2.6) dB, respectively (
P
90%.
Conclusions:
Implementing a multipronged QI initiative resulted in significant noise level reduction in two multipod NICUs. It is feasible to reduce noise levels if QI interventions are coupled with active engagement of the clinical staff and following continuous process of improvement methods, measurements and protocols. |
| doi_str_mv | 10.1038/jp.2017.93 |
| format | article |
| fullrecord | <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1910339090</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A504408879</galeid><sourcerecordid>A504408879</sourcerecordid><originalsourceid>FETCH-LOGICAL-c477t-a6d1e5df2d82c2acdf8e85839cd453e716689cd9a8b69db0f6ffb6d93ceb21a83</originalsourceid><addsrcrecordid>eNp90ltrFDEUAOBBFLtWX_wBMiAUUWbNZSaXx6V4g4Iv-mrIJCfbLLPJmmQK_fdm2FVbFclDQvKdJCc5TfMcozVGVLzdHdYEYb6W9EGzwj1n3TD09GGzQrynnaA9O2ue5LxDaFnkj5szIhjmPcGr5tumLTptoYBtQ_QZ2gR2NsXH0MYxQ7rRy1hPbS6zvW1dTEfhw_YU4EOr2wAVlcp8KBCyv4F2Dr48bR45PWV4durPm6_v3325_Nhdff7w6XJz1Zme89JpZjEM1hEriCHaWCdADIJKY_uBAseMiTqWWoxM2hE55tzIrKQGRoK1oOfNq-O-hxS_z5CL2vtsYJp0vdicFZb1pahEElX68g-6i3OqGWZFGB4GSong_1NYUjFQLAj7rbZ6AuWDiyVpsxytNgPqeyQEl1Wt_6Fqs7D3JgZwvs7fC7i4E3ANeirXOU7z8hP5Pnx9hCbFnBM4dUh-r9OtwkgttaF2B7XUhpK04henlOZxD_YX_VkMFbw5glyXwhbSnZz_3u4HZPjAcQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1938531826</pqid></control><display><type>article</type><title>A targeted noise reduction observational study for reducing noise in a neonatal intensive unit</title><source>Springer Nature</source><creator>Chawla, S ; Barach, P ; Dwaihy, M ; Kamat, D ; Shankaran, S ; Panaitescu, B ; Wang, B ; Natarajan, G</creator><creatorcontrib>Chawla, S ; Barach, P ; Dwaihy, M ; Kamat, D ; Shankaran, S ; Panaitescu, B ; Wang, B ; Natarajan, G</creatorcontrib><description>Background:
Excessive noise in neonatal intensive care units (NICUs) can interfere with infants’ growth, development and healing.
Local problem:
Sound levels in our NICUs exceeded the recommended levels by the World Health Organization.
Methods:
We implemented a noise reduction strategy in an urban, tertiary academic medical center NICU that included baseline noise measurements. We conducted a survey involving staff and visitors regarding their opinions and perceptions of noise levels in the NICU. Ongoing feedback to staff after each measurement cycle was provided to improve awareness, engagement and adherence with noise reduction strategies. After widespread discussion with active clinician involvement, consensus building and iterative testing, changes were implemented including: lowering of equipment alarm sounds, designated ‘quiet times’ and implementing a customized education program for staff.
Interventions:
A multiphase noise reduction quality improvement (QI) intervention to reduce ambient sound levels in a patient care room in our NICUs by 3 dB (20%) over 18 months.
Results:
The noise in the NICU was reduced by 3 dB from baseline. Mean (s.d.) baseline, phase
2
,
3
and 4 noise levels in the two NICUs were: LAeq: 57.0 (0.84), 56.8 (1.6), 55.3 (1.9) and 54.5 (2.6) dB, respectively (
P
<0.01). Adherence with the planned process measure of ‘quiet times’ was >90%.
Conclusions:
Implementing a multipronged QI initiative resulted in significant noise level reduction in two multipod NICUs. It is feasible to reduce noise levels if QI interventions are coupled with active engagement of the clinical staff and following continuous process of improvement methods, measurements and protocols.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/jp.2017.93</identifier><identifier>PMID: 28617421</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>692/700/1720/3186 ; 692/700/784 ; Academic Medical Centers ; Acoustics ; Alarm systems ; Background noise ; Customization ; Environmental aspects ; Family ; Feedback ; Female ; Health care facilities ; Health Personnel ; Hospitals ; Humans ; Infant ; Infant development ; Infant, Extremely Low Birth Weight ; Infant, Premature ; Infants ; Intensive care units ; Intensive Care Units, Neonatal - organization & administration ; Intensive Care Units, Neonatal - standards ; Intervention ; Male ; Management ; Measurement methods ; Medicine ; Medicine & Public Health ; Methods ; Neonatal intensive care units ; Neonates ; Newborn babies ; Noise control ; Noise levels ; Noise reduction ; Noise, Occupational - adverse effects ; Noise, Occupational - prevention & control ; Observational studies ; Pediatric Surgery ; Pediatrics ; Physiological aspects ; Quality control ; Quality Improvement ; quality-improvement-article ; Safety and security measures ; Surveys and Questionnaires</subject><ispartof>Journal of perinatology, 2017-09, Vol.37 (9), p.1060-1064</ispartof><rights>Nature America, Inc., part of Springer Nature. 2017</rights><rights>COPYRIGHT 2017 Nature Publishing Group</rights><rights>Copyright Nature Publishing Group Sep 2017</rights><rights>Nature America, Inc., part of Springer Nature. 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c477t-a6d1e5df2d82c2acdf8e85839cd453e716689cd9a8b69db0f6ffb6d93ceb21a83</citedby><cites>FETCH-LOGICAL-c477t-a6d1e5df2d82c2acdf8e85839cd453e716689cd9a8b69db0f6ffb6d93ceb21a83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28617421$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chawla, S</creatorcontrib><creatorcontrib>Barach, P</creatorcontrib><creatorcontrib>Dwaihy, M</creatorcontrib><creatorcontrib>Kamat, D</creatorcontrib><creatorcontrib>Shankaran, S</creatorcontrib><creatorcontrib>Panaitescu, B</creatorcontrib><creatorcontrib>Wang, B</creatorcontrib><creatorcontrib>Natarajan, G</creatorcontrib><title>A targeted noise reduction observational study for reducing noise in a neonatal intensive unit</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><addtitle>J Perinatol</addtitle><description>Background:
Excessive noise in neonatal intensive care units (NICUs) can interfere with infants’ growth, development and healing.
Local problem:
Sound levels in our NICUs exceeded the recommended levels by the World Health Organization.
Methods:
We implemented a noise reduction strategy in an urban, tertiary academic medical center NICU that included baseline noise measurements. We conducted a survey involving staff and visitors regarding their opinions and perceptions of noise levels in the NICU. Ongoing feedback to staff after each measurement cycle was provided to improve awareness, engagement and adherence with noise reduction strategies. After widespread discussion with active clinician involvement, consensus building and iterative testing, changes were implemented including: lowering of equipment alarm sounds, designated ‘quiet times’ and implementing a customized education program for staff.
Interventions:
A multiphase noise reduction quality improvement (QI) intervention to reduce ambient sound levels in a patient care room in our NICUs by 3 dB (20%) over 18 months.
Results:
The noise in the NICU was reduced by 3 dB from baseline. Mean (s.d.) baseline, phase
2
,
3
and 4 noise levels in the two NICUs were: LAeq: 57.0 (0.84), 56.8 (1.6), 55.3 (1.9) and 54.5 (2.6) dB, respectively (
P
<0.01). Adherence with the planned process measure of ‘quiet times’ was >90%.
Conclusions:
Implementing a multipronged QI initiative resulted in significant noise level reduction in two multipod NICUs. It is feasible to reduce noise levels if QI interventions are coupled with active engagement of the clinical staff and following continuous process of improvement methods, measurements and protocols.</description><subject>692/700/1720/3186</subject><subject>692/700/784</subject><subject>Academic Medical Centers</subject><subject>Acoustics</subject><subject>Alarm systems</subject><subject>Background noise</subject><subject>Customization</subject><subject>Environmental aspects</subject><subject>Family</subject><subject>Feedback</subject><subject>Female</subject><subject>Health care facilities</subject><subject>Health Personnel</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant development</subject><subject>Infant, Extremely Low Birth Weight</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Intensive care units</subject><subject>Intensive Care Units, Neonatal - organization & administration</subject><subject>Intensive Care Units, Neonatal - standards</subject><subject>Intervention</subject><subject>Male</subject><subject>Management</subject><subject>Measurement methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Methods</subject><subject>Neonatal intensive care units</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Noise control</subject><subject>Noise levels</subject><subject>Noise reduction</subject><subject>Noise, Occupational - adverse effects</subject><subject>Noise, Occupational - prevention & control</subject><subject>Observational studies</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Physiological aspects</subject><subject>Quality control</subject><subject>Quality Improvement</subject><subject>quality-improvement-article</subject><subject>Safety and security measures</subject><subject>Surveys and Questionnaires</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp90ltrFDEUAOBBFLtWX_wBMiAUUWbNZSaXx6V4g4Iv-mrIJCfbLLPJmmQK_fdm2FVbFclDQvKdJCc5TfMcozVGVLzdHdYEYb6W9EGzwj1n3TD09GGzQrynnaA9O2ue5LxDaFnkj5szIhjmPcGr5tumLTptoYBtQ_QZ2gR2NsXH0MYxQ7rRy1hPbS6zvW1dTEfhw_YU4EOr2wAVlcp8KBCyv4F2Dr48bR45PWV4durPm6_v3325_Nhdff7w6XJz1Zme89JpZjEM1hEriCHaWCdADIJKY_uBAseMiTqWWoxM2hE55tzIrKQGRoK1oOfNq-O-hxS_z5CL2vtsYJp0vdicFZb1pahEElX68g-6i3OqGWZFGB4GSong_1NYUjFQLAj7rbZ6AuWDiyVpsxytNgPqeyQEl1Wt_6Fqs7D3JgZwvs7fC7i4E3ANeirXOU7z8hP5Pnx9hCbFnBM4dUh-r9OtwkgttaF2B7XUhpK04henlOZxD_YX_VkMFbw5glyXwhbSnZz_3u4HZPjAcQ</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Chawla, S</creator><creator>Barach, P</creator><creator>Dwaihy, M</creator><creator>Kamat, D</creator><creator>Shankaran, S</creator><creator>Panaitescu, B</creator><creator>Wang, B</creator><creator>Natarajan, G</creator><general>Nature Publishing Group US</general><general>Nature Publishing Group</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20170901</creationdate><title>A targeted noise reduction observational study for reducing noise in a neonatal intensive unit</title><author>Chawla, S ; Barach, P ; Dwaihy, M ; Kamat, D ; Shankaran, S ; Panaitescu, B ; Wang, B ; Natarajan, G</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c477t-a6d1e5df2d82c2acdf8e85839cd453e716689cd9a8b69db0f6ffb6d93ceb21a83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>692/700/1720/3186</topic><topic>692/700/784</topic><topic>Academic Medical Centers</topic><topic>Acoustics</topic><topic>Alarm systems</topic><topic>Background noise</topic><topic>Customization</topic><topic>Environmental aspects</topic><topic>Family</topic><topic>Feedback</topic><topic>Female</topic><topic>Health care facilities</topic><topic>Health Personnel</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant development</topic><topic>Infant, Extremely Low Birth Weight</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Intensive care units</topic><topic>Intensive Care Units, Neonatal - organization & administration</topic><topic>Intensive Care Units, Neonatal - standards</topic><topic>Intervention</topic><topic>Male</topic><topic>Management</topic><topic>Measurement methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Methods</topic><topic>Neonatal intensive care units</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>Noise control</topic><topic>Noise levels</topic><topic>Noise reduction</topic><topic>Noise, Occupational - adverse effects</topic><topic>Noise, Occupational - prevention & control</topic><topic>Observational studies</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Physiological aspects</topic><topic>Quality control</topic><topic>Quality Improvement</topic><topic>quality-improvement-article</topic><topic>Safety and security measures</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chawla, S</creatorcontrib><creatorcontrib>Barach, P</creatorcontrib><creatorcontrib>Dwaihy, M</creatorcontrib><creatorcontrib>Kamat, D</creatorcontrib><creatorcontrib>Shankaran, S</creatorcontrib><creatorcontrib>Panaitescu, B</creatorcontrib><creatorcontrib>Wang, B</creatorcontrib><creatorcontrib>Natarajan, G</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Nursing & Allied Health Database</collection><collection>Immunology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chawla, S</au><au>Barach, P</au><au>Dwaihy, M</au><au>Kamat, D</au><au>Shankaran, S</au><au>Panaitescu, B</au><au>Wang, B</au><au>Natarajan, G</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A targeted noise reduction observational study for reducing noise in a neonatal intensive unit</atitle><jtitle>Journal of perinatology</jtitle><stitle>J Perinatol</stitle><addtitle>J Perinatol</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>37</volume><issue>9</issue><spage>1060</spage><epage>1064</epage><pages>1060-1064</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><abstract>Background:
Excessive noise in neonatal intensive care units (NICUs) can interfere with infants’ growth, development and healing.
Local problem:
Sound levels in our NICUs exceeded the recommended levels by the World Health Organization.
Methods:
We implemented a noise reduction strategy in an urban, tertiary academic medical center NICU that included baseline noise measurements. We conducted a survey involving staff and visitors regarding their opinions and perceptions of noise levels in the NICU. Ongoing feedback to staff after each measurement cycle was provided to improve awareness, engagement and adherence with noise reduction strategies. After widespread discussion with active clinician involvement, consensus building and iterative testing, changes were implemented including: lowering of equipment alarm sounds, designated ‘quiet times’ and implementing a customized education program for staff.
Interventions:
A multiphase noise reduction quality improvement (QI) intervention to reduce ambient sound levels in a patient care room in our NICUs by 3 dB (20%) over 18 months.
Results:
The noise in the NICU was reduced by 3 dB from baseline. Mean (s.d.) baseline, phase
2
,
3
and 4 noise levels in the two NICUs were: LAeq: 57.0 (0.84), 56.8 (1.6), 55.3 (1.9) and 54.5 (2.6) dB, respectively (
P
<0.01). Adherence with the planned process measure of ‘quiet times’ was >90%.
Conclusions:
Implementing a multipronged QI initiative resulted in significant noise level reduction in two multipod NICUs. It is feasible to reduce noise levels if QI interventions are coupled with active engagement of the clinical staff and following continuous process of improvement methods, measurements and protocols.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>28617421</pmid><doi>10.1038/jp.2017.93</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | Journal of perinatology, 2017-09, Vol.37 (9), p.1060-1064 |
| issn | 0743-8346 1476-5543 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1910339090 |
| source | Springer Nature |
| subjects | 692/700/1720/3186 692/700/784 Academic Medical Centers Acoustics Alarm systems Background noise Customization Environmental aspects Family Feedback Female Health care facilities Health Personnel Hospitals Humans Infant Infant development Infant, Extremely Low Birth Weight Infant, Premature Infants Intensive care units Intensive Care Units, Neonatal - organization & administration Intensive Care Units, Neonatal - standards Intervention Male Management Measurement methods Medicine Medicine & Public Health Methods Neonatal intensive care units Neonates Newborn babies Noise control Noise levels Noise reduction Noise, Occupational - adverse effects Noise, Occupational - prevention & control Observational studies Pediatric Surgery Pediatrics Physiological aspects Quality control Quality Improvement quality-improvement-article Safety and security measures Surveys and Questionnaires |
| title | A targeted noise reduction observational study for reducing noise in a neonatal intensive unit |
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