Risk of Surgical Infection Rises with OR Noise Levels
Beldi speculated that talking about topics that did not involve the surgery "may represent a lack of concentration by the surgical team."
Contacted by e-mail in Berne, Beldi explained that noise is "the only factor that can be assessed objectively. Noise is not just speaking about casual things, but also (includes people) giving strict instructions that might be associated with increased noise."
"We rather think that noise is a surrogate for a difficult operation and therefore is associated with complications," he wrote in his e-mail response.
Of course, it may be that some higher noise levels in the surgeries with resulting surgical site infections were related to machinery, surgical instruments, monitors, alarms, and background noise associated with a more difficult procedure. That "could explain the association between volume and SSI," the researchers said in their published report.
Reducing surgical site infections is important in the U.S. for a number of reasons. They increase length of stay by weeks, increase cost of care, and in the near future will lead to reduced reimbursement when they occur in Medicare beneficiaries, according to provisions in the Patient Protection and Affordable Care Act. So, any hints about how to reduce them shouldn't be ignored.
- How Top-Ranked MA Plans Earn Their Stars
- Readmissions: No Quick Fix to Costly Hospital Challenge
- How Hospitals Can Become 'Upstreamists'
- 4 Ways to Lower the Cost to Collect from Self-Pay Patients
- WellPoint Dominates Nearly Half of Markets, AMA Says
- 4 Tips for Managing Employed Physicians
- House Calls Key to Pioneer ACO Success
- CMS Offers Some ACOs $114M for 'Upfront' Costs
- How Telehealth Pays Off for Providers, Patients
- Ebola: Second TX Nurse Diagnosed After Improper Protective Gear Application