Association Between Operating Room Noise and Team Cognitive Workload in Cardiac Surgery.

Kennedy-Metz, Lauren R; Arshanskiy, Maria; Keller, Sandra; Arney, David; Dias, Roger D; Zenati, Marco A (2022). Association Between Operating Room Noise and Team Cognitive Workload in Cardiac Surgery. IEEE Conference on Cognitive and Computational Aspects of Situation Management (CogSIMA), 2022, pp. 89-93. IEEE Institute of Electrical and Electronics Engineers 10.1109/cogsima54611.2022.9830675

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Excessive intra-operative noise in cardiac surgery has the potential to serve as source of distraction and additional cognitive workload for the surgical team, and may interfere with optimal performance. The separation from bypass phase is a technically complex phase of surgery, making it highly susceptible to communication breakdowns due to high cognitive demands and requiring tightly coupled team coordination. The objective of this study was to investigate team cognitive workload levels and communication in relation to intra-operative time periods representative of infrequent vs. frequent peaks in ambient noise. Compared to 5-minute segments with no peaks in noise at all, segments with the highest percentage of noise peaks (≥10%) were significantly associated with higher team members' heart rate before, during, and after noise segments analyzed. These noisier segments were also associated with a significantly higher level of case-irrelevant communication events. These data suggest that case-irrelevant conversations associated with a greater degree of excessive peaks in noise may be associated with team workload levels, warranting further investigation into efforts to standardize communication during critical surgical phases.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery

UniBE Contributor:

Keller, Sandra

Subjects:

600 Technology > 610 Medicine & health

Publisher:

IEEE Institute of Electrical and Electronics Engineers

Language:

English

Submitter:

Pubmed Import

Date Deposited:

22 Aug 2022 10:56

Last Modified:

05 Dec 2022 16:22

Publisher DOI:

10.1109/cogsima54611.2022.9830675

PubMed ID:

35984653

Uncontrolled Keywords:

cardiac surgery cognitive workload heart rate noise level teams

BORIS DOI:

10.48350/172216

URI:

https://boris.unibe.ch/id/eprint/172216

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