Book contents
- Modern Monitoring in Anesthesiology and Perioperative Care
- Modern Monitoring in Anesthesiology and Perioperative Care
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Statistics Used to Assess Monitors and Monitoring Applications
- Chapter 2 Multimodal Neurological Monitoring
- Chapter 3 Cerebral Oximetry
- Chapter 4 The Oxygen Reserve Index
- Chapter 5 Point-of-Care Transesophageal Echocardiography
- Chapter 6 Point-of-Care Transthoracic Echocardiography
- Chapter 7 Point-of-Care Lung Ultrasound
- Chapter 8 Point-of-Care Ultrasound: Determination of Fluid Responsiveness
- Chapter 9 Point-of-Care Abdominal Ultrasound
- Chapter 10 Noninvasive Measurement of Cardiac Output
- Chapter 11 Assessing Intravascular Volume Status and Fluid Responsiveness: A Non-Ultrasound Approach
- Chapter 12 Assessment of Extravascular Lung Water
- Chapter 13 Point-of-Care Hematology
- Chapter 14 Assessment of Intraoperative Blood Loss
- Chapter 15 Respiratory Monitoring in Low-Intensity Settings
- Chapter 16 The Electronic Health Record as a Monitor for Performance Improvement
- Chapter 17 Future Monitoring Technologies: Wireless, Wearable, and Nano
- Chapter 18 Downside and Risks of Digital Distractions
- Index
- Plate Section (PDF Only)
- References
Chapter 18 - Downside and Risks of Digital Distractions
Published online by Cambridge University Press: 28 April 2020
Book contents
- Modern Monitoring in Anesthesiology and Perioperative Care
- Modern Monitoring in Anesthesiology and Perioperative Care
- Copyright page
- Contents
- Contributors
- Preface
- Chapter 1 Statistics Used to Assess Monitors and Monitoring Applications
- Chapter 2 Multimodal Neurological Monitoring
- Chapter 3 Cerebral Oximetry
- Chapter 4 The Oxygen Reserve Index
- Chapter 5 Point-of-Care Transesophageal Echocardiography
- Chapter 6 Point-of-Care Transthoracic Echocardiography
- Chapter 7 Point-of-Care Lung Ultrasound
- Chapter 8 Point-of-Care Ultrasound: Determination of Fluid Responsiveness
- Chapter 9 Point-of-Care Abdominal Ultrasound
- Chapter 10 Noninvasive Measurement of Cardiac Output
- Chapter 11 Assessing Intravascular Volume Status and Fluid Responsiveness: A Non-Ultrasound Approach
- Chapter 12 Assessment of Extravascular Lung Water
- Chapter 13 Point-of-Care Hematology
- Chapter 14 Assessment of Intraoperative Blood Loss
- Chapter 15 Respiratory Monitoring in Low-Intensity Settings
- Chapter 16 The Electronic Health Record as a Monitor for Performance Improvement
- Chapter 17 Future Monitoring Technologies: Wireless, Wearable, and Nano
- Chapter 18 Downside and Risks of Digital Distractions
- Index
- Plate Section (PDF Only)
- References
Summary
Our workplace has changed so dramatically that a new term for this chapter was created to describe it, electronicized. This chapter will focus on the associated issues of distraction due to personal electronic devices (PEDs), electronic medical records (EMRs), EMR’s OR equivalent, anesthesia information management systems (AIMS), and alarms. The digital distraction due to the combination of these devices will be described. Specific concerns will be raised regarding PED’s ubiquity as a distinct threat to vigilance that has the potential to be significantly disruptive and potentially injurious. Alarm fatigue due to the quantity and large number of false alarms will also be reviewed in detail
Keywords
- Type
- Chapter
- Information
- Modern Monitoring in Anesthesiology and Perioperative Care , pp. 173 - 179Publisher: Cambridge University PressPrint publication year: 2020
References
Farooqui, IA, Pore, P, Gothankar, J. Nomophobia: an emerging issue in medical institutions? J Ment Health 2017;22:1–4.Google Scholar
Bragazzi, NL, Del Puente, G. A proposal for including nomophobia in the new DSM-V. Psychol Res Behav Manag 2014;7:155–60.Google Scholar
Deb, A. Phantom vibration and phantom ringing among mobile phone users: a systematic review of literature. Asia Pac Psychiatry 2015;7(3):231–9.Google Scholar
Dossey, L. FOMO, digital dementia and our dangerous experiment. Explore 2015;10(2):69–73.Google Scholar
Roberts, J, Pullig, C, Manolis, C. I need my smartphone: a hierarchical model of personality and cell-phone addiction. Personal Individ Differ 2015;79:13–19.Google Scholar
Richtel, M. As doctors use more devices, potential for distraction grows. New York Times 2011 December 15:A1,4. Available from www.NYtimes.comGoogle Scholar
Katz-Sidlow, RJ, Ludwig, A, Miller, S, Sidlow, R. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. J Hosp Med 2012;7(8):595–9.Google Scholar
Papadakos, PJ. Electronic etiquette: a curriculum for health professionals. In: Papadakos, PJ, Bertman, S., eds. Distracted Doctoring: Returning to Patient-Centered Care in the Digital Age. Cham, Switzerland: Springer International Publishing AG, 2017;219–27.Google Scholar
Wax, DB, Lin, HM, Reich, DL. Intraoperative non-record-keeping usage of anesthesia information management system workstations and associated hemodynamic variability and aberrancies. Anesthesiology 2012;117:1184–9.CrossRefGoogle ScholarPubMed
Kalisch, BJ, Aebersold, M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf 2010;36(3):126–32.Google Scholar
Broom, MA, Capek, AL, Carachi, P, Akeroyd, MA, Hildutch, G. Critical phase distractions in anesthesia and the sterile cockpit concept. Anaesthesia 2011;66:175–9.Google Scholar
Attri, J, Kheptarpal, R, Chatrath, V, Kaur, J. Concerns about usage of smartphones in the operating room and critical care scenario. Saudi J Anesth 2016;10(1):87–94.Google Scholar
Piscotty, R, Voepel-Lewis, T, Lee, SH, et al. To tweet or not to tweet? Nurses, social media, and patient care. Nurs Manag 2013;44(5):52–3.Google Scholar
Cohn, TA, Shappell, SA, Reeves, ST, Boquet, AJ. Distracted doctoring: the role of personal electronic devices in the operating room. Perioperative Care and Operating Room Management 2018;10:10–13.Google Scholar
Papadakos, PJ. Electronic distractions of the respiratory therapist and their impact on patient safety. Respir Care 2014;59(8):1306–9.CrossRefGoogle ScholarPubMed
Paine, CW, Goel, VV, Ely, E, et al. Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. J Hosp Med 2016;11(2):136–44.Google Scholar
Winters, BD, Cvach, MM, Bonafide, CP. Technologic distractions (part 2): a summary of approaches to manage clinical alarms with intent to reduce alarm fatigue. Crit Care Med 2018;46(1):130–7.Google Scholar
The Joint Commission Sentinel Event Alert. Medical device alarm safety in hospitals.Google Scholar
Ruskin, KJ, Hueske-Kraus, D. Alarm fatigue: impacts on patient safety. Curr Opin Anaesthesiol 2015;28(6):685–90.Google Scholar
Manzey, D, Gerals, N, Wiczorek, R. Decision-making and response strategies interaction with alarms: the impact of alarm reliability, availability of alarm validity information and workload. Ergonomics 2014;57(12):1833–55.Google Scholar
Bonafide, CP, Lin, R, Zander, M, et al. Association between exposure to nonactionable physiologic monitor alarms and response times in a children’s hospital. J Hosp Med 2015;10(6):981–5.Google Scholar
Bliss, JP, Dunn, MC. Behavioral implications of alarm mistrust as a function of task workload. Ergonomics 2002;43(9):1283–300.Google Scholar
Edworthy, J, Hellier, E. Alarms and human behavior: implications for medical alarms. Br J Anaesth 2006;97(1):12–17.Google Scholar
Westbrook, JI, Coiera, E, Dundmuir, WE. The impact of interruptions on clinical task completion. Qual Saf Healthcare 2010;19:284–9.Google Scholar
Graham, KC, Cvach, M. Monitor alarm fatigue: standardizing use of physiologic monitors and decreasing nuisance alarms. Am J Crit Care 2010;19:28–34.Google Scholar
Paine, CW, Goel, VV, Ely, E, et al. Systematic review of physiologic monitor alarm characteristics and pragmatic interventions to reduce alarm frequency. J Hosp Med 2016;11(2):136–44.Google Scholar
Lawless, ST. Crying wolf: false alarms in a pediatric intensive care unit. Crit Care Med 1994;22(6):981–5.Google Scholar
Rheineck-Leyssius, AT, Kalkman, CJ. Influence of pulse oximeter lower limit on the incidence of hypoxemia in the recovery room. Br J Anaesth 1997;79(4):460–4.Google Scholar
Tanaka, PP, Tanaka, M, Drover, DR. Detection of respiratory compromise by acoustic monitoring, capnography and brain function monitoring during monitored anesthesia care. J Clin Monit Comput 2014;28:561–6.Google Scholar
Albert, NM, Murry, T, Bena, JF, et al. Differences in alarm events between disposable and reusable electrocardiography lead wires. Am J Crit Care 2015;24(1):67–74.Google Scholar