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      Noise and Room Acoustic Conditions in a Tertiary Referral Hospital, Seoul National University Hospital

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          Abstract

          Background and Objectives

          Noise levels and room acoustic parameters at a tertiary referral hospital, Seoul National University Hospital (SNUH) in Korea, are investigated.

          Materials and Methods

          Through a questionnaire, acoustically problematic rooms are identified. Noise levels in emergency rooms (ERs) and intensive care units (ICUs) are measured over about three days. Acoustically critical and problematic rooms in the otolaryngology department are measured including examination rooms, operating rooms, nurse stations, receptions, and patient rooms.

          Results

          The A-weighted equivalent noise level, L Aeq, ranges from 54 to 56 dBA, which is at least 10 dB lower than the noise levels of 65 to 73 dBA measured in American ERs. In an ICU, the noise level for the first night was 66 dBA, which came down to 56 dBA for the next day. The noise levels during three different ear surgeries vary from 57 to 62 dBA, depending on the use of surgical drills and suctions. The noise levels in a patient room is found to be 47 dBA, while the nurse stations and the receptions have high noise levels up to 64 dBA. The reverberation times in an operation room, examination room, and single patient room are found to be below 0.6 s.

          Conclusions

          At SNUH, the nurse stations and receptions were found to be quite noisy. The ERs were quieter than in the previous studies. The measured reverberation times seemed low enough but some other nurse stations and examination rooms were not satisfactory according to the questionnaire.

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          Most cited references26

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          An investigation of sound levels on intensive care units with reference to the WHO guidelines

          Introduction Patients in intensive care units (ICUs) suffer from sleep deprivation arising from nursing interventions and ambient noise. This may exacerbate confusion and ICU-related delirium. The World Health Organization (WHO) suggests that average hospital sound levels should not exceed 35 dB with a maximum of 40 dB overnight. We monitored five ICUs to check compliance with these guidelines. Methods Sound levels were recorded in five adult ICUs in the UK. Two sound level monitors recorded concurrently for 24 hours at the ICU central stations and adjacent to patients. Sample values to determine levels generated by equipment and external noise were also recorded in an empty ICU side room. Results Average sound levels always exceeded 45 dBA and for 50% of the time exceeded between 52 and 59 dBA in individual ICUs. There was diurnal variation with values decreasing after evening handovers to an overnight average minimum of 51 dBA at 4 AM. Peaks above 85 dBA occurred at all sites, up to 16 times per hour overnight and more frequently during the day. WHO guidelines on sound levels could be only achieved in a side room by switching all equipment off. Conclusion All ICUs had sound levels greater than WHO recommendations, but the WHO recommended levels are so low they are not achievable in an ICU. Levels adjacent to patients are higher than those recorded at central stations. Unit-wide noise reduction programmes or mechanical means of isolating patients from ambient noise, such as earplugs, should be considered.
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            Noise levels in Johns Hopkins Hospital.

            This article presents the results of a noise survey at Johns Hopkins Hospital in Baltimore, MD. Results include equivalent sound pressure levels (L(eq)) as a function of location, frequency, and time of day. At all locations and all times of day, the L(eq) indicate that a serious problem exists. No location is in compliance with current World Health Organization Guidelines, and a review of objective data indicates that this is true of hospitals throughout the world. Average equivalent sound levels are in the 50-60 dB(A) range for 1 min, 1/2, and 24 h averaging time periods. The spectra are generally flat over the 63-2000 Hz octave bands, with higher sound levels at lower frequencies, and a gradual roll off above 2000 Hz. Many units exhibit little if any reduction of sound levels in the nighttime. Data gathered at various hospitals over the last 45 years indicate a trend of increasing noise levels during daytime and nighttime hours. The implications of these results are significant for patients, visitors, and hospital staff.
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              Noise pollution in the operating theatre

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                Author and article information

                Journal
                J Audiol Otol
                J Audiol Otol
                JAO
                Journal of Audiology & Otology
                The Korean Audiological Society and Korean Otological Society
                2384-1621
                2384-1710
                April 2019
                10 April 2019
                : 23
                : 2
                : 76-82
                Affiliations
                [1 ]Division of Physical Metrology, Korea Research Institute of Standards and Science, Daejeon, Korea
                [2 ]Acoustic Technology, Electrical Engineering Department, Technical University of Denmark, Lyngby, Denmark
                [3 ]Department of System Dynamics, Korea Institute of Machinery & Materials, Daejeon, Korea
                [4 ]Department of Otorhinolaryngology-Head and Neck Surgery, Seoul National University Hospital, Seoul, Korea
                Author notes
                Address for correspondence Ji-Ho Chang, PhD Division of Physical Metrology, Korea Research Institute of Standards and Science, 267 Gajeong-ro, Yuseong-gu, Daejeon 34113, Korea Tel +82-42-868-5309 Fax +82-42-868-5643 E-mail jiho.chang@ 123456kriss.re.kr

                This study has been presented in part in Baltic-Nordic Acoustics Meeting 2018.

                Article
                jao-2018-00269
                10.7874/jao.2018.00269
                6468283
                30989997
                73cdedbe-8b58-4ee3-abc6-c37cfb711455
                Copyright © 2019 The Korean Audiological Society and Korean Otological Society

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 7 June 2018
                : 3 September 2018
                : 17 October 2018
                Categories
                Original Article

                hospital noise,er noise,icu noise,ear surgery noise,reverberation time

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