2010 Survey on cell phone use while performing cardiopulmonary bypass

2010 Survey on cell phone use while performing cardiopulmonary bypass
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DOI:
10.1177/0267659111409969
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发表时间:
2011-09-01
期刊:
影响因子:
1.2
通讯作者:
Searles, B.
Searles, B.
中科院分区:
医学4区
文献类型:
--
作者:
Smith, T.;Darling, E.;Searles, B.

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过去十年来,美国的手机使用量急剧增加,成年人中的短信现已成为主流。在灌注等行业,临床警惕对于患者护理至关重要,手机潜在的干扰可能尤其成问题。然而,目前尚不清楚该问题的严重程度。因此,本研究的目的是 (1) 确定灌注社区中手机使用的频率,以及 (2) 确定灌注师对手机使用的担忧和意见。 2010 年 10 月,AmSECT (PerfList) 和 Perfusion.com (PerfMail) 论坛上发布了包含 19 个问题的调查 (surveymonkey.com) 的链接。有 439 名受访者。人口分布如下:首席灌注师(30.5%)、专职灌注师(62.0%)和其他(7.5%),年龄范围为20-30岁(14.2%)、30-40岁(26.5%)、40-50岁(26.7%)、50-60岁(26.7%)、> 60岁(5.9%)。体外循环 (CPB) 的表现由 55.6% 的灌注师。 49.2% 的人承认在进行体外循环时发送短信,与年龄组交叉参考时发现明显的代际差异。对于智能手机功能,灌注师表示在进行 CPB 时曾访问过电子邮件(21%)、使用过互联网(15.1%)或在社交网站上查看/发帖(3.1%)。 78.3% 的人表达了安全担忧,他们认为手机会给患者带来潜在的重大安全风险。分别有 42.3% 和 51.7% 的受访者认为 CPB 期间打电话和发短信“始终是不安全的做法”。 7.3% 的受访者承认,使用手机导致个人分心会对工作表现产生负面影响,而 33.7% 的受访者承认,目睹另一位灌注师在体外循环期间因电话/短信而分心。 这项调查表明,大多数灌注师认为,在操作心肺机时,手机会带来严重的安全问题。然而,大多数人在进行这项活动时也使用了手机。对于旁路期间手机的作用和/或适当性的看法存在明显的代际差异。有必要进一步研究这个问题,或许还需要就灌注界内各种沟通模式的使用达成共识。
Cell phone use in the U. S. has increased dramatically over the past decade and text messaging among adults is now mainstream. In professions such as perfusion, where clinical vigilance is essential to patient care, the potential distraction of cell phones may be especially problematic. However, the extent of this as an issue is currently unknown. Therefore, the purpose of this study was to (1) determine the frequency of cell phone use in the perfusion community, and (2) to identify concerns and opinions among perfusionists regarding cell phone use.In October 2010, a link to a 19-question survey (surveymonkey.com) was posted on the AmSECT (PerfList) and Perfusion.com (PerfMail) forums. There were 439 respondents. Demographic distribution is as follows; Chief Perfusionist (30.5%), Staff Perfusionist (62.0%), and Other (7.5%), with age ranges of 20-30 years (14.2%), 30-40 years (26.5%), 40-50 years (26.7%), 50-60 years (26.7%), > 60 years (5.9%).The use of a cell phone during the performance of cardiopulmonary bypass (CPB) was reported by 55.6% of perfusionists. Sending text messages while performing CPB was acknowledged by 49.2%, with clear generational differences detected when cross-referenced with age groups. For smart phone features, perfusionists report having accessed e-mail (21%), used the internet (15.1%), or have checked/posted on social networking sites (3.1%) while performing CPB.Safety concerns were expressed by 78.3% who believe that cell phones can introduce a potentially significant safety risk to patients. Speaking on a cell phone and text messaging during CPB are regarded as "always an unsafe practice" by 42.3% and 51.7% of respondents, respectively. Personal distraction by cell phone use that negatively affected performance was admitted by 7.3%, whereas witnessing another perfusionist distracted with phone/text while on CPB was acknowledged by 33.7% of respondents.This survey suggests that the majority of perfusionists believe cell phones raise significant safety issues while operating the heart-lung machine. However, the majority also have used a cell phone while performing this activity. There are clear generational differences in opinions on the role and/or appropriateness of cell phones during bypass. There is a need to further study this issue and, perhaps, to establish consensus on the use of various communication modes within the perfusion community.