References

Noise in the Operating Room: https://www.healthdesign.org/chd/knowledge-repository/noise_operating_room%E2%80%94what_do_we_know_review_literature Assessment of Noise Pollution in the Operating Theatre: https://www.researchgate.net/publication/331563464_ASSESSMENT_OF_NOISE_POLLUTION_IN_OPERATING_THEATRE Background noise in the operating theatre can impair surgical team comprehension: https://www.sciencedaily.com/releases/2013/05/130510124558.htm Miscommunication: A Major Cause of Error: https://www.kqed.org/stateofhealth/22697/miscommunication-a-major-cause-of-medical-error-study-shows Effect of Noise in the Operating Theatre: https://www.ncbi.nlm.nih.gov/pubmed/27810115 Music Improves Surgical Performance: https://www.classicfm.com/music-news/classical-music-in-operations-makes-surgery-faster/ Noise in the Operating Room: https://anesthesiology.pubs.asahq.org/article.aspx?articleid=1921569 Noisy OR Linked to Communication Gaps: https://www.mdedge.com/surgery/article/98123/general-surgery/noisy-or-linked-communication-gaps-surgical-site-infections Surgical Errors on the Rise: https://www.hg.org/legal-articles/surgical-errors-on-the-rise-25594 NHS Negligence Pay-outs Double: https://www.telegraph.co.uk/news/2019/05/12/nhs-negligence-payouts-double-following-steep-rise-delays/ Huge Surge in Stress Related Illness in the NHS: https://www.itv.com/news/2019-05-02/huge-surge-in-stress-related-illness-in-the-nhs-as-staff-report-growing-anxiety-over-underfunding-and-understaffing/ HSE Noise Regulations: https://www.hse.gov.uk/noise/regulations.htm Evaluation of Noise Levels: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5598129/ NHS Staff Quitting Due to Burnout: https://www.theguardian.com/society/2019/jun/03/nhs-staff-quitting-due-to-burnout-and-bullying-report-says Operating Room Pressures: Surgeons Under Stress Make More Mistakes: https://www.healtheuropa.eu/operating-room-surgeons-under-stress/89512/ Hospitals Struggling to Afford Equipment https://www.theguardian.com/society/2018/may/22/hospitals-struggling-to-afford-new-equipment-after-nhs-budget-cuts A Noise Reduction Program in the Paediatric Operation Theatre: https://journals.lww.com/annalsofsurgery/Citation/2014/05000/A_Noise_Reduction_Program_in_a_Pediatric_Operation.28.aspx Noise Pollution Can Affect Patients, Staff Safety: https://bulletin.facs.org/2017/10/noise-and-distractions-in-the-or-can-affect-patient-staff-safety/ Dominant Flex and Suction Pumps: https://www.medelahealthcare.co.uk/solutions/professional-vacuum-solutions/surgical-airway-suction/dominant-flex-and-basic-suction-pumps New Technical Solution to Minimise Noise Pollution: https://innovations.bmj.com/content/3/4/196

For the past decade, Hospital Reports has been helping healthcare professionals, within both public and private hospitals, to improve patient outcomes Our Special Reports provide readers with an unparalleled depth of information on specialist subjects, which receive limited coverage in the mainstream medical media. Each report is designed to help healthcare professionals to make more effective treatment decisions, by providing a unique mix of:

• Subject specifi c clinical information • Insight and knowledge from internationally recognised key opinion leaders • Clinical guidelines • Independent data and analysis • Unbiased editorial content