Smith T, Darling E, Searles B
SUNY Upstate Medical University in Syracuse, NY, USA.
Perfusion. 2011 Sep;26(5):375-80. doi: 10.1177/0267659111409969. Epub 2011 May 18.
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.
在过去十年中，美国手机的使用量急剧增加，成年人发短信如今已成为主流。在诸如灌注这样的职业中，临床警觉对患者护理至关重要，手机可能造成的干扰可能尤其成问题。然而，目前尚不清楚这一问题的严重程度。因此，本研究的目的是：（1）确定灌注领域中手机的使用频率；（2）确定灌注师对手机使用的担忧和看法。2010年10月，一个包含19个问题的调查问卷链接（surveymonkey.com）发布在AmSECT（PerfList）和Perfusion.com（PerfMail）论坛上。共有439名受访者。人口统计学分布如下：灌注主任（30.5%）、灌注工作人员（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岁以上（5.9%）。55.6%的灌注师报告在进行体外循环（CPB）时使用手机。49.2%的人承认在进行CPB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，灌注师报告在进行CPB时曾访问电子邮件（21%）、使用互联网（15.1%）或在社交网站上查看/发布信息（3.1%）。78.3%的人表达了安全担忧，他们认为手机可能给患者带来潜在的重大安全风险。42.3%和51.7%的受访者分别认为在CPB期间打电话和发短信“始终是不安全的做法”。7.3%的人承认手机使用造成的个人分心对工作表现产生了负面影响，而33.7%的受访者承认曾目睹另一名灌注师在CPB期间因手机/短信分心。这项调查表明，大多数灌注师认为在操作心肺机时手机会引发重大安全问题。然而，大多数人在进行这项活动时也使用过手机。在体外循环期间，对于手机的作用和/或适用性，不同代际的看法存在明显差异。有必要进一步研究这个问题，也许还需要就灌注领域内各种通信方式的使用达成共识。
