Skip to main content

Advertisement

Log in

Hold the Phone! Perioperative Personal Electronic Devices

  • Patient Safety in Anesthesia (SJ Brull and JR Renew, Section Editors)
  • Published:
Current Anesthesiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to illustrate the use of personal electronic devices among health care practitioners in the perioperative environment. It highlights the benefits of these devices as well as the potential risks to patient care.

Recent Findings

Personal electronic devices like smartphones have become ubiquitous in day-to-day life, and their utility has become indispensable to many industries. Within health care, they show promise to improve provider knowledge, communication, and adherence to best practices. Targeted applications for these devices demonstrate endless capacity for adaptation to specific provider and patient care needs. However, personal electronic devices pose the potential for distraction, contamination, and breaches of patient confidentiality within the operating room environment.

Summary

Personal electronic devices have the potential to improve health care provider efficiency, care coordination, and task management; however, this is not without risk. Ultimately, the effect of the presence of these devices in the operating room on patient outcomes remains to be seen.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Martin. M. Computer and Internet use in the United States: 2018. Department of Commerce (US). United States Census Bureau. https://www.census.gov/library/publications/2021/acs/acs-49.html (2021 Apr). Accessed 26 Jul 2022

  2. Gill PS, Kamath A, Gill TS. Distraction: an assessment of smartphone usage in health care work settings. Risk Management and Healthcare Policy. 2012;5:105–14. https://doi.org/10.2147/RMHP.S34813.

    Article  Google Scholar 

  3. Green MS, Mathew JJ, Venkatesh AG, Green P, Tariq R. Utilization of smartphone applications by anesthesia providers. Anesthesiology Research and Practice. 2018;8(2018):8694357. https://doi.org/10.1155/2018/8694357.

    Article  Google Scholar 

  4. Patel, M.S., Patel, N., Small, D.S., et al., (2016). Change in length of stay and readmissions among hospitalized medical patients after inpatient medicine service adoption of mobile secure text messaging. Journal of General Internal Medicine. 31(8):863–70. https://doi.org/10.1007/s11606-016-3673-7. (One of the first and only papers to characterize how smartphone communication directly impacts patient care.)

  5. Divall P, Camosso-Stefinovic J, Baker R. The use of personal digital assistants in clinical decision making by health care professionals: a systematic review. Medical Informatics Journal. 2013;19(1):16–28. https://doi.org/10.1177/1460458212446761.

    Article  Google Scholar 

  6. Ustun C, Cihangiroglu M. Health care workers’ mobile phones: a potential cause of microbial cross-contamination between hospitals and community. Journal of Occupational and Environmental Hygiene. 2012;9(9):538–42. https://doi.org/10.1080/15459624.2012.697419.

    Article  CAS  Google Scholar 

  7. Healey AN, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Quality in Health Care. 2007;16(2):135–9. https://doi.org/10.1136/qshc.2006.019711.

    Article  CAS  Google Scholar 

  8. Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction. Journal of Hospital Medicine. 2012;7(8):595–9. https://doi.org/10.1002/jhm.1950.

    Article  Google Scholar 

  9. Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535–41. https://doi.org/10.1213/01.ane.0000194506.79408.79.

    Article  Google Scholar 

  10. Shakir I, Patel N, Chamberland R, Kaar S. Investigation of cell phones as a potential source of bacterial contamination in the operating room. Journal of Bone & Joint Surgery American. 2015;97(3):225–31. https://doi.org/10.2106/JBJS.N.00523.

    Article  Google Scholar 

  11. Sergeeva A, Aji K, van den Hooff B, Huysman M. Mobile devices in the operating room: intended and unintended consequences for nurses’ work. Health Informatics Journal. 2016;22(4):1101–10. https://doi.org/10.1177/1460458215598637.

    Article  Google Scholar 

  12. Pinar H, Karaca O, Dogan R, Konuk U. Smartphone use habits of anesthesia providers during anesthetized patient care: a survey from Turkey. BMC Anesthesiology. 2016;16(1):88. https://doi.org/10.1186/s12871-016-0245-7.

    Article  Google Scholar 

  13. Slagle JM, Porterfield ES, Lorinc AN, Afshartous D, Shotwell MS, Weinger MB. Prevalence of potentially distracting noncare activities and their effects on vigilance, workload, and nonroutine events during anesthesia care. Anesthesiology. 2018;128(1):44–54. https://doi.org/10.1097/ALN.0000000000001915.

    Article  Google Scholar 

  14. Avidan A, Galel Y, Weissman C, Levin P. Cell phone calls in the operating theater and staff distractions: an observational study. J Patient Saf. 2019 Dec;15(4):e52–5. https://doi.org/10.1097/pts.0000000000000351.

  15. Porter, S., Renew, J., Paredes, S., et al., (2022). Development, validation, and results of a survey of personal electronic device use among 299 anesthesia providers from a single institution. Anesthesia & Analgesia. 134(2):269–275. https://doi.org/10.1213/ANE.0000000000005708. (An interesting survey which directly addresses smartphone use by anesthesia providers in the operating room.)

  16. Van Harten A, Gooszen HG, Koksma JJ, Niessen TJH, Abma TA. An observational study of distractions in the operating theatre. Anesthesia. 2021;76(3):346–56. https://doi.org/10.1111/anae.15217.

    Article  Google Scholar 

  17. Caminiti C, Deng L, Greenberg P, Scolpino A, et al. The impact and perception of cell phone usage in a teaching hospital setting. Journal of Patient Exprience. 2020;7(6):1627–33. https://doi.org/10.1177/2374373519892416.

    Article  Google Scholar 

  18. Goldfarb J, Kayssi A, Devon K, et al. Smartphones and patient care: exploring the use of text-based messaging for patient related communication. Surgical Innovations. 2016;23(3):305–8. https://doi.org/10.1177/1553350615624788.

    Article  Google Scholar 

  19. Bochicchio GV, Smit PA, Moore R, Bochicchio K, Auwaerter P, Johnson SB, et al. Pilot study of a webbased antibiotic decision management guide. Journal of American Colllege of Surgeons. 2006;202(3):459–67. https://doi.org/10.1016/j.jamcollsurg.2005.11.010.

    Article  Google Scholar 

  20. Roy P-M, Durieux P, Gillaizeau F, Legall C, Armand-Perroux A, Martino L, et al. A computerized handheld decision-support system to improve pulmonary embolism diagnosis: a randomized trial. Annals of Internal Medicine. 2009;151:677–86. https://doi.org/10.7326/0003-4819-151-10-200911170-00003.

    Article  Google Scholar 

  21. Berner ES, Houston TK, Ray MN, Allison JJ, Heudebert GR, Chatham WW, et al. Improving ambulatory prescribing safety with a handheld decision support system: a randomized controlled trial. Journal of the American Medical Informatics Association. 2006;13:171–9. https://doi.org/10.1197/jamia.M1961.

    Article  Google Scholar 

  22. Cho S, Lee E. Distraction by smartphone use during clinical practice and opinions about smartphone restriction policies: a cross-sectional descriptive study of nursing students. Nurse Education Today. 2016;40:128–33. https://doi.org/10.1016/j.nedt.2016.02.021.

    Article  Google Scholar 

  23. Zaki S, Mashat A, Abumohssin A, et al. Bacterial contamination of cell phones of medical students at King Abdulaziz University, Jeddah. Saudi Arabia Journal of Microscopy and Ultrastructure. 2016;4(3):143–6. https://doi.org/10.1016/j.jmau.2015.12.004.

    Article  Google Scholar 

  24. Soto R, Neves S, et al. Personal electronic devices use in the operating room. European Journal of Anaesthesiology. 2017;34(4):239–47. https://doi.org/10.1097/EJA.0000000000000555.

    Article  Google Scholar 

  25. Pan S, Rong L. Mobile applications in clinical and perioperative care for anesthesia: narrative review. Journal of Medical Internet Research. 2021;23(9):e25115. https://doi.org/10.2196/25115.

    Article  Google Scholar 

  26. Baumann D, Dibbern N, Sehner S, Zöllner C, Reip W, Kubitz JC. Validation of a mobile app for reducing errors of administration of medications in an emergency. Journal of Clinical Monitoring and Computing. 2019;33(3):531–9. https://doi.org/10.1007/s10877-018-0187-3.

    Article  CAS  Google Scholar 

  27. Lee J, Jung H, Lee G, Kim H, Park S, Woo S. Effect of behavioral intervention using smartphone application for preoperative anxiety in pediatric patients. Korean Journal of Anesthesiology. 2013;65(6):508–18. https://doi.org/10.4097/kjae.2013.65.6.508.

    Article  Google Scholar 

  28. Jabaley CS, Wolf FA, Lynde GC, O’Reilly-Shah VN. Crowdsourcing sugammadex adverse event rates using an in-app survey: feasibility assessment from an observational study. Therapy Advance Drug Safty. 2018;9(7):331–42. https://doi.org/10.1177/2042098618769565.

    Article  Google Scholar 

  29. Smith T, Darling E, Searles B. 2010 Survey on cell phone use while performing cardiopulmonary bypass. Perfusion. 2011;26(5):375–80. https://doi.org/10.1177/0267659111409969 (Epub 2011 May 18).

    Article  CAS  Google Scholar 

  30. Domino K, Sessler D. Internet use during anesthesia care. Anesthesiology. 2012;117(6):1156–8. https://doi.org/10.1097/ALN.0b013e31827515fb.

    Article  Google Scholar 

  31. Soto R, Neves S, Papadakos P, Shapiro F. Personal electronic device use in the operating room: a survey of usage patterns, risks and benefits. European Journal of Anaesthesiology. 2017;34(4):246–7. https://doi.org/10.1097/EJA.0000000000000555.

    Article  Google Scholar 

  32. Leung S, Croft RJ, Jackson ML, Howard ME, McKenzie RJ. A comparison of the effect of mobile phone use and alcohol consumption on driving simulation performance. Traffic Injury Prevention. 2012;13:566–74. https://doi.org/10.1080/15389588.2012.683118.

    Article  Google Scholar 

  33. Department of Transportation (US). 2020. National Highway Traffic Safety Administration (NHTSA). Distracted driving. Traffic Safety Facts: Research Notes. https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublication/813309 (2022 May). Accessed 26 Jul 2022

  34. Department of Transportation (US). (2022). National Highway Traffic Safety Administration (NHTSA). Driver electronic device use in 2020. Traffic Safety Facts: Research Notes. https://crashstats.nhtsa.dot.gov/Api/Public/ViewPublicatio111111n/813184 (2021 Nov [revised]). Accessed 26 Jul 2022.

  35. Lesch M, Hancock P. Driving performance during concurrent cell-phone use: are drivers aware of their performance decrements? Accident Analysis Prevenion. 2004;36:471–80. https://doi.org/10.1016/S0001-4575(03)00042-3.

    Article  Google Scholar 

  36. Mendoza JS, Pody BC, Lee S, Kim M, McDonough IM. The effect of cellphones on attention and learning: the influences of time, distraction, and nomophobia. Computer in Human Behavior. 2018;86:52–60. https://doi.org/10.1016/j.chb.2018.04.027.

    Article  Google Scholar 

  37. Fried C. In-class laptop use and its effects on student learning. Computer Education. 2008;50(3):906–14. https://doi.org/10.1016/j.compedu.2006.09.006.

    Article  Google Scholar 

  38. Department of Transportation (US). Federal Aviation Administration (FAA). Prohibition on personal use of electronic devices on the flight deck. Final rules Fed Regist. 2014;79(29):8257–63.

    Google Scholar 

  39. Department of Health & Human Services (US).(2016). Office for Civil Rights (OCR). FAQ: Do the HIPAA Rules allow health care providers to use mobile devices to access ePHI in a cloud? . https://www.hhs.gov/hipaa/for-professionals/faq/2081/do-the-hipaa-rules-allow-health-care-providers-to-use-mobile-devices-to-access-ephi-in-a-cloud/index.html (2016 Oct 6). Accessed 26 Jul 2022

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christine Moshe.

Ethics declarations

Conflict of Interest

Christine Moshe, Steven Porter, and Christopher Roscher declare they have no conflict of interest.

Human and Animal Rights and Informed Consent

All reported studies/experiments with human or animal subjects performed by the authors have been previously published and complied with all applicable ethical standards (including the Helsinki declaration and its amendments, institutional/national research committee standards, and international/national/institutional guidelines).

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Patient Safety in Anesthesia

Rights and permissions

Springer Nature or its licensor holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Moshe, C., Roscher, C.R. & Porter, S. Hold the Phone! Perioperative Personal Electronic Devices. Curr Anesthesiol Rep 12, 476–483 (2022). https://doi.org/10.1007/s40140-022-00541-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40140-022-00541-1

Keywords

Navigation