TY  - GEN
N2  - Exposure to surgical smoke (SS) in the operating room (OR) is an occupational hazard and may harm patients. Smoke evacuation devices (SEDs) are available, but not uniformly utilized, at Doernbecher Children?s Hospital (DCH). By assessing and describing the current state of SED use at DCH, a comprehensive understanding of its underutilization may allow for future local interventions that more effectively and consistently protect patients and staff from the hazards of SS. This quality improvement (QI) project evaluated OR personnel?s adoption or rejection of SEDs through survey questions informed by Roger?s Diffusion of Innovation (DOI) theory. Survey methodology, targeted interviews, and record review were employed to describe the current state of SED use and identify perceived benefits and barriers to their use in DCH ORs. Report data revealed only 3.2% of annual SS-generating cases at DCH utilized SEDs. Survey and targeted interview data highlighted opposing views regarding their use. Perceived benefits of SED use include patient and OR personnel safety and perceived barriers include inconvenience or interference with the procedure (including bulkiness of the device), impaired surgical field visualization, and surgeon preference. OR personnel across specialties indicated a need for mandatory institutional policy, legislative change, or a significant change in the culture surrounding SED use at DCH. Future work should focus on standardizing education regarding the hazards of SS to all DCH OR personnel and improving communication surrounding this topic among staff members.  
DO  - 10.6083/7m01bm533
DO  - DOI
AB  - Exposure to surgical smoke (SS) in the operating room (OR) is an occupational hazard and may harm patients. Smoke evacuation devices (SEDs) are available, but not uniformly utilized, at Doernbecher Children?s Hospital (DCH). By assessing and describing the current state of SED use at DCH, a comprehensive understanding of its underutilization may allow for future local interventions that more effectively and consistently protect patients and staff from the hazards of SS. This quality improvement (QI) project evaluated OR personnel?s adoption or rejection of SEDs through survey questions informed by Roger?s Diffusion of Innovation (DOI) theory. Survey methodology, targeted interviews, and record review were employed to describe the current state of SED use and identify perceived benefits and barriers to their use in DCH ORs. Report data revealed only 3.2% of annual SS-generating cases at DCH utilized SEDs. Survey and targeted interview data highlighted opposing views regarding their use. Perceived benefits of SED use include patient and OR personnel safety and perceived barriers include inconvenience or interference with the procedure (including bulkiness of the device), impaired surgical field visualization, and surgeon preference. OR personnel across specialties indicated a need for mandatory institutional policy, legislative change, or a significant change in the culture surrounding SED use at DCH. Future work should focus on standardizing education regarding the hazards of SS to all DCH OR personnel and improving communication surrounding this topic among staff members.  
AD  - Oregon Health and Science University
T1  - Assessing the current state of surgical smoke evacuation device use: A quality improvement project at Doernbecher Children's Hospital
DA  - 2022
AU  - Zhang, Kawen
L1  - https://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf
PB  - Oregon Health and Science University
PY  - 2022
ID  - 9640
L4  - https://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf
KW  -  Child
KW  - Surveys and Questionnaires
KW  - Quality Improvement
KW  -  Operating Rooms
KW  - Smoke
KW  - Operating Rooms
KW  - pediatric hospital
TI  - Assessing the current state of surgical smoke evacuation device use: A quality improvement project at Doernbecher Children's Hospital
Y1  - 2022
L2  - https://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf
LK  - https://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf
UR  - https://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf
ER  -