000009640 001__ 9640 000009640 005__ 20240124114327.0 000009640 0247_ $$2DOI$$a10.6083/7m01bm533 000009640 037__ $$aETD 000009640 245__ $$aAssessing the current state of surgical smoke evacuation device use: A quality improvement project at Doernbecher Children's Hospital 000009640 260__ $$bOregon Health and Science University 000009640 269__ $$a2022 000009640 336__ $$aFinal project 000009640 502__ $$bD.N.P. 000009640 520__ $$aExposure to surgical smoke (SS) in the operating room (OR) is an occupational hazard and may harm patients. Smoke evacuation devices (SEDs) are available, but not uniformly utilized, at Doernbecher Children?s Hospital (DCH). By assessing and describing the current state of SED use at DCH, a comprehensive understanding of its underutilization may allow for future local interventions that more effectively and consistently protect patients and staff from the hazards of SS. This quality improvement (QI) project evaluated OR personnel?s adoption or rejection of SEDs through survey questions informed by Roger?s Diffusion of Innovation (DOI) theory. Survey methodology, targeted interviews, and record review were employed to describe the current state of SED use and identify perceived benefits and barriers to their use in DCH ORs. Report data revealed only 3.2% of annual SS-generating cases at DCH utilized SEDs. Survey and targeted interview data highlighted opposing views regarding their use. Perceived benefits of SED use include patient and OR personnel safety and perceived barriers include inconvenience or interference with the procedure (including bulkiness of the device), impaired surgical field visualization, and surgeon preference. OR personnel across specialties indicated a need for mandatory institutional policy, legislative change, or a significant change in the culture surrounding SED use at DCH. Future work should focus on standardizing education regarding the hazards of SS to all DCH OR personnel and improving communication surrounding this topic among staff members. 000009640 650__ $$a Child$$016462 000009640 650__ $$aSurveys and Questionnaires$$025037 000009640 650__ $$aQuality Improvement$$039456 000009640 650__ $$a Operating Rooms$$023217 000009640 650__ $$aSmoke$$026082 000009640 650__ $$aOperating Rooms$$023217 000009640 6531_ $$apediatric hospital 000009640 691__ $$aSchool of Nursing$$041370 000009640 7001_ $$aZhang, Kawen 000009640 7001_ $$uOregon Health and Science University$$041354 000009640 8564_ $$9d727edd4-4a38-477d-9cf9-179f265e09a1$$s692236$$uhttps://digitalcollections.ohsu.edu/record/9640/files/Jodoin.Lindsay.2022.pdf 000009640 905__ $$a/rest/prod/7m/01/bm/53/7m01bm533 000009640 909CO $$ooai:digitalcollections.ohsu.edu:9640$$pstudent-work 000009640 980__ $$aTheses and Dissertations