OHSU Digital Collections (Oregon Health and Science University)

Surgical smoke, created via energy-generating surgical devices, is a physical, chemical, and biological hazard that adversely affects the health of exposed individuals.  Smoke evacuation devices 
(SEDs) are readily available at Doernbecher Children’s Hospital (DCH), though a 2020 gap analysis showed they are used in only 3.2% of annual smoke-generating cases.  Surgical smoke evacuation legislation was introduced January 1, 2023, in Oregon, requiring hospitals and ambulatory surgery centers to prevent surgical smoke exposure in ORs.  The goal of this quality improvement (QI) was to quantify the use of and track compliance of surgical smoke evacuation, while helping the facility to attain the AORN Go Clear recognition

Martyak, Patrick

English

Surgical smoke evacuation device implementation: a quality improvement project at doernbecher children’s hospital

This dissertation focuses on studying familial platelet disorder and underlying mechanisms through which RUNX1 mutations impact the function of stem cell

Mohammadhosseini, Mona

Cross-talks mechanisms between inflammatory signaling and transcriptomic changes impacting hematopoiesis in RUNX1-Familial Platelet Disorder

The study is the first part of a three-phase project.  The project applies the Institute for Healthcare Improvement’s Joy in Work (Perlo et al., 2017) to the physician and APP groups in the pediatric ICU team. This framework uses quality improvement methods to boost workplace well-being. The study emphasizes that addressing issues at the unit level, rather than focusing on individual behaviors, is crucial for reducing physician burnout and improving job satisfaction (Hu et al., 2021; Linzer et al., 2015)

Miller-Cope, Jonae

Wehner, Christina

Re-Finding Joy in Work in the Pediatric ICU 
 
The study is the first part of a three-phase project.  The project applies the Institute for 
Healthcare Improvement’s Joy in Work (Perlo et al., 2017) to the physician and APP groups in 
the pediatric ICU team. This framework uses quality improvement methods to boost workplace 
well-being. The study emphasizes that addressing issues at the unit level, rather than focusing on 
individual behaviors, is crucial for reducing physician burnout and improving job satisfaction 
(Hu et al., 2021; Linzer et al., 2015).  
The first phase consisted of interviews and surveys to measure four themes that impact 
the level of joy in work. The research team conducted 13 interviews, with questions that 
pertained to their perception of work and what made work meaningful. The surveys consisted of 
23 Likert questions pertaining to emotional agency, workplace vigor/engagement, burnout, and 
self-efficacy. Emotional agency is one’s ability to describe one’s emotions and influence others 
(Hökkä et al., 2022). Workplace vigor/engagement is the willingness and enthusiasm one has at 
work (Schaufeli et al., 2019). Burnout is related to stress and the healthcare work environment 
(Perlo et al., 2017). The last is self-efficacy, which is whether a person or group believes they 
have the capacity to make effective change.  
  Key findings highlight the importance of teamwork, mutual support, and adequate 
staffing in creating a positive work environment. These findings will be used in phase two to 
inform a facilitated improvement workshop to. In spring 2025, phase three will assess the 
perceptions of joy in work and the workplace will be reassessed and compared to phase one.  
While the results aren't broadly applicable due to the unique setting, they offer valuable insights 
into building wellness cultures in healthcare and stress the need for both individual and collective 
efforts to enhance joy at work. 
Students 
Jonae Miller-Cope 
Christina Wehner 
2024 
 
References 
 
Hökkä, P. K., Räikkönen, E., Ikävalko, H., Paloniemi, S., & Vähäsantanen, K. (2022). 
Emotional Agency at Work: The Development and Validation of a Measure. 
Frontiers in Education, 7, 852598. https://doi.org/10.3389/feduc.2022.852598 
Hu, Z. J., Fusch, G., El Helou, S., Lehana, T., Chan, T., & El Gouhary, E. (2021). 130 
Adaptation of IHI Joy-in-Work framework to reduce burnout among 
postgraduate trainees. Paediatrics & Child Health, 26(Supplement_1), e92–e92. 
https://doi.org/10.1093/pch/pxab061.104 
Linzer, M., Poplau, S., Grossman, E., Varkey, A., Yale, S., Williams, E., Hicks, L., Brown, 
R. L., Wallock, J., Kohnhorst, D., & Barbouche, M. (2015). A Cluster Randomized 
Trial of Interventions to Improve Work Conditions and Clinician Burnout in 
Primary Care: Results from the Healthy Work Place (HWP) Study. Journal of 
General Internal Medicine, 30(8), 1105–1111. https://doi.org/10.1007/s11606-
015-3235-4 
Perlo, J., Balik, B., Swensen, S., Kabcenell, A., Landsman, J., & Feeley, Derek. (2017). 
IHI Framework for Improving Joy in Work. Institute for Healthcare 
Improvement. 
Schaufeli, W. B., Shimazu, A., Hakanen, J., Salanova, M., & De Witte, H. (2019). An 
Ultra-Short Measure for Work Engagement: The UWES-3 Validation Across Five 
Countries. European Journal of Psychological Assessment, 35(4), 577–591. 
https://doi.org/10.1027/1015-5759/a000430 
 


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Surgical smoke evacuation device implementation: a quality improvement project at doernbecher children’s hospital

Cross-talks mechanisms between inflammatory signaling and transcriptomic changes impacting hematopoiesis in RUNX1-Familial Platelet Disorder

Re-finding joy in work in the pediatric ICU

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