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Implementing a Surgical Smoke Evacuation Policy and Procedure: A Quality Improvement Project
AORN Journal
|January 27, 2022
Summary
Surgical smoke evacuation compliance increased from less than 0.5% to 30% after implementing a new policy and staff education. This quality improvement project aimed to reduce surgical smoke exposure in healthcare settings.
Area of Science:
- Healthcare Quality Improvement
- Occupational Health and Safety
Background:
- Surgical smoke from energy-generating devices poses health risks.
- A 2019 review found surgical smoke evacuation compliance below 0.5%.
Purpose of the Study:
- To improve surgical smoke evacuation compliance.
- To reduce exposure to surgical smoke hazards.
Main Methods:
- Implemented a surgical smoke evacuation policy.
- Conducted staff education on smoke hazards and device use.
- Acquired necessary smoke evacuation equipment.
Main Results:
- Post-implementation, compliance reached 30% (664/2,224 procedures).
- Significant increase in documented use of smoke evacuation devices.
Conclusions:
- A multidisciplinary quality improvement project can effectively enhance surgical smoke evacuation compliance.
- Policy implementation and education are key to reducing occupational exposure to surgical smoke.
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