Fundamental Use of Surgical Energy (FUSE)
EAES Online Library. Fuchshuber P. Jun 1, 2018; 218663 Disclosure(s): no disclosures for speaker Pascal Fuchshuber
Pascal Fuchshuber
Pascal Fuchshuber
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Understanding basic underlying principles of electrosurgical instrument.
Discuss risk and dangers of using electrosurgical instruments.
Describe need for education on energy devices for surgeons.
Operating room (OR) safety has become a major concern in patient safety in the last decade. Improvement of team communication and behavior is a popular target for safety programming at the institutional level. Despite these efforts, essential safety gaps in the OR and procedure rooms remain. A prime example is the use of energy-based devices in ORs and procedural areas. The lack of fundamental understanding of energy device function, design, and application contributes to avoidable injury and harm at a rate of approximately 1-2 per 1000 patients in the US. Hundreds of operating room fires occur each year in the United States, some causing severe injury and even mortality. Most are associated with the use of surgical energy devices. In response to this safety issue, the Society of American Gastroenterologic and Endoscopic Surgeons (SAGES) developed the Fundamental Use of Surgical Energy (FUSE) Program. FUSE includes a standardized curriculum targeted to surgeons, other physicians, and allied health care professionals and a psychometrically designed and validated certification test. A successful FUSE certification will document the acquisition of the basic knowledge needed to safely use energy-based devices in the operating room. FUSE was designed, and continues to evolve, to fill a void that exists in curriculum, regulation, and competency assessment in the use of energy devices in patients by surgeons, endoscopists, and others.
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