ABSTRACT
BACKGROUND: Adverse events due to energy device use in surgical operating rooms are a daily occurrence. These occur at a rate of approximately 1-2 per 1000 operations. Hundreds of operating room fires occur each year in the United States, some causing severe injury and even mortality. The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) therefore created the first comprehensive educational curriculum on the safe use of surgical energy devices, called Fundamental Use of Surgical Energy (FUSE). This paper describes the history, development, and purpose of this important training program for all members of the operating room team. METHODS: The databases of SAGES and the FUSE committee as well as personal photographs and documents of members of the FUSE task force were used to establish a brief history of the FUSE program from its inception to its current status. RESULTS: The authors were able to detail all aspects of the history, development, and national as well as global implementation of the third SAGES Fundamentals Program FUSE. CONCLUSIONS: The written documentation of the making of FUSE is an important contribution to the history and mission of SAGES and allows the reader to understand the idea, concept, realization, and implementation of the only free online educational tool for physicians on energy devices available today. FUSE is the culmination of the SAGES efforts to recognize gaps in patient safety and develop state-of-the-art educational programs to address those gaps. It is the goal of the FUSE task force to ensure that general FUSE implementation becomes multinational, involving as many countries as possible.
Subject(s)
Curriculum , Education, Medical, Continuing/history , Electrosurgery/history , Fires/prevention & control , Patient Safety , Societies, Medical/history , Surgeons/history , Clinical Competence , Education, Medical, Continuing/methods , Electrosurgery/education , Electrosurgery/instrumentation , History, 21st Century , Humans , Operating Rooms , Program Development/methods , Societies, Medical/organization & administration , Surgeons/education , United StatesSubject(s)
Operating Room Nursing , Societies, Nursing , Certification , Communications Media , Education, Nursing, Continuing , Foundations , Humans , Interprofessional Relations , Nursing Process , Operating Room Nursing/education , Operating Room Nursing/standards , Periodicals as Topic , Publishing , Societies, Nursing/organization & administration , United StatesSubject(s)
Health Personnel/legislation & jurisprudence , Perioperative Nursing/standards , Professional Competence/standards , Professional Practice/legislation & jurisprudence , Societies, Nursing , Certification/legislation & jurisprudence , Certification/standards , Health Personnel/standards , Humans , Licensure, Nursing , Perioperative Nursing/legislation & jurisprudence , Professional Competence/legislation & jurisprudence , Specialty Boards/legislation & jurisprudence , Specialty Boards/organization & administration , United StatesSubject(s)
Interprofessional Relations , Mentors , Perioperative Nursing , Humans , Perioperative Nursing/educationABSTRACT
Analyzing and managing key budget outcomes such as operating room use (routine and emergency), room turnover, labor costs per hour, supply costs per hour, and cost per case by specific surgeon is critical to improving productivity and efficiency in the perioperative service.
Subject(s)
Budgets/organization & administration , Nursing Service, Hospital/organization & administration , Nursing, Supervisory/organization & administration , Outcome Assessment, Health Care , Perioperative Nursing/organization & administration , Efficiency, Organizational , Health Care Costs , HumansSubject(s)
Nursing , Students, Nursing , Humans , School Admission Criteria , Schools, Nursing , United States , WorkforceSubject(s)
Foreign Bodies , Magnetic Resonance Imaging , Metals , Spinal Diseases/diagnosis , HumansABSTRACT
The focus of quality assurance programs in nursing is on improving the quality of care delivered to patients. Three methods of assesing quality of care for surgical patients are retrospective chart review, process audit, and expected patient outcomes as identified in models of patient care and individual care plans. Care plans specify nursing activities necessary to achieve established goals and, therefore, can be used in assessing the quality of care surgical patients receive.
