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The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose

  • SAGES FUSE PROGRAM
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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.

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Acknowledgements

The authors acknowledge Dr. Marc Allen Rozner, PhD, MD (1952–2017), who was a significant contributor and leader to the FUSE program before his death in January 2017. He will be remembered as a brilliant innovator in translating complex electrophysiological processes into easily understood concepts for the practicing health care provider.

Author information

Authors and Affiliations

  1. Department of Surgery, Kaiser Walnut Creek Medical Center, The Permanente Medical Group, Inc., 1425 South Main Street, Walnut Creek, CA, 94596, USA

    P. Fuchshuber

  2. Department of Surgery, Jacobs School of Medicine and Biomedical Sciences, The State University of New York, Buffalo General Hospital, 100 High Street, D-352, Buffalo, NY, 14203, USA

    S. Schwaitzberg

  3. Harvard Medical School, Boston, MA, USA

    D. Jones

  4. Office of Technology and Innovation, Boston, MA, USA

    D. Jones

  5. Division of Minimally Invasive Surgical Services, Boston, MA, USA

    D. Jones

  6. Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA

    D. Jones

  7. Department of Anesthesiology, Harvard Medical School, Boston, MA, USA

    S. B. Jones

  8. Department of Anesthesia/Crit Care/Pain, BIDMC, Boston, MA, USA

    S. B. Jones

  9. Department of Surgery, McGill University Health Centre, 1650 Cedar Ave L9-309, Montreal, QC, H3G 1A4, Canada

    L. Feldman

  10. Department of Obstetrics & Gynecology, David Geffen School of Medicine at UCLA and Kaiser Permanenete Los Angeles Medical Center, Los Angeles, CA, USA

    M. Munro

  11. Rocky Mountain VA Medical Center, University of Colorado, Aurora, Colorado, USA

    T. Robinson

  12. Vanderbilt University Medical Center, 2200 Children’s Way, Doctor’s Office Tower Suite 7100, Nashville, TN, 37232, USA

    G. Purcell-Jackson

  13. John A. Burn School of Medicine, University of Hawaii, 1356 Lusitania Street, 6th Floor, Honolulu, HI, 96813, USA

    D. Mikami

  14. Department of Surgery, McGill University, 1650 Cedar Ave, Rm D6-257, Montreal, QC, H3G 1A4, Canada

    A. Madani

  15. Washington University School of Medicine, St. Louis, MO, 63110, USA

    M. Brunt

  16. Houston Methodist Institute for Technology, Innovation & Education, Institute for Academic Medicine, Houston Methodist, Weill Cornell Medical College, 6550 Fannin St #1601, Houston, TX, 77030, USA

    B. Dunkin

  17. Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA

    C. Gugliemi

  18. AORN, 2170 South Parker Road. Suite 400, Denver, CO, 80231, USA

    L. Groah

  19. Uniformed Services University of Health Sciences, Tripler Army Medical Center, 1 Jarrett White Road, Honolulu, HI, 95869, USA

    R. Lim

  20. Fundamentals Department SAGES, 11300 West Olympic Blvd Suite 600, Los Angeles, CA, 90064, USA

    J. Mischna

  21. 3838 Eastover Drive, Jackson, MS, 39211, USA

    C. R. Voyles

Authors
  1. P. Fuchshuber
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  2. S. Schwaitzberg
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  3. D. Jones
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  4. S. B. Jones
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  5. L. Feldman
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  6. M. Munro
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  7. T. Robinson
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  8. G. Purcell-Jackson
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  9. D. Mikami
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  10. A. Madani
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  11. M. Brunt
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  12. B. Dunkin
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  13. C. Gugliemi
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  14. L. Groah
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  15. R. Lim
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  16. J. Mischna
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  17. C. R. Voyles
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Corresponding author

Correspondence to P. Fuchshuber.

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Fuchshuber, P., Schwaitzberg, S., Jones, D. et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc 32, 2583–2602 (2018). https://doi.org/10.1007/s00464-017-5933-y

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  • DOI: https://doi.org/10.1007/s00464-017-5933-y

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