Safer operating room teams: rationale for the fundamental use of surgical energy (FUSE) hospital compliance module

Surg Endosc. 2022 Sep;36(9):6647-6652. doi: 10.1007/s00464-021-08931-y. Epub 2022 Jan 13.


Background: The Fundamental Use of Surgical Energy (FUSE) program was developed by The Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to promote the safe use of surgical energy. A curriculum that could be used in hospital educational programs was needed to expand access. The goal of this project was to develop a short, inexpensive, online module that emphasizes key FUSE learning objectives. The accompanying survey assessed perceived relevancy.

Methods: The SAGES FUSE Committee developed the Hospital Compliance Module. The target audience included all OR personnel. The Module was piloted at Beth Israel Deaconess Medical Center. The data were analyzed using Chi-square with Yates' correction two-tailed test.

Results: Three-hundred-eighty individuals completed the survey: 198 (52%) surgeons, 139 (37%) nurses, 28 (7%) surgical technicians, and 15 (4%) house staff. For "…the Module taught me valuable information" 155 (41%) responded extremely and 350 (92%) responded at least somewhat. For "As a result of [the Module] how likely are you to change how you set up or use energy devices…?" 103 (27%) responded extremely and 305 (80%) responded at least somewhat. For "How likely are you to recommend this compliance module…?" 143 (38%) responded extremely and 333 (88%) responded at least somewhat.

Conclusion: The FUSE Hospital Compliance Module is effective and efficient. It should be considered for widespread distribution by hospitals to enhance staff education.

Keywords: Operating room safety; Surgical energy.

MeSH terms

  • Clinical Competence*
  • Curriculum
  • Electrosurgery
  • Hospitals
  • Humans
  • Operating Rooms*
  • United States