![]() ![]() The SAGES attendees who participated ranged in experience from students to attending surgeons. Word of mouth was also used to increase awareness of the simulator. Any attendee at the conference was welcome to stop by and try the VEST Simulator station with the OR Fire module. This study was conducted at the Learning Center at the 2015 SAGES Conference. Building on this success, we developed an immersive VR environment to teach skills in operating room (OR) fire prevention and response. The first VEST module (“Mod 0”), focusing on the monopolar surgical instruments and the associated tissue effects for various power settings and modes (cutting, coagulation, blend), has been developed and was successfully validated at the 2014 SAGES Learning Center. VEST is envisioned to contain multiple modules, each one dealing with a specific aspect of electrosurgical safety. To complement this effort, the Virtual Electrosurgical Skill Trainer (VEST) is being developed to train surgeons in both the cognitive and motor skills required to safely operate electrosurgery tools in both open and minimally invasive procedures. To address this knowledge gap, SAGES had established the Fundamental use of Surgical Energy (FUSE) program. In addition, the Food and Drug Administration has created a fire prevention tasked force to promote operating room fire safety. Surgical fire prevention was also identified as 1 of the 11 priority safety topics by the Association of peri-Operative Registered Nurses (AORN) Presidential Commission on Patient Safety. The Joint Commission issued a sentinel event alert on preventing surgical fires in 2009. These numbers equal those of wrong-site surgery cases per year. According to the Emergency Care Research Institute (ECRI) between 550 and 650 operating room fires occur each year. ![]() Operating room fires are uncommon but devastating events. Improper use of electrosurgery devices has resulted in injuries to both patients and operating room staff, OR fires and even death. Despite the widespread use of electrosurgery, it is well established that even experts lack knowledge in the proper and safe usage of electrosurgical devices. Electrosurgery is used to coagulate, dissect and ablate tissues. ![]()
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