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BCMT puts together hundreds of years of clinical experience across its industry experts to share critical knowledge on the pearls, perils and pitfalls associated with Bone Cement Mixing Training. BCMT reduces variability, improves standardization and lowers cement anxiety by advocating a BCMTO, a Bone Cement Mixing Time Out. A BCMTO coordinates inter and intraoperative communication to benefit the operating team and most importantly the patient.
While at USC obtaining my Master in Health Care Administration I was introduced to the groundbreaking article by the IOM, To Err is Human: Building a Safer Health System. This sentinel article demonstrated the critical role of the administration in creating a culture of safety. Bone Cement Mixing Training was developed to improve and promote a culture of safety. BCMT recognizes the critical importance of training required to mange bone cement. BCMT delivers the most extensive and exhausting training ever created to address the bone cement mixing in the operating room covering all cement applications.
With my 20 plus years of surgical experience and participation in the operating room theater of well over 15000 joint surgeries, if there is anything I do in my lifetime which has the potential to reduce the revision knee burden, help improve and save patients lives, then making BCMT, Bone Cement Mixing Training mandatory is it.
BCMT, Bone Cement Mixing Training is a push for patient safety. But it is also a push for staff engagement and quality improvement.

BCMT will move the needle on revisions for aseptic loosening to reduce the revision burden and save the health care system billions of dollars per year.

 

With BCMT, Bone Cement Mixing Training, our goal is to look back in 10 years and see a significant reduction in revisions for aseptic loosening.

When we look at this graph we see that in the US, due to the success of total joint replacements along with the aging demographics, the desire for mobility and function during our later years, joint replacement is going through the roof. However, as the curve of primary surgeries continues to rise, this graph alarmingly, so does the curve of revision knee replacements with this graph suggesting over 100K total knee revision will be done in the US in 2020. Estimates suggest half of those, 50k knee will be revised for aseptic loosening. For those of us who don’t know what aspetic loosening is, we turn to our PHD expert to help us,
Revision knee costs vary depending on how hard or soft the numbers are calculated, ranges from 100k to 1m per patient. With BCMT, if we can reduce it 10%, a modest goal of 5,000 less knee revisions per year, then we will save the health care system between 500,000,000 to 5,000,000,000. The pain and agony and increased morbidity for patients suffering a revision procedure are incalculable.
BCMT, Bone Cement mixing training advocates for a Bone Cement Mixing Timeout. This helps create a safety system at the delivery of care but putting everyone on the same page. BCMT is all about a culture of safety. Bone Cement mixing errors are nearly never reported. If bone cement is mixed twice or remixed those should be reported. Objective performance standards mark the time cement was mixed and the time the last implant is implanted. These standards measure the time of mixing, take into account temperature variance and other environmental factors that impact bone cement mixing.

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There currently exists no standardization and great variability in bone cement mixing technique.

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Bone Cement mixing training advocates for a Bone Cement Mixing Timeout. This helps create a safety system at the delivery of care but putting everyone on the same page. BCMT is all about a culture of safety.

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