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41. Detection and measurement of rotator cuff tears with sonography: analysis of diagnostic errors. | PSNet
    psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
    December 31, 2014 - November 26, 2014 Diagnostic errors in orthopedic surgery: evaluation of resident documentation … of neurovascular examinations for orthopedic trauma patients. … , 2011 View More See More About The Topic Physicians Radiology Orthopedic … Surgery Diagnostic Errors Epidemiology of Errors and Adverse Events

42. Patient safety: it takes a team. | PSNet
    psnet.ahrq.gov/issue/patient-safety-it-takes-team
    April 08, 2020 - December 24, 2014 Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … More See More About The Topic Outpatient Surgery Operating Room Patients Orthopedic … Surgery Surgical Complications View More

43. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36793/psn-pdf
    August 26, 2011 - Patient safety in Taiwan: a survey on orthopedic surgeons. … Patient safety in Taiwan: a survey on orthopedic surgeons. J Formos Med Assoc. 2007;106(3):212-6. … https://psnet.ahrq.gov/issue/patient-safety-taiwan-survey-orthopedic-surgeons The researchers surveyed … Taiwanese orthopedic surgeons and found that a national campaign encouraging surgeons to mark the incision … https://psnet.ahrq.gov/issue/patient-safety-taiwan-survey-orthopedic-surgeons

44. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
    psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - Five days later, the bone pathologist responsible for the case contacted the orthopedic surgery service … surgery service or inform his colleagues about the status of the case or his concern for neoplasm. … the orthopedic surgery service contacted a supervising surgical pathologist, requesting a final diagnosis … surgery team that the patient’s fracture was secondary to osteosarcoma. … surgery team was longer than ideal.

45. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)
    psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - surgery are both associated with increased risk of pulmonary embolism • Compare and contrast different … surgery, a computed tomography (CT) angiogram of the chest was obtained to rule out a pulmonary embolism … surgeries, repair of Achilles tendon rupture was associated with the highest incidence of VTE, although … Case Reports in Orthopedics. 2013;2013(3):1-3. doi:10.1155/2013/401968. 5. … Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery.

46. Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention. | PSNet
    psnet.ahrq.gov/issue/sustained-improvement-quality-patient-handoffs-after-orthopaedic-surgery-i-pass-intervention
    June 15, 2022 - In this study, researchers modified the I-PASS tool for use in orthopedic surgery and assessed the impact … See More About The Topic Hospitals Operating Room Quality and Safety Professionals Orthopedic … Surgery Discontinuities, Gaps, and Hand-Off Problems View More

47. Medical errors in orthopaedics. Results of an AAOS member survey. | PSNet
    psnet.ahrq.gov/issue/medical-errors-orthopaedics-results-aaos-member-survey
    August 04, 2021 - The majority of practicing orthopedic surgeons in this study had witnessed a medical error within the … More About The Topic Operating Room Risk Managers Quality and Safety Professionals Orthopedic … Surgery Medication Errors/Preventable Adverse Drug Events View More

48. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. | PSNet
    psnet.ahrq.gov/issue/clinical-pathway-adherence-and-missed-diagnostic-opportunities-among-children-musculoskeletal
    November 08, 2023 - Misinterpretation of laboratory results was a critical contributor to MDO by both pediatric emergency providers and orthopedic … The Topic Emergency Departments Emergency Medicine Pathology and Laboratory Medicine Orthopedic … Surgery Diagnostic Test Interpretation Error View More

49. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73873/psn-pdf
    September 29, 2021 - In August 2017, the Department of Orthopedic Surgery at Cedars Sinai Medical Center launched a web- … based, real-time complication reporting platform to encourage incident reporting among orthopedic residents

50. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet
    psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and
    May 25, 2022 - This study explored seasonal variation in workload in an orthopedic trauma service at one Level 1 trauma … View More See More About The Topic Residents Operating Room Educators Orthopedic … Surgery Fatigue and Sleep Deprivation View More

51. Identifying resilience: a system safety review of trauma and orthopaedic theatres. | PSNet
    psnet.ahrq.gov/issue/identifying-resilience-system-safety-review-trauma-and-orthopaedic-theatres
    October 19, 2011 - QI handbook) to explore how work-as-done and system resilience prevent never events in trauma and orthopedic … surgery in the UK. … View More See More About The Topic Hospitals Operating Room Surgery Orthopedic … Surgery Surgical Complications View More

52. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
    psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    July 01, 2004 - The patient was admitted to the orthopedic surgery service to fix the fracture; the surgery was initially … All team members involved in the patient's care (internal medicine and/or geriatrics, orthopedics, emergency … Comanagement with either medicine or geriatrics and orthopedics reduces medical complications and improves … Outcomes for older patients with hip fractures: the impact of orthopedic and geriatric medicine cocare … Surgery View More

53. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47627/psn-pdf
    January 16, 2019 - This retrospective cohort of overlapping orthopedic surgeries across five academic institutions found

54. Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet
    psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
    July 20, 2022 - This study in three orthopedic and three geriatric wards describes multidisciplinary communication about … View More See More About The Topic Hospitals Geriatrics Orthopedic … Surgery Nurse Care Patient Falls View More

55. Disclosure and reporting of surgical complications: a double-edged sword? | PSNet
    psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
    December 21, 2014 - An orthopedic surgery department implemented a confidential, real-time system for reporting intraoperative … About The Topic Operating Room Health Care Providers Quality and Safety Professionals Orthopedic … Surgery Morbidity and Mortality Conferences View More

56. Trial and error: learning from malpractice claims in childhood surgery. | PSNet
    psnet.ahrq.gov/issue/trial-and-error-learning-malpractice-claims-childhood-surgery
    March 09, 2022 - claims database, researchers found that a wide range of pediatric surgical specialties – including orthopedics … Operating Room Children's Hospitals Risk Managers Quality and Safety Professionals Orthopedic … Surgery View More

57. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37944/psn-pdf
    April 11, 2011 - Identification of adverse events at an orthopedics department in Sweden. … Identification of adverse events at an orthopedics department in Sweden. … https://psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden This study … methods of error detection to determine the incidence of adverse events in patients discharged from an orthopedics … https://psnet.ahrq.gov/issue/identification-adverse-events-orthopedics-department-sweden

58. Clash in the name of care. | PSNet
    psnet.ahrq.gov/issue/clash-name-care
    April 27, 2016 - August 5, 2015 Wrong-site orthopedic operations on the extremities: the Pennsylvania … 2008 View More See More About The Topic Operating Room Patients Orthopedic … Surgery Surgical Complications Epidemiology of Errors and Adverse Events View More

59. Parkland knee surgery done by doctor in training leads to amputation, questions. | PSNet
    psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
    August 11, 2010 - December 2, 2015 Wrong-site orthopedic operations on the extremities: the Pennsylvania … 2008 View More See More About The Topic Operating Room Patients Orthopedic … Surgery Surgical Complications Active Errors View More

60. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
    psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
    August 06, 2008 - October 3, 2017 Wrong-site orthopedic operations on the extremities: the Pennsylvania … 2010 View More See More About The Topic Operating Room Patients Orthopedic … Surgery Wrong-Site Surgery Active Errors View More