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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - acidosis, and
hyperglycemia)
• Patient was admitted to the General Medicine service with
a consult from Orthopedics … primary responsibility for a patient
• In this case, it was unclear whether an Internal Medicine or
Orthopedics … responsibility
• Need to identify barriers to carrying out the Internal Medicine
team’s intent
• Orthopedic … surgery residents may not typically manage patients
with medically complex issues; in this case, the … patient may
have been better served on an internal medicine team with an
orthopedics consult to streamline
-
psnet.ahrq.gov/web-mm/round-trip-service
April 26, 2023 - He was referred by his primary care provider to an orthopedic surgeon who recommended a total knee replacement … He contacted the US-based orthopedic surgeon who originally saw him, explained the circumstances, and … March 24, 2016
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … See More About The Topic
Operating Room
Health Care Providers
Risk Managers
Orthopedic … Surgery
Discontinuities, Gaps, and Hand-Off Problems
View More
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psnet.ahrq.gov/issue/training-safer-surgeons-how-do-patients-view-role-simulation-orthopaedic-training
March 01, 2023 - February 13, 2014
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … 2009
View More
See More About The Topic
Operating Room
Educators
Orthopedic … Surgery
Surgical Complications
Epidemiology of Errors and Adverse Events
View More
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - The orthopedic surgery team was consulted and, after evaluating the patient, decided that the patient's … The following day, one of the medical interns read the orthopedic surgeon's note and found these comments … The orthopedic surgery team was consulted again and, after some embarrassment about their mistake, offered … Brown, and I'm from the Orthopedic Department. … Brown from the Orthopedic Department. Can I take a moment and ask you to confirm your name?
-
psnet.ahrq.gov/node/37469/psn-pdf
January 16, 2008 - Towards the reduction of medication errors in
orthopedics and spinal surgery: outcomes using a
pharmacist-led … Towards the reduction of medication errors in orthopedics and spinal
surgery: outcomes using a pharmacist-led … https://psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-
outcomes-using-pharmacist … https://psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist … https://psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
-
psnet.ahrq.gov/node/49860/psn-pdf
April 01, 2019 - 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 service
with either geriatrics or medicine in which both the medicine/geriatrics and orthopedics … 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
-
psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
October 19, 2022 - Following a change in EHR vendors, residents in 1 orthopedics department were no longer able to automate … October 1, 2009
View More
See More About The Topic
Hospitals
Orthopedic … Surgery
Residents and Fellows
Electronic Health Records
-
psnet.ahrq.gov/issue/how-satisfied-are-patients-and-surgeons-telemedicine-orthopaedic-care-during-covid-19
July 15, 2020 - any differences in patient or surgeon satisfaction or patient-reported outcomes with telehealth for orthopedic … See More About The Topic
Ambulatory Care
Physicians
Quality and Safety Professionals
Orthopedic … Surgery
Infectious Diseases
View More
-
psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
August 30, 2017 - December 4, 2019
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … About The Topic
Operating Room
Health Care Providers
Quality and Safety Professionals
Orthopedic … Surgery
Surgical Complications
View More
-
psnet.ahrq.gov/node/49572/psn-pdf
October 01, 2008 - The orthopedic surgery team was consulted and, after
evaluating the patient, decided that the patient's … The following day, one of the medical interns read the orthopedic surgeon's note and found these
comments … The orthopedic surgery team was consulted again
and, after some embarrassment about their mistake, offered … Brown, and I'm from
the Orthopedic Department. … Brown from the
Orthopedic Department. Can I take a moment and
ask you to confirm your name?
-
psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
June 27, 2018 - This study evaluated the impact of an evidence-based intervention to reduce patient complaints in one orthopedic … December 1, 2009
View More
See More About The Topic
Hospitals
Orthopedic … Surgery
Surgical Complications
Malpractice Litigation
Institutional Reporting
View
-
psnet.ahrq.gov/node/857448/psn-pdf
January 01, 2024 - This review
identified 11 studies into safety outcomes of overlapping orthopedic surgeries involving
-
psnet.ahrq.gov/node/44523/psn-pdf
January 01, 2016 - This study identified adverse events following outpatient orthopedic surgeries using a trigger tool.
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psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
March 01, 2018 - The Case An 89-year-old man was admitted to the orthopedic service after sustaining a hip fracture … On the late afternoon following the cardiologist's report, the orthopedic resident called the operating … The CMO promptly paged the orthopedic resident, who was meeting with the attending orthopedic surgeon … If the nature of the operation had been the issue, I would have sought the opinion of the Chief of Orthopedic … Surgery.
-
psnet.ahrq.gov/node/867093/psn-pdf
November 06, 2024 - QI
handbook) to explore how work-as-done and system resilience prevent never events in trauma and
orthopedic … surgery in the UK.
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psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
January 07, 2011 - January 17, 2019
Wrong-site orthopedic operations on the extremities: the Pennsylvania … See More About The Topic
Operating Room
Physicians
Quality and Safety Professionals
Orthopedic … Surgery
Wrong-Site Surgery
View More
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psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
June 14, 2017 - October 26, 2010
Diagnostic errors in orthopedic surgery: evaluation of resident documentation … of neurovascular examinations for orthopedic trauma patients.
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - The orthopedic surgeon briefly described a 92-year-old woman with a history of dementia who had a left … comfortable managing her care at the community hospital.
4
5
Case: Transfer Troubles (2)
The referring orthopedic … surgeon also spoke with the on-call orthopedic surgery resident at the tertiary care center and conveyed … She was quickly admitted by the orthopedic surgery resident and prepped for surgery the following morning … the cardiac arrest.
7
8
Case: Transfer Troubles (5)
Although it was not completely clear to the orthopedic
-
psnet.ahrq.gov/node/867045/psn-pdf
October 30, 2024 - impact of SSI infections after coronary artery
bypass graft (CABG), bariatric surgery (BS), or certain orthopedic … Patients with SSI after orthopedic procedures had significantly
higher 12-month mortality compared to
-
psnet.ahrq.gov/node/40948/psn-pdf
November 23, 2011 - disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-
liability
This commentary discusses disruptive behavior in orthopedic … surgery, including causes, consequences,
and areas for improvement.