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81. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60952/psn-pdf
    September 30, 2020 - general medicine ward and managed with antibiotics, subcutaneous insulin, and intravenous fluids and the orthopedic … First, it was not clearly stated in this Case whether an Internal Medicine team or an Orthopedics team … It would be unlikely that the orthopedics team would be managing the DKA, so it would be important to … In academic settings, orthopedic surgery residents may primarily manage many patients that do not have … complex issues; however, this patient would be better served on an internal medicine team with the orthopedics

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35475/psn-pdf
    October 16, 2018 - October 16, 2018 American Academy of Orthopedic Surgeons; AAOS. … issue/patient-safety-resources-clinicians This Web site includes patient safety-related materials for orthopedic

83. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837419/psn-pdf
    June 15, 2022 - This study aimed to determine if implicit racial bias impacts pediatric orthopedic surgeons’ clinical … While pediatric orthopedic surgeons showed stronger pro-white implicit bias compared to the US general

84. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
    psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - surgery. … surgeries, repair of Achilles tendon rupture was associated with the highest incidence of VTE, although … surgery. … Case Reports in Orthopedics . 2013;2013(3):1-3. doi:10.1155/2013/401968. … Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery.

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60657/psn-pdf
    July 08, 2020 - Patients 65 years of age or older, female, receiving orthopedic surgery, certain comorbid conditions

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838126/psn-pdf
    September 21, 2022 - In this study, researchers modified the I-PASS tool for use in orthopedic surgery and assessed the impact

87. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
    May 01, 2004 - .): Too Much of a Good Thing On hospital day 2, orthopedic surgery evaluated the patient and decided … The orthopedic resident notified the cross-covering medicine resident that the patient would go to the … In preparation for surgery, the orthopedic service made the patient “NPO after midnight.” … Effectiveness Communication Breakdown Orthopedic surgery wrote the NPO order; medicine wrote the

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - 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 nurse on the floor paged the orthopedic resident and read the cardiologist's conclusions and recommendations … The CMO promptly paged the orthopedic resident, who was meeting with the attending orthopedic surgeon … Surgery.

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/858163/psn-pdf
    December 13, 2023 - This study sought to understand how outpatient providers (i.e., primary care, dentists, dermatology, orthopedic … surgery, psychiatry/psychology) define critical incidents and how they are handled in their offices

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42823/psn-pdf
    December 18, 2013 - orthopaedic-error-index-development-and-application-novel-national-indicator-assessing https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis

91. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39741/psn-pdf
    October 13, 2010 - https://psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword An orthopedic … surgery department implemented a confidential, real-time system for reporting intraoperative adverse

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44083/psn-pdf
    April 24, 2018 - college-aged drivers by the Federal Aviation Administration and the Canadian Air Transport Administration—in orthopedic … surgery.

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72739/psn-pdf
    February 10, 2021 - surgery. … surgeries, repair of Achilles tendon rupture was associated with the highest incidence of VTE, although … surgery. … 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.

94. Spotlight Case (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
    October 01, 2009 - interprofessional learning and teamwork Case: Difficult Encounters An 89-year-old man was admitted to the orthopedic … Case: Difficult Encounters (2) On the afternoon following the cardiologist’s report, the orthopedic … The nurse on the floor paged the orthopedic resident and read the cardiologist’s conclusions and recommendations … Case: Difficult Encounters (4) The CMO promptly paged the orthopedic resident, who was meeting with … the attending orthopedic surgeon to review x-rays of the case.

95. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
    psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - general medicine ward and managed with antibiotics, subcutaneous insulin, and intravenous fluids and the orthopedic … First, it was not clearly stated in this Case whether an Internal Medicine team or an Orthopedics team … It would be unlikely that the orthopedics team would be managing the DKA, so it would be important to … In academic settings, orthopedic surgery residents may primarily manage many patients that do not have … complex issues; however, this patient would be better served on an internal medicine team with the orthopedics

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44165/psn-pdf
    May 27, 2015 - could be utilized as a trigger for detecting errors, this study assessed rates of such incidents in an orthopedic … similar to prior studies of delayed diagnosis, researchers examined a retrospective case series of orthopedic

97. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
    psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
    May 11, 2019 - Four months later, the orthopedic surgeon ordered a routine follow-up X-ray of the left shoulder. … This report along with the images were sent to the orthopedic surgeon’s office the same day. … However, the orthopedic surgeon independently read and interpreted the same images as “slight loss of … surgeons towards radiology reports, revealed that the majority of the 200 orthopedic surgeons surveyed … In this case, the orthopedic surgeon did not have training in interpreting chest imaging findings, and

98. E-collection: Safety and Error Prevention in Health. | PSNet
    psnet.ahrq.gov/issue/e-collection-safety-and-error-prevention-health
    June 24, 2020 - April 16, 2019 Quality, Value, and Patient Safety in Orthopedic Surgery.

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - The Case An orthopedic surgeon at a small community hospital contacted an emergency department (ED) … The orthopedic surgeon briefly described a 92-year-old woman with a history of dementia who had a left … The referring orthopedic surgeon also spoke with the on-call orthopedic surgery resident at the tertiary … She was quickly admitted by the orthopedic surgery resident and prepped for surgery the following morning … Although it was not completely clear to the orthopedic team or anesthesiologists what happened, all agreed

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73434/psn-pdf
     June 30, 2021 - Four months later, the orthopedic surgeon ordered a routine follow-up X-ray of the left shoulder. … This report along with the images were sent to the orthopedic surgeon’s office the same day. … However, the orthopedic surgeon independently read and interpreted the same images as “slight loss of … The patient saw the orthopedic surgeon multiple times after the initial follow-up X-ray without any … In this case, the orthopedic surgeon did not have training in interpreting chest imaging findings, and