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121. 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

122. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/about/challenge-competition.html
     February 01, 2024 - occurred in the services and nursing units (a 50% reduction in general surgery, a 57% reduction in orthopedic … surgery, and an 80% reduction in the medical surgical nursing unit serving the orthopedic, gynecological

123. Fractures | Effective Health Care (EHC) Program
     effectivehealthcare-admin.ahrq.gov/health-topics/fractures
     May 13, 2016 - Archived February 17, 2016 Systematic Review Update of Venous Thromboembolism Prophylaxis in Orthopedic … Surgery Presentation Archived August 20, 2013 Pain Management Interventions for … Systematic Review Archived March 13, 2012 Venous Thromboembolism Prophylaxis in Orthopedic … Surgery Technical Brief Archived November 15, 2011 Whole-Body Vibration Therapy … Surgery Research Protocol Archived May 14, 2010 Comparative Effectiveness of Treatments

124. 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.

125. Appendix B: Risk Assessment Models, Protocols, and Order Sets | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/settings/hospital/vtguide/appb.html
     October 01, 2022 - Example 2: orthopedic surgery default might be rivaroxaban or other anticoagulant (to start morning of … Variation: More options (such as rivaroxaban or warfarin) could be listed for major orthopedic surgery … Orthopedic surgery of pelvis, hip, or total knee replacement. Major surgery * , age >60 years. … Orthopedic surgery of pelvis, hip, or total knee replacement. Major surgery * , age >60 years. … With or without mechanical prophylaxis Orthopedic Surgery and Trauma LMWH.

126. 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.

127. 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

128. AHRQ Safety Program for MRSA Prevention: Targeting SSI
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
     April 01, 2025 - surgery Cardiac surgery | 9 AHRQ Safety Program for MRSA Prevention | Surgical Services Antimicrobial … Prophylaxis Part 1 9 Cefazolin Covers Expected Microbiology* *expected microbiology of cardiac and orthopedic … surgeries | 10 AHRQ Safety Program for MRSA Prevention | Surgical Services Antimicrobial Prophylaxis … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis.

129. 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

130. 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

131. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
     ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/mincer.html
     August 01, 2017 - Decision Aid Selection and Dissemination Meetings were held with the orthopedic spine surgeon group … We gathered together all the health care system’s orthopedic patient education materials and developed … At one clinic location, the brochure was made available to patients on the counter for all orthopedic … The project proposed piloting SDM in all orthopedic surgery subspecialties with preference-sensitive … Meetings were held to engage orthopedic surgeon subspecialty groups.

132. 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

133. Making Healthcare Safer Practices: 16. Venous Thromboembolism (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
     March 01, 2020 - of VTE is the highest for patients undergoing major orthopedic surgery, such as total knee arthroplasty … Prevention of VTE in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis … to this review included limiting articles to patients undergoing major orthopedic surgery. … Patients undergoing major lower extremity orthopedic surgery. … Patients undergoing high-risk orthopedic surgery.

134. 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

135. 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

136. 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

137. PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
     April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services Decolonization Implementation 17 Orthopedic … Surgery in a Community Hospital Decolonization Strategy  CHG bathing the night before and day of surgery … Surgery Case Example—1 What Happened? … Surgery Case Example—2 How To Reduce the Likelihood of This Defect From Happening Again? … surgery with hardware implantation.

138. Optimizing the Value of PROMs in Improving Care Delivery through Health Information Technology (PROMOTE) – Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs025618-solberg-final-report-2023.pdf
     January 01, 2023 - Prior to this research, orthopedics spent 8 years collecting validated outcomes measures before and … This initiative used a standardized process across all 3 orthopedics groups for collecting validated … Aim 1: Interviews with Orthopedic Surgeons Design. … surgery in patients provided text message reminders to return a PROMS survey vs. patients not provided … Orthopedic Surgeon Interviews 5. Shared Decision-Making/Patient Experience 6.

139. 089-Or-Traffic-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/089-or-traffic-fg.docx
     April 01, 2025 - The first is a study conducted in orthopedic trauma implant surgeries in Sweden. … In this example, the orthopedic surgery CUSP team at a local hospital reviewed their SSI rates and discovered … The CUSP team decided to complete the Learning From Defects tool with a focus on OR traffic in the orthopedic … They had already determined there was an increase in SSIs in the orthopedic surgery population. … The CUSP team collected data on door openings for 10 orthopedic cases and noted that door openings ranged

140. 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