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161. Development and Evaluation of Patient-Reported Outcome Score Visualization to Improve Their Utilization (PROVIZ) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-patient-reported-outcome-score-visualization-improve
     January 01, 2023 - Population Adults Clinical Staff/Clinician Patient Physician Type of Care Orthopedics … Clinician participants were practicing orthopedic surgeons, physical and occupational therapists, or … and human-computer interaction principles to inform optimal data visualization and presentation of orthopedic

162. Importance of MRSA and SSI Prevention
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
     April 01, 2025 - Is a Major Cause of SSI S. aureus is the leading causative organism of SSIs.6 Overall: 17.5 percent Orthopedic … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis. … surgery: systematic review and meta-analysis. … surgery: systematic review and meta-analysis.

163. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49476/psn-pdf
     March 02, 2005 - The orthopedic surgeon, recognizing the risk of deep vein thrombosis (DVT), prescribed enoxaparin (Lovenox … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … developed spinal hematoma after receiving LMWH around the time of neuraxial anesthesia, most commonly for orthopedic … surgery. … Conversely, the orthopedic surgeon may not have known the anesthesiologist was planning on neuraxial

164. 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.

165. Exhibit 1.4. Description of Hospitals Studied in LHC | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-4.html
     November 01, 2014 - replacement surgery, stroke care, surgical services, cardiovascular care, interventional radiology, orthopedics … pain center, and intensive care Hospital 2 433 Stroke care, oncology, radiation oncology, orthopedics

166. Exhibit 6.4. Description of Hospitals Studied in Lakeview Healthcare | Agency for Healthcare Research and Quality
     www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-4.html
     November 01, 2014 - replacement surgery, stroke care, surgical services, cardiovascular care, interventional radiology, orthopedics … pain center, intensive care Hospital 2* 433 Stroke care, oncology, radiation oncology, orthopedics

167. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet
     psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
     October 09, 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

168. Too Many Cooks in the Kitchen | PSNet
     psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
     March 07, 2018 - Orthopedics considered the fracture stable based on post-mobilization x-rays.  … Cardiology, Cardiothoracic Surgery, Trauma Surgery, and Orthopedics discussed this high-risk case extensively … The trauma surgery team and orthopedic consultant were correct to adopt a deliberate and conservative … An experienced orthopedic surgeon – and this case should have been performed by the most experienced  … Surgery Surgical Complications View More

169. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)
     www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
     January 01, 2024 - surgeries, because the Medical University of South Carolina planned to build two new ambulatory surgery … The project focused on surgical teams working in outpatient pediatric ORs and adult orthopedic ORs. … Scenarios depicted different types of ambulatory surgery procedures (pediatric and orthopedic surgeries … surgeries and induction outside the OR for pediatric surgery. … The prototype evaluations were focused on a limited set number of ambulatory pediatric and orthopedic

170. 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

171. Exhibit 3. Comparison of fraction of all herniorrhaphy and total knee and hip arthroplasties reviewed by VASQIP | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/ssi/ssiexh3.html
     April 01, 2018 - The review percentages for the two orthopedic surgeries changed little between the two years-for hip

172. 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

173. 009-Ss-Evidence-Decolonization-Fg (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
     April 01, 2025 - examining some surgery types that are high risk for MRSA infections and SSIs, specifically cardiac and orthopedic … surgeries, Staphylococcus aureus is the most frequently isolated SSI pathogen among spinal fusion and … hip or knee prosthesis (both are included in the orthopedic table) and among cardiac surgeries. … as part of the decolonization process was the Study to Optimally Prevent SSIs in Select Cardiac and Orthopedic … This was a pragmatic study in 20 U.S. hospitals from 2013–2014, which included cardiac surgeries and orthopedic

174. Around the Block | PSNet
     psnet.ahrq.gov/web-mm/around-block
     March 04, 2020 - The orthopedic surgeon, recognizing the risk of deep vein thrombosis (DVT), prescribed enoxaparin (Lovenox … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … developed spinal hematoma after receiving LMWH around the time of neuraxial anesthesia, most commonly for orthopedic … surgery. … Conversely, the orthopedic surgeon may not have known the anesthesiologist was planning on neuraxial

175. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
     January 01, 2021 - diagnosed with a rotator cuff injury and underwent left shoulder surgery • Four months later, the orthopedic … evaluation” 5 Case Details • The radiologist’s report along with the images were sent to the orthopedic … surgeon’s office the same day • The orthopedic surgeon independently read and interpreted the same … was no mention of the soft tissue density nor was any follow-up study ordered • The patient saw the orthopedic … such as surgery 13 “What We’ve Got Here is a Failure to Communicate” (3) • In this case, the orthopedic

176. Root cause analysis and actions for the prevention of medical errors: quality improvement and resident education. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-and-actions-prevention-medical-errors-quality-improvement-and-resident
     October 19, 2016 - Orthopedics. 2017;40(4):e628-e635. doi:10.3928/01477447-20170418-04. … Orthopedics . 2017; 40 (4) :e628-e635 . View more articles from the same authors. … Orthopedics. 2017;40(4):e628-e635. doi:10.3928/01477447-20170418-04.

177. Healthcare Simulation in Nursing Practice. | PSNet
     psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
     July 08, 2020 - January 23, 2019 Quality, Value, and Patient Safety in Orthopedic Surgery.

178. Organizing Quality Measures by Disease or Condition | Agency for Healthcare Research and Quality
     www.ahrq.gov/talkingquality/translate/organize/disease.html
     May 01, 2019 - cancer surgery volume, cardiac care, chronic health conditions, diabetes, knee and hip replacements, and orthopedic … surgery

179. Transfer Troubles | PSNet
     psnet.ahrq.gov/web-mm/transfer-troubles
     December 29, 2014 - 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

180. Too Many Cooks Spotlight Pdf (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
     January 01, 2020 - primary team, with involvement from Nephrology, Cardiology and General Internal Medicine services • Orthopedics … osteopenia secondary to renal osteodystrophy • Cardiology, Cardiothoracic Surgery, Trauma Surgery, and Orthopedics … cases, the evident frailty of this patient was a cause for concern and the trauma surgery team and orthopedic … thin. 16 Approach to Improving Safety (3) • Procedure itself was complicated - an experienced orthopedic