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psnet.ahrq.gov/node/60657/psn-pdf
July 08, 2020 - Patients 65 years of age or older, female, receiving orthopedic surgery,
certain comorbid conditions
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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
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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
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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
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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.
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psnet.ahrq.gov/issue/team-types-perceived-efficiency-and-team-climate-swedish-cross-professional-teamwork
October 18, 2023 - Protecting Trainees
November 1, 2018
Identification of adverse events at an orthopedics
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psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and-consequences
July 14, 2010 - March 27, 2005
Towards the reduction of medication errors in orthopedics and spinal surgery
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psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
June 27, 2018 - September 19, 2018
Towards the reduction of medication errors in orthopedics and spinal
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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.
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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
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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
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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
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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
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - January 14, 2011
Towards the reduction of medication errors in orthopedics and spinal
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psnet.ahrq.gov/issue/clinical-pharmacist-led-integrated-approach-evaluation-medication-errors-among-medical
December 09, 2020 - December 9, 2020
Towards the reduction of medication errors in orthopedics and spinal
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psnet.ahrq.gov/issue/frequency-diagnostic-errors-radiologic-reports-depends-patients-age
March 09, 2022 - June 23, 2009
Identification of adverse events at an orthopedics department in Sweden
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psnet.ahrq.gov/issue/content-analysis-patient-safety-incident-reports-older-adult-patient-transfers-handovers-and
December 14, 2022 - study reviewed incident reports involving older adult patient transitions in geriatrics, cardiology, orthopedics
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - The patient was seen in the Orthopedics clinic one month after his transfer to the SNF. … SNF with orders to receive an additional four weeks of intravenous antibiotics with follow up in the Orthopedics … The patient was seen in the Orthopedics clinic 3.5 weeks after discharge, still on intravenous antibiotics … not experience any adverse effects and no signs of infection were noted when he followed-up with the Orthopedic … This patient was seen for follow-up in the Orthopedic Clinic, but laboratory results were not available
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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
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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