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psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents
December 21, 2014 - This study revealed a lack of safety culture among several graduating classes of orthopedic residents … in the Operating Room
June 1, 2019
Quality, Value, and Patient Safety in Orthopedic … Surgery. … About The Topic
Operating Room
Physicians
Quality and Safety Professionals
Educators
Orthopedic … Surgery
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psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
May 18, 2022 - Previous analyses have found that orthopedic surgery is one common source of patient harm. … May 13, 2015
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … June 12, 2012
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See More About The Topic
Operating Room
Orthopedic … Surgery
Surgical Complications
Malpractice Litigation
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psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions
October 07, 2020 - November 26, 2014
Diagnostic errors in orthopedic surgery: evaluation of resident documentation … of neurovascular examinations for orthopedic trauma patients. … , 2008
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See More About The Topic
Physicians
Neurology
Orthopedic … Surgery
Diagnostic Errors
Epidemiology of Errors and Adverse Events
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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/issue/occurrence-wrong-site-surgery-self-reported-candidates-certification-american-board
June 03, 2020 - September 27, 2023
High reliability of care in orthopedic surgery: are we there … November 16, 2016
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/outcomes-and-patient-safety-overlapping-vs-nonoverlapping-total-joint-arthroplasty-systematic
February 02, 2022 - June 27, 2019
Quality, Value, and Patient Safety in Orthopedic Surgery. … February 19, 2014
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … Surgery
Operating Room
Facility and Group Administrators
Quality and Safety Professionals
Orthopedic … Surgery
View More
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psnet.ahrq.gov/issue/detection-and-measurement-rotator-cuff-tears-sonography-analysis-diagnostic-errors
December 31, 2014 - November 26, 2014
Diagnostic errors in orthopedic surgery: evaluation of resident documentation … of neurovascular examinations for orthopedic trauma patients. … , 2011
View More
See More About The Topic
Physicians
Radiology
Orthopedic … Surgery
Diagnostic Errors
Epidemiology of Errors and Adverse Events
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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.
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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
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psnet.ahrq.gov/issue/patient-safety-it-takes-team
April 08, 2020 - December 24, 2014
Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … More
See More About The Topic
Outpatient Surgery
Operating Room
Patients
Orthopedic … Surgery
Surgical Complications
View More
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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.
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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
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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
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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.
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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?
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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
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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?
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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
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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/clash-name-care
April 27, 2016 - August 5, 2015
Wrong-site orthopedic operations on the extremities: the Pennsylvania … 2008
View More
See More About The Topic
Operating Room
Patients
Orthopedic … Surgery
Surgical Complications
Epidemiology of Errors and Adverse Events
View More