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61. Patient safety: it takes a team. | PSNet
    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

62. 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

63. 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

64. 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

65. 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

66. Psn-Pdf (pdf file)
    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?

67. 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

68. Clash in the name of care. | PSNet
    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

69. Parkland knee surgery done by doctor in training leads to amputation, questions. | PSNet
    psnet.ahrq.gov/issue/parkland-knee-surgery-done-doctor-training-leads-amputation-questions
    August 11, 2010 - December 2, 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 Active Errors View More

70. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
    psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
    August 06, 2008 - October 3, 2017 Wrong-site orthopedic operations on the extremities: the Pennsylvania … 2010 View More See More About The Topic Operating Room Patients Orthopedic … Surgery Wrong-Site Surgery Active Errors View More

71. 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

72. Training safer surgeons: how do patients view the role of simulation in orthopaedic training? | PSNet
    psnet.ahrq.gov/issue/training-safer-surgeons-how-do-patients-view-role-simulation-orthopaedic-training
    March 01, 2023 - February 13, 2014 Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … 2009 View More See More About The Topic Operating Room Educators Orthopedic … Surgery Surgical Complications Epidemiology of Errors and Adverse Events View More

73. 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.

74. 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

75. Mistaken Identity | PSNet
    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?

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50929/psn-pdf
    February 26, 2020 - 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 … psnet.ahrq.gov//#3 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

77. Round-Trip Service | PSNet
    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

78. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet
    psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
    August 30, 2017 - December 4, 2019 Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic … About The Topic Operating Room Health Care Providers Quality and Safety Professionals Orthopedic … Surgery Surgical Complications View More

79. 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.

80. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44523/psn-pdf
    January 01, 2016 - This study identified adverse events following outpatient orthopedic surgeries using a trigger tool.