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81. 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

82. 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

83. 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

84. 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

85. 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

86. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.152_slideshow.ppt
    June 01, 2007 - prior lumbar disk disease (status post L5-S1 fusion) was scheduled for a fusion-augmentation surgery by orthopedics … Case (cont.): Bee Line to the Spine Review of the preoperative assessment by anesthesia and orthopedics

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49622/psn-pdf
    March 01, 2011 - patient was seen by a physicians assistant (PA), treated with a sling and analgesics, and referred to an orthopedics … At that point, an orthopedics referral was made.

88. 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

89. 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

90. Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention. | PSNet
    psnet.ahrq.gov/issue/talking-about-falls-qualitative-exploration-spoken-communication-patients-fall-risks
    July 20, 2022 - This study in three orthopedic and three geriatric wards describes multidisciplinary communication about … View More See More About The Topic Hospitals Geriatrics Orthopedic … Surgery Nurse Care Patient Falls View More

91. 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

92. Disclosure and reporting of surgical complications: a double-edged sword? | PSNet
    psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
    December 21, 2014 - An orthopedic surgery department implemented a confidential, real-time system for reporting intraoperative … About The Topic Operating Room Health Care Providers Quality and Safety Professionals Orthopedic … Surgery Morbidity and Mortality Conferences View More

93. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - The orthopedic surgeon briefly described a 92-year-old woman with a history of dementia who had a left … comfortable managing her care at the community hospital. 4 5 Case: Transfer Troubles (2) The referring orthopedic … surgeon also spoke with the on-call orthopedic surgery resident at the tertiary care center and conveyed … She was quickly admitted by the orthopedic surgery resident and prepped for surgery the following morning … the cardiac arrest. 7 8 Case: Transfer Troubles (5) Although it was not completely clear to the orthopedic

94. Surgical site signing and "time out": issues of compliance or complacence. | PSNet
    psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - January 17, 2019 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

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857448/psn-pdf
    January 01, 2024 - This review identified 11 studies into safety outcomes of overlapping orthopedic surgeries involving

96. 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.

97. How satisfied are patients and surgeons with telemedicine in orthopaedic care during the COVID-19 pandemic? A systematic review and meta-analysis. | PSNet
    psnet.ahrq.gov/issue/how-satisfied-are-patients-and-surgeons-telemedicine-orthopaedic-care-during-covid-19
    July 15, 2020 - any differences in patient or surgeon satisfaction or patient-reported outcomes with telehealth for orthopedic … See More About The Topic Ambulatory Care Physicians Quality and Safety Professionals Orthopedic … Surgery Infectious Diseases View More

98. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. | PSNet
    psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
    June 27, 2018 - This study evaluated the impact of an evidence-based intervention to reduce patient complaints in one orthopedic … December 1, 2009 View More See More About The Topic Hospitals Orthopedic … Surgery Surgical Complications Malpractice Litigation Institutional Reporting View

99. Difficult Encounters: A CMO and CNO Respond | PSNet
    psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - The Case   An 89-year-old man was admitted to the orthopedic service after sustaining a hip fracture … On the late afternoon following the cardiologist's report, the orthopedic resident called the operating … The CMO promptly paged the orthopedic resident, who was meeting with the attending orthopedic surgeon … If the nature of the operation had been the issue, I would have sought the opinion of the Chief of Orthopedic … Surgery.

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867093/psn-pdf
     November 06, 2024 - QI handbook) to explore how work-as-done and system resilience prevent never events in trauma and orthopedic … surgery in the UK.