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81. 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

82. 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

83. 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

84. 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

85. 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

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40948/psn-pdf
    November 23, 2011 - disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice- liability This commentary discusses disruptive behavior in orthopedic … surgery, including causes, consequences, and areas for improvement.

87. 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.

88. 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

89. 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

90. 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.

91. 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

92. How should U.S. hospitals prepare for Coronavirus disease 2019 (COVID-19)? | PSNet
    psnet.ahrq.gov/issue/how-should-us-hospitals-prepare-coronavirus-disease-2019-covid-19
    June 14, 2017 - October 26, 2010 Diagnostic errors in orthopedic surgery: evaluation of resident documentation … of neurovascular examinations for orthopedic trauma patients.

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/39741/psn-pdf
    October 13, 2010 - https://psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword An orthopedic … surgery department implemented a confidential, real-time system for reporting intraoperative adverse

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - 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 nurse on the floor paged the orthopedic resident and read the cardiologist's conclusions and recommendations … The CMO promptly paged the orthopedic resident, who was meeting with the attending orthopedic surgeon … Surgery.

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42823/psn-pdf
    December 18, 2013 - orthopaedic-error-index-development-and-application-novel-national-indicator-assessing https://psnet.ahrq.gov/issue/patient-safety-orthopedic-surgery-prioritizing-key-areas-iatrogenic-harm-through-analysis

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35475/psn-pdf
    October 16, 2018 - October 16, 2018 American Academy of Orthopedic Surgeons; AAOS. … issue/patient-safety-resources-clinicians This Web site includes patient safety-related materials for orthopedic

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/44083/psn-pdf
    April 24, 2018 - college-aged drivers by the Federal Aviation Administration and the Canadian Air Transport Administration—in orthopedic … surgery.

98. Spotlight Case [MONTH] 2003 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.60_slideshow.ppt
    May 01, 2004 - .): Too Much of a Good Thing On hospital day 2, orthopedic surgery evaluated the patient and decided … The orthopedic resident notified the cross-covering medicine resident that the patient would go to the … In preparation for surgery, the orthopedic service made the patient “NPO after midnight.” … Effectiveness Communication Breakdown Orthopedic surgery wrote the NPO order; medicine wrote the

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - 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

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/858163/psn-pdf
     December 13, 2023 - This study sought to understand how outpatient providers (i.e., primary care, dentists, dermatology, orthopedic … surgery, psychiatry/psychology) define critical incidents and how they are handled in their offices