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effectivehealthcare.ahrq.gov/sites/default/files/related_files/blood-clots-hip-knee-surgery_surveillance.pdf
December 01, 2012 - In patients undergoing major orthopedic surgery (total hip or knee replacement or hip fracture
surgery … In patients who had major orthopedic surgery (total hip or knee replacement, hip fracture
surgery), … In patients undergoing major orthopedic surgery (total hip or knee replacement, hip fracture
surgery … Venous Thromboembolism Prophylaxis
in Orthopedic Surgery. 2012 Mar.
2. … Inferior vena cava filter placement in
orthopedic surgery.
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/venous-thromboembolism-1.pdf
March 01, 2020 - of VTE is the highest for patients undergoing major orthopedic surgery, such as total knee
arthroplasty … Prevention of VTE
in orthopedic surgery patients: Antithrombotic Therapy and Prevention of Thrombosis … to this review
included limiting articles to patients undergoing major orthopedic surgery. … Patients undergoing major
lower extremity orthopedic
surgery. … Patients undergoing high-risk
orthopedic surgery.
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psnet.ahrq.gov/node/46274/psn-pdf
September 13, 2017 - Orthopedic surgery accounted for 35% of the cases
reported. … wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/high-reliability-care-orthopedic-surgery-are-we-there-yet
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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/node/854848/psn-pdf
October 31, 2023 - 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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www.ahrq.gov/patient-safety/reports/liability/mincer.html
August 01, 2017 - Patient Safety and Medical Liability
Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic … spine treatment in orthopedic spine surgery clinics in two hospitals within the university health care … Decision Aid Selection and Dissemination
Meetings were held with the orthopedic spine surgeon group … The project proposed piloting SDM in all orthopedic surgery subspecialties with preference-sensitive … Meetings were held to engage orthopedic surgeon subspecialty groups.
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psnet.ahrq.gov/issue/implementation-cpoe-and-medication-errors
July 18, 2012 - October 19, 2011
Towards the reduction of medication errors in orthopedics and spinal
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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
View More
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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
View More
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
View More
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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hcup-us.ahrq.gov/reports/projections/2012-03.pdf
January 01, 2012 - HCUP Projections:
Mobility/Orthopedic Procedures
HCUP (09/07/12) HCUP Orthopedic Projections … HCUP Projections:
Mobility/Orthopedic Procedures
HCUP (09/07/12) 1 HCUP Orthopedic Projections … Prevalence, health care expenditures, and orthopedic surgery
workforce for musculoskeletal conditions … HCUP Projections:
Mobility/Orthopedic Procedures
HCUP (09/07/12) 5 HCUP Orthopedic Projections … HCUP Projections:
Mobility/Orthopedic Procedures
HCUP (09/07/12) 6 HCUP Orthopedic Projections
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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/promise
January 01, 2023 - Implementation experience in a large orthopedic practice. … Implementation experience in a large orthopedic practice. … Patient-Generated Health Data
Document Type
Journal Publication
Medical Condition
Orthopedic
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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.
-
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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digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery/citation/impact
January 01, 2024 - The impact of text messaging to Promote Patient Reported Outcome Measures (PROMs) completion in orthopedic … The impact of text messaging to Promote Patient Reported Outcome Measures (PROMs) completion in orthopedic … Document Type
Journal Publication
Population
Patient
Medical Condition
Orthopedic