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  1. Impact of AHRQ’s Patient Safety Tools: Challenge Competition | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/about/challenge-competition.html
    February 01, 2024 - occurred in the services and nursing units (a 50% reduction in general surgery, a 57% reduction in orthopedic … surgery, and an 80% reduction in the medical surgical nursing unit serving the orthopedic, gynecological

  2. The IHA Bundled Episode Payment and Gainsharing Demonstration | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/delivery-initiative/bozicstudysnapshots/index.html
    August 01, 2018 - to use quantitative methods to evaluate the impact of bundled payments on the costs and quality of orthopedic … Patient volume under these contracts totaled only about 35 orthopedic cases over a 3-year period for … the two hospitals; volume in the ASC was higher (roughly 100 orthopedic procedures). … For orthopedic procedures, the resulting definitions proved too narrow to capture enough volume to make … Bundled episode-of-care payment for orthopedic surgery.

  3. 089-Or-Traffic-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/089-or-traffic-fg.docx
    April 01, 2025 - The first is a study conducted in orthopedic trauma implant surgeries in Sweden. … In this example, the orthopedic surgery CUSP team at a local hospital reviewed their SSI rates and discovered … The CUSP team decided to complete the Learning From Defects tool with a focus on OR traffic in the orthopedic … They had already determined there was an increase in SSIs in the orthopedic surgery population. … The CUSP team collected data on door openings for 10 orthopedic cases and noted that door openings ranged

  4. 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

  5. Too Many Cooks Spotlight Pdf (pdf file)

    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

  6. 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

  7. References | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/ssi/ssiref.html
    April 01, 2018 - [C-reactive protein, leukocyte count and D-dimer monitoring after orthopedic surgery: early diagnosis … Orthopedics. Jun 2008;31(6):581-588; quiz 589-590. 33. … Improved surveillance for surgical site infections after orthopedic implantation procedures: extending … national standards for reporting surgical site infections distinguish between primary and revision orthopedic … surgeries?

  8. 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.

  9. Slide 1

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-070814.pptx
    January 01, 2015 - SURGERY ORC (SVC 1023) 175 0.0 ORH 1024 ORTHOPEDIC SURGERY ORH (SVC 1024) 1536 0.0 OTC 1025 … SURGERY 2280 1605 ORTHOPEDIC SURGERY 2280 1605 GENERAL MEDICINE 1A-3A,1B-3B 2504 2136 Gen Med ( … SURGERY 181 143 PEDIATRIC ORTHOPEDIC SURGERY 181 143 BONE MARROW TRANSPLANT 98 120 BMT 98 120 22 … Surgery Orthopedic Surgery Orthopedic Surgery Orthopedic Surgery … Orthopedic surgery Orthopedic surgery Palliative Care Pediatric Burn

  10. Appendix A. Literature Review | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/stpra/stpraapa.html
    April 01, 2018 - Several studies have been conducted on nasal decolonization in patients undergoing orthopedic surgery … most common medical procedures performed by these 68 ASCs include endoscopy (performed in 35 ASCs), orthopedics … Conclusions Orthopedic surgery, for example, usually involves more soft-tissue destruction than does … The SSI rate for orthopedic surgery was 18.2%. … In the literature, the SSI rate in HIV patients undergoing orthopedic surgery ranges from 16.7% in orthopedic

  11. 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?

  12. AHRQ Safety Program for MRSA Prevention: Targeting SSI

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
    April 01, 2025 - surgery Cardiac surgery | 9 AHRQ Safety Program for MRSA Prevention | Surgical Services Antimicrobial … Prophylaxis Part 1 9 Cefazolin Covers Expected Microbiology* *expected microbiology of cardiac and orthopedic … surgeries | 10 AHRQ Safety Program for MRSA Prevention | Surgical Services Antimicrobial Prophylaxis … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis.

  13. 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

  14. 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

  15. 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.

  16. 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

  17. 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?

  18. 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

  19. 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

  20. 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
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