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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/090-decolonization-implementation.pptx
April 01, 2025 - AHRQ Safety Program for MRSA Prevention | Surgical Services
Decolonization Implementation
17
Orthopedic … Surgery in a Community Hospital
Decolonization Strategy
CHG bathing the night before and day of surgery … Surgery Case Example—1
What Happened? … Surgery Case Example—2
How To Reduce the Likelihood of This Defect From Happening Again? … surgery with hardware implantation.
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/117-decolonization-agent-one-pager.docx
April 01, 2025 - decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis. … a preoperative decontamination protocol on surgical site infections in patients undergoing elective orthopedic … surgery with hardware implantation.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/093-universal-targeted-decolonization-one-pager.docx
April 01, 2025 - decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis. … a preoperative decontamination protocol on surgical site infections in patients undergoing elective orthopedic … surgery with
hardware implantation.
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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
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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
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/092-evidence-decolonization-one-pager.docx
April 01, 2025 - Decolonization and Prophylaxis to Decrease Gram Positive Surgical Site Infections After Cardiac or Orthopedic … Surgery: Systematic Review and Meta-Analysis
Purpose: To evaluate cardiac and joint replacement studies … Design: Pragmatic study in 20 U.S. hospitals from 2013 to 2014, which included cardiac surgeries and orthopedic … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis.
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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
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psnet.ahrq.gov/node/47627/psn-pdf
January 16, 2019 - This retrospective cohort of overlapping orthopedic surgeries across five academic
institutions found
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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
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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
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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
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psnet.ahrq.gov/node/44523/psn-pdf
January 01, 2016 - This study identified adverse events following outpatient orthopedic surgeries using a trigger tool.
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psnet.ahrq.gov/node/857448/psn-pdf
January 01, 2024 - This review
identified 11 studies into safety outcomes of overlapping orthopedic surgeries involving
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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
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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
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www.ahrq.gov/research/findings/final-reports/stpra/stpraapa3.html
April 01, 2018 - Decolonization of orthopedic surgical team S. aureus carriers: Impact on surgical-site infections … [Barbos et al. (2010)]
Aims
Orthopedic SSI, mostly due to S. aureus , is recognized as a major … The surveillance was initiated on general and vascular surgery patients, followed by orthopedic surgery … This means that as the life expectancy for AIDS patients rises also does the orthopedic surgeries on … Methods
The study was restricted to spine operations performed by orthopedic surgeons.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/006-ss-preop-chlorhexidine.pptx
April 01, 2025 - – Schweizer et al., 20154
Pragmatic study including 20 U.S. hospitals, 2013–2014
Cardiac surgery, orthopedic … CHG night before/morning of surgery with either mupirocin or iodophor
Bebko et al., 20156
Elective orthopedic … surgery with hardware implantation
CHG night before/morning of surgery plus iodophor
76 percent decreased … a preoperative decontamination protocol on surgical site infections in patients undergoing elective orthopedic … surgery with hardware implantation.
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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.