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  1. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet

    psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
    May 11, 2019 - Four months later, the orthopedic surgeon ordered a routine follow-up X-ray of the left shoulder. … This report along with the images were sent to the orthopedic surgeon’s office the same day. … However, the orthopedic surgeon independently read and interpreted the same images as “slight loss of … surgeons towards radiology reports, revealed that the majority of the 200 orthopedic surgeons surveyed … In this case, the orthopedic surgeon did not have training in interpreting chest imaging findings, and

  2. Around the Block | PSNet

    psnet.ahrq.gov/web-mm/around-block
    March 04, 2020 - The orthopedic surgeon, recognizing the risk of deep vein thrombosis (DVT), prescribed enoxaparin (Lovenox … Orthopedic surgery patients are a special focus of most guidelines, since such patients are at extremely … developed spinal hematoma after receiving LMWH around the time of neuraxial anesthesia, most commonly for orthopedic … surgery. … Conversely, the orthopedic surgeon may not have known the anesthesiologist was planning on neuraxial

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73434/psn-pdf
    June 30, 2021 - Four months later, the orthopedic surgeon ordered a routine follow-up X-ray of the left shoulder. … This report along with the images were sent to the orthopedic surgeon’s office the same day. … However, the orthopedic surgeon independently read and interpreted the same images as “slight loss of … The patient saw the orthopedic surgeon multiple times after the initial follow-up X-ray without any … In this case, the orthopedic surgeon did not have training in interpreting chest imaging findings, and

  4. Organizing Quality Measures by Disease or Condition | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/organize/disease.html
    May 01, 2019 - cancer surgery volume, cardiac care, chronic health conditions, diabetes, knee and hip replacements, and orthopedic … surgery

  5. Importance of MRSA and SSI Prevention

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/018-ss-importance-ssi-mrsa-prevention.pptx
    April 01, 2025 - Is a Major Cause of SSI S. aureus is the leading causative organism of SSIs.6 Overall: 17.5 percent Orthopedic … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis. … surgery: systematic review and meta-analysis. … surgery: systematic review and meta-analysis.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60856/psn-pdf
    August 26, 2020 - https://psnet.ahrq.gov/web-mm/too-many-cooks-kitchen Orthopedics considered the fracture stable based … Cardiology, Cardiothoracic Surgery, Trauma Surgery, and Orthopedics discussed this high-risk case extensively … The trauma surgery team and orthopedic consultant were correct to adopt a deliberate and conservative … An experienced orthopedic surgeon – and this case should have been performed by the most experienced … pinning of the femoral head, or even femoral head resection (Girdlestone procedure)] if indicated by the orthopedic

  7. Haukipuro K et al. 2000 "The feasibility of telemedicine for orthopaedic outpatient clinics: a randomized controlled trial." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/haukipuro-k-et-al-2000
    January 01, 2000 - Tools Used Survey Type Clinic Specialty care Type Specific Orthopedic surgery

  8. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
    January 01, 2021 - diagnosed with a rotator cuff injury and underwent left shoulder surgery • Four months later, the orthopedic … evaluation” 5 Case Details • The radiologist’s report along with the images were sent to the orthopedic … surgeon’s office the same day • The orthopedic surgeon independently read and interpreted the same … was no mention of the soft tissue density nor was any follow-up study ordered • The patient saw the orthopedic … such as surgery 13 “What We’ve Got Here is a Failure to Communicate” (3) • In this case, the orthopedic

  9. Final report: Realizing Improved Patient Care through Human-centered Design in the OR (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/joseph3-report.pdf
    January 01, 2024 - surgeries, because the Medical University of South Carolina planned to build two new ambulatory surgery … The project focused on surgical teams working in outpatient pediatric ORs and adult orthopedic ORs. … Scenarios depicted different types of ambulatory surgery procedures (pediatric and orthopedic surgeries … surgeries and induction outside the OR for pediatric surgery. … The prototype evaluations were focused on a limited set number of ambulatory pediatric and orthopedic

  10. Decolonization Strategies

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/012-ss-decolonization-strategies.pptx
    April 01, 2025 - 2 hours prior to surgery No difference in rates of deep SSI or deep SSI due to S. aureus Elective orthopedic … surgery with hardware implantation11 CHG bathing plus iodophor on morning of surgery 76 percent decreased … decolonization and prophylaxis to decrease Gram positive surgical site infections after cardiac or orthopedic … surgery: systematic review and meta-analysis. … surgery with hardware implantation.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - The family requested an orthopedic consultation to expedite work-up. … primarily to treat dehydration, it is unlikely that she was admitted directly to the service of the orthopedic … By any reasonable standard of judgment, the orthopedic surgeon committed by far the most serious errors … displaced trimalleolar fracture (at risk for vascular compromise) leave the ED in a splint without an orthopedic … We suspect that the orthopedic surgeon was prompted to review the x-rays in the OR after finally recognizing

  12. Healthcare Simulation in Nursing Practice. | PSNet

    psnet.ahrq.gov/issue/healthcare-simulation-nursing-practice
    July 08, 2020 - January 23, 2019 Quality, Value, and Patient Safety in Orthopedic Surgery.

  13. Antimicrobial Stewardship. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-stewardship
    October 24, 2018 - Related Resources From the Same Author(s) Quality, Value, and Patient Safety in Orthopedic … Surgery.

  14. Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes. | PSNet

    psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes
    September 19, 2018 - June 30, 2010 Quality, Value, and Patient Safety in Orthopedic Surgery.

  15. Simulation in Otolaryngology. | PSNet

    psnet.ahrq.gov/issue/simulation-otolaryngology
    January 23, 2019 - August 14, 2024 Quality, Value, and Patient Safety in Orthopedic Surgery.

  16. Patient Safety | PSNet

    psnet.ahrq.gov/issue/patient-safety-22
    November 26, 2008 - May 29, 2019 Quality, Value, and Patient Safety in Orthopedic Surgery.

  17. Pediatric Quality. | PSNet

    psnet.ahrq.gov/issue/pediatric-quality
    December 06, 2011 - August 21, 2019 Quality, Value, and Patient Safety in Orthopedic Surgery.

  18. 009-Ss-Evidence-Decolonization-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/009-ss-evidence-decolonization-fg.docx
    April 01, 2025 - examining some surgery types that are high risk for MRSA infections and SSIs, specifically cardiac and orthopedic … surgeries, Staphylococcus aureus is the most frequently isolated SSI pathogen among spinal fusion and … hip or knee prosthesis (both are included in the orthopedic table) and among cardiac surgeries. … as part of the decolonization process was the Study to Optimally Prevent SSIs in Select Cardiac and Orthopedic … This was a pragmatic study in 20 U.S. hospitals from 2013–2014, which included cardiac surgeries and orthopedic

  19. Patient Safety and Quality Improvement. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0
    September 27, 2017 - July 11, 2018 Quality, Value, and Patient Safety in Orthopedic Surgery.

  20. Management of Operating Room Critical Events. | PSNet

    psnet.ahrq.gov/issue/management-operating-room-critical-events
    March 27, 2024 - March 11, 2020 Quality, Value, and Patient Safety in Orthopedic Surgery.
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