AHRQ Patient Safety Network

The Collection > Orthopedic Surgery

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Safety Target

•Diagnostic Errors (1)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (1)

•Medical Complications (2)

•Surgical Complications (16)

•Psychological and Social Complications (2)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (1)

•Europe (4)

•North America (14)

Resource Types

•Journal Article (20)

•Newspaper/Magazine Article (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (7)

•Active Errors (1)

•Latent Errors (1)

Approach to Improving Safety

•Quality Improvement Strategies (2)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (4)

•Communication Improvement (7)

•Human Factors Engineering (4)

•Teamwork (1)

•Specialization of Care (1)

•Logistical Approaches (5)

•Culture of Safety (1)

•Technologic Approaches (1)

•Education and Training (8)

Clinical Areas
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Orthopedic Surgery

Target Audience

•Health Care Providers (18)

•Health Care Executives and Administrators (15)

•Non-Health Care Professionals (5)

•Patients (1)

Setting of Care

•Hospitals (19)

•Ambulatory Care (2)

•Outpatient Surgery (1)

1 - 20 of 22

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STUDY

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

COMMENTARY

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.

Patel P, Robinson BS, Novicoff WM, Dunnington GL, Brenner MJ, Saleh KJ. J Bone Joint Surg Am. 2011;93:e1261-e1266.

STUDY

Did duty hour reform lead to better outcomes among the highest risk patients?

Volpp KG, Rosen AK, Rosenbaum PR, et al. J Gen Intern Med. 2009;10:1149-1155.

STUDY

Resident duty-hour reform associated with increased morbidity following hip fracture.

Browne JA, Cook C, Olson SA, Bolognesi MP. J Bone Joint Surg Am. 2009;91:2079-2085.

STUDY

Beyond our walls: impact of patient and provider coordination across the continuum on outcomes for surgical patients.

Weinberg DB, Gittell JH, Lusenhop RW, Kautz CM, Wright J. Health Serv Res. 2007;42:7-24.

STUDY

Use of the WHO surgical safety checklist in trauma and orthopaedic patients.

Sewell M, Adebibe M, Jayakumar P, et al. Int Orthop. 2011;35:897-901.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

COMMENTARY

Round-Trip Service.

McGrath MH. AHRQ WebM&M [serial online]. December 2009.

NEWSPAPER/MAGAZINE ARTICLE

Parkland knee surgery done by doctor in training leads to amputation, questions.

Egerton B. Dallas Morning News. November 14, 2010;A01.

STUDY

Patient safety climate among orthopaedic surgery residents.

Kadzielski J, McCormick F, Zurakowski D, Herndon JH. J Bone Joint Surg Am. 2011;93:e621-e626.

COMMENTARY

To err is human: quality and safety issues in spine care.

Wong DA, Watters WC 3rd. Spine. 2007;32(suppl 11):S2-S8.

STUDY

Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety.

Einav Y, Gopher D, Kara I, et al. Chest. 2010;137:443-449.

STUDY

Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery?

Bergal LM, Schwarzkopf R, Walsh M, Tejwani NC. J Patient Saf. 2010;6:221-225.

STUDY

Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients.

Tan EW, Ting BL, Jia XF, Skolasky RL, McFarland EG. Am J Med Qual. 2013;28:60-68.

STUDY

Patient safety in Taiwan: a survey on orthopedic surgeons.

Yang CT, Chen HH, Hou SM. J Formos Med Assoc. 2007;106:212-216.

STUDY

Disclosure and reporting of surgical complications: a double-edged sword?

Stahel PF, Flierl MA, Smith WR, et al. Am J Med Qual. 2010;25:398-401.

STUDY

Medical and surgical comanagement after elective hip and knee arthroplasty: a randomized, controlled trial.

Huddleston JM, Long KH, Naessens JM, et al. Ann Intern Med. 2004;141:28-38.

STUDY

Identification of adverse events at an orthopedics department in Sweden.

Unbeck M, Muren O, Lillkrona U. Acta Orthop. 2008;79:396-403.

STUDY

Standardised proformas improve patient handover: audit of trauma handover practice.

Ferran NA, Metcalfe AJ, O'Doherty D. Patient Saf Surg. 2008;2:24.

STUDY

Patient safety in orthopedic surgery: prioritizing key areas of iatrogenic harm through an analysis of 48,095 incidents reported to a national database of errors.

Panesar SS, Carson-Stevens A, Salvilla SA, Patel B, Mirza SB, Mann B. Drug Healthc Patient Saf. 2013;5:57-65.

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