AHRQ Patient Safety Network

The Collection > Orthopedic Surgery

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Safety Target

•Diagnostic Errors (1)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (1)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (2)

•Medical Complications (2)

•Surgical Complications (20)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (1)

•Europe (4)

•North America (17)

Resource Types

•Journal Article (21)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (5)

Approach to Improving Safety

•Quality Improvement Strategies (3)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (6)

•Communication Improvement (8)

•Human Factors Engineering (5)

•Teamwork (1)

•Specialization of Care (1)

•Logistical Approaches (4)

•Culture of Safety (2)

•Technologic Approaches (1)

•Education and Training (5)

Clinical Areas
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Orthopedic Surgery

Target Audience

•Health Care Providers (16)

•Health Care Executives and Administrators (18)

•Non-Health Care Professionals (5)

•Patients (3)

Setting of Care

•Hospitals (23)

•Outpatient Surgery (1)

1 - 20 of 24

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REVIEW

Spinal surgery and patient safety: a systems approach.

Wong DA. J Am Acad Orthop Surg. 2006;14:226-232.

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

Medical errors in orthopaedics. Results of an AAOS member survey.

Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

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.

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

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

Patient safety in North America: beyond "operate through your initials" and "sign your site."

Wong DA, Lewis B, Herndon J, Martin C Jr, Brooks R. J Bone Joint Surg Am. 2009;91:1534-1541.

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.

NEWSPAPER/MAGAZINE ARTICLE

Most surgery in wrong spot done on spine: 11 such cases found in state since 2006.

Smith S. Boston Globe. July 30, 2008;Metro section:1A.

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

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

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

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

Patient safety climate among orthopaedic surgery residents.

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

STUDY

Surgical site signing and "time out": issues of compliance or complacence.

Johnston G, Ekert L, Pally E. J Bone Joint Surg Am. 2009;91:2577-2580.

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 in Taiwan: a survey on orthopedic surgeons.

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

STUDY

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.

Rhodes P, Giles SJ, Cook GA, et al. Qual Saf Health Care. 2008;17:409-415.

NEWSPAPER/MAGAZINE ARTICLE

Surgeon operates on wrong knee at Miriam Hospital.

Freyer FJ. Providence Journal. September 20, 2008.

STUDY

Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols.

Rampersaud YR, Moro ER, Neary MA, et al. Spine. 2006;31:1503-1510.

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