This practical, unique textbook provides a foundation for the essential elements of patient safety and quality improvement (QI) for orthopaedic trainees, though the content covered will be of interest to veteran clinicians as well. Currently, there are few existing resources and didactics focused on this crucial yet often overlooked area of medical practice, which makes this the first true textbook on the subject within the field of orthopaedic surgery.
Utilizing a user-friendly approach including generous figures, tables, and bulleted key points, the text presents comprehensive background information on QI principles, models, and patient safety. More specifically, it focuses on orthopaedic concerns, such as biologics and implants, registries, checklists, surgical site infection risk reduction, use of evidence-based medicine and care maps, simulation to improve care, and shifting from volume to value, among others. Related topics such as diversityand inclusion, provider wellness strategies, leadership strategies to develop an efficient and safe work culture, and innovation are also presented. Throughout, the aim is to demonstrate that QI is a multidisciplinary goal that can only flourish in an environment of supportive accountability.
With contributions by leaders in the field, Quality Improvement and Patient Safety in Orthopaedic Surgery provides trainees and surgeons in the field a valuable and pragmatic toolkit for successful and sustainable clinical practice.
Concepts of Patient Safety.- QI Principles and Models.- TeamSTEPPS:
Strategies and Tools to Enhance Performance and Patient Safety.- Shifting
from Volume to Value.- Quality Improvement: Using Care Pathways in
EMR.- Pre-op Optimization Checklists.- Surgical Site Infection Risk
Reduction.- Reduction of Wrong Site Surgery.- Learning from Mistakes.- Use of
Registries and Prospective Cohorts to Improve Care.- Clinical Practice
Guidelines and Appropriate Use Criteria to Guide Care.- Performance
Measures.- Interpreting and Implementing Evidence for Quality
Research.- Biologics, Implants, and Patient Safety.- Device Industry:
Preventing, Identifying and Mitigating Problems.- Variation, Costs and
Physician behavior.- Development of Care Maps for Complex
Conditions.- Communication Strategies to Minimize Harm and Improve Care in
Orthopaedic Surgery.- Integration of Physician Management into Supply Chain
optimization.- Organizational Response to Errors.- Using Simulation to
Decrease Patient Harm.- Safe and Effective Alleviation of Pain and Optimal
Opioid Stewardship.- Diversity and Cultural Competence to enhance Quality and
Safety.- Radiation Safety.- Physician and Clinician Well-Being.- Advocacy to
promote quality musculoskeletal care.- The Role of the Board in Driving
Performance Improvement.- Innovation and Value.- The Modern Orthopaedic
Morbidity and Mortality Conference: An Instrument for Education and
System-wide Quality Improvement.- Telehealth and Quality Care.- Using Quality
Improvement to Enhance Geriatric Fracture Care.- Orthopaedic Surgeons as
Managers and Leaders: Developing the Right Culture.
Julie Balch Samora, MD, PhD, FAOA, FAAOS, Medical Director of Quality, Clinical Associate Professor, Department of Orthopaedic Surgery, Nationwide Childrens Hospital, Columbus, OH, USA
Kevin G. Shea, MD, FAOA, FAAOS, Professor, Department of Orthopedics, Stanford University, Stanford, CA, USA
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