BookJulie Balch Samora, Kevin G. Shea, editors.
Summary: 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 diversity and 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.
Contents:
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.