Using data to enhance performance and improve quality and safety in surgery

Source:  JAMA Surgery 2017, August 16 [epub]

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Date of publication:  August 2017

Publication type:  Journal article

In a nutshell:  reports on a “multiport synchronized data capture and analytic platform called the OR Black Box” which detects small variations in operating theatre processes that can accumulate to cause patient harm.

Some important notes:  You may need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  JAMA Surgery

Comparison of outpatient vs. inpatient total knee arthroplasty: an ACS-NSQIP analysis

Source:  Journal of Arthroplasty 2017, February 1 [epub]

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Date of publication:  February 2016

Publication type:  Journal article

In a nutshell:  Looked at adverse events happening in the 30-day postoperative period in 112,922 TKA patients of whom 642 were outpatients and the rest inpatients to find any significant differences between the two groups.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Journal of Arthroplasty

Virtual fracture clinic management of fifth metatarsal, including Jones’ fractures is safe and cost-effective

Source:  Injury 2017, February 12 [epub]

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Date of publication:  February 2017

Publication type:  Journal article

In a nutshell:   Looks at the safety and cost-effectiveness of virtual clinics in patients with fifth metatarsal fractures and how acceptable they are to patients.

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Injury

How prevalent are hazardous attitudes among orthopaedic surgeons?

Source:  Clinical Orthopaedics & Related Research 2015, 473(5), 1582-89

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Date of publication:  May 2015

Publication type:  Journal article

In a nutshell:  Authors surveyed a cohort of orthopaedic surgeons to determine the prevalence of hazardous attitudes and whether these attitudes impacted on patient safety.

Length of publication:  8 pages

Some important notes:  You will need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  CORR

Robotic surgery in trauma and orthopaedics

Source:  Bone & Joint Journal 2015, 97(3), 292-299

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Date of publication:  March 2015

Publication type:  Journal article

In a nutshell:  Reviews the literature on the use of robotics in surgery of all the joints, including lower limb.  Concludes that more longer-term follow up studies are needed and the implications on training time and methods needed to be further investigated.

Length of publication:  8 pages

Some important notes:  You may need an NHS OpenAthens username and password to access this article.  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Bone & Joint Journal

11th National Joint Registry (NJR) report

Source:  National Joint Registry

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Date of publication:  September 2014

Publication type:  Report

In a nutshell:  The report reviews the quality and outcomes of hip, knee, ankle, elbow and shoulder joint replacements.  This year’s report highlights the increasing number of replacements whilst the numbers dying following surgery has been halved and the revision risk within 10 years, for most patients, is less than 5%

 Length of publication:  135 pages

Some important notes:  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Medical News Today

National Hip Fracture Database (NHFD) 2014 annual reports

Source:  National Hip Fracture Database

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Date of publication:  September 2014

Publication type:  Report

In a nutshell:  The report shows that improvements in care mean that more patients are surviving after hip fracture. In 2013 the average 30 day mortality was 8.05%; this is an improvement on the previous figure of 8.1%.  This translates as over 300 fewer people died within 30 days of hip fracture than in the previous year.  

Length of publication:  1 webpage with links to 4 related reports

Some important notes:  Please contact your local NHS library if you cannot access the full text.  Follow this link to find your local NHS library.

Acknowledgement:  Medical News Today