Orthopedics

A broken bone can heal, but the wound a word opens can fester forever - Jessamyn West

Orthopedics

image by: Midwest Orthopaedics at Rush
     

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What We Owe our Patients—Continuous Improvement


It has been said that a surgeon’s skill and judgment account for between 80% and 90% of a patient’s outcome. (I believe this is true for both surgical and nonsurgical treatments.) Throw in a physician’s ability to listen and clearly communicate with patients, and I am sure we are approaching that 90% mark. That means that when we conduct randomized trials comparing two types of knee prostheses or fracture-fixation constructs, we are, in essence, scrutinizing only about 10% of the patient-outcome equation.

So how do we best evaluate the 90% of the outcome equation that is physician-dependent? With the advent of “bundled” episodes of care, the orthopaedic community has emphasized…

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Last Updated : Thursday, July 2, 2020