Carlson Bayard C, Milbrandt Todd A, Larson A Noelle
Department of Orthopedic Surgery, Mayo Clinic Rochester, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Department of Orthopedic Surgery, Mayo Clinic Rochester, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Orthop Clin North Am. 2018 Oct;49(4):491-501. doi: 10.1016/j.ocl.2018.05.007. Epub 2018 Jul 23.
The article addresses patient safety topics in spine surgery, including infection, length of stay, instrumentation strategies, pedicle screw malposition, radiation exposure, and neurologic events. Quality, safety, and value are concepts that are practical, easy to understand, and can be implemented on any scale and may be matched to individual practices. Further, with quality improvement, there is a culture shift to openly share information, protocols, and strategies so that more patients can rapidly benefit.
本文探讨了脊柱手术中的患者安全问题，包括感染、住院时间、器械策略、椎弓根螺钉位置不当、辐射暴露和神经事件。质量、安全和价值是切实可行、易于理解的概念，可以在任何规模上实施，并且可以与个体医疗实践相匹配。此外，随着质量改进，会出现一种文化转变，即公开分享信息、方案和策略，以便更多患者能够迅速受益。
