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Updated: Jan 23, 2026

Individualized Stem-positioning in Calcar-guided Short-stem Total Hip Arthroplasty
Published on: February 27, 2018
Improving the Patient Experience Following Total Knee and Total Hip Arthroplasty: A Practice Development Project
Gwen Burley1, Lizbeth Torres, Jessica Heligman
1Doctors Hospital, Coral Gables, Florida.
Background:
The paradigm shift that has occurred for patients with total hip (THA) and knee (TKA) arthroplasty through enhanced recovery programs underscores the need for redesigning care provision.
Local Problem:
In this hospital, the patient outcomes and experience anticipated from the implementation of enhanced recovery medical protocols were not fully realized.
Methods:
The Practice Development in Nursing and Healthcare model guided this project.
Interventions:
A nurse-led team designed a new care delivery model with patient/family-centered interventions based on the best evidence.
Results:
Outcomes included an increase in discharges of postoperative day 1 or less of 154% THA and 41.8% TKA and an increase in discharge to home by 24.6% THA and 18.7% TKA. In addition, 90-day readmissions were reduced for both patient groups.
Conclusions:
An interprofessional team of clinicians made sustainable improvements in the experience and outcomes for the surgical patients with THA and TKA.
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