Related Experiment Video
Updated: Oct 18, 2025
Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction
Published on: December 3, 2017
Quality Improvement Tools in Total Joint Arthroplasty: A Systematic Review
Henry V Bonner1, James R Jones1, Alexandra M Arguello1
1Department of Orthopaedic Surgery, University of Alabama at Birmingham Hospital, Birmingham, Alabama.
Quality improvement tools like Lean and clinical care pathways effectively reduce length of stay and costs in total joint arthroplasty. These methods also enhance medication management and patient education for better surgical outcomes.
Area of Science:
- Orthopaedic Surgery
- Healthcare Quality Improvement
- Arthroplasty Research
Background:
- Quality improvement (QI) is crucial in orthopaedic surgery.
- Identifying effective QI tools for total joint arthroplasty is essential.
Purpose of the Study:
- To systematically review QI principles used in total joint arthroplasty.
- To determine the most successful QI tools for improving specific outcomes.
Main Methods:
- Systematic literature search (MEDLINE/Pubmed, Embase, Cochrane) from 1991-2018.
- Inclusion of 34 eligible studies on joint arthroplasty.
- Recording of primary improved outcomes, date, author, and subspecialty.
Main Results:
- Commonly improved outcomes include length of stay (LOS), cost, medication management, and patient education.
- Lean, clinical care pathways (CCP), plan-do-check-act (PDCA), and shared decision-making were identified as effective QI tools.
- Specific QI tools consistently improved LOS, cost, medication management, and patient education.
Conclusions:
- Certain QI tools demonstrate consistent success in improving key metrics in total joint arthroplasty.
- Further research is needed to establish a comprehensive QI framework for orthopaedic surgery.
More Related Videos
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
07:33In Vitro Application of a Wireless Sensor in Flexion-Extension Gap Balance of Unicompartmental Knee Arthroplasty
Published on: May 5, 2023