Rothman Institute Manual of Total Joint Arthroplasty: Protocol-Based Care Javad Parvizi, William J. Hozack, Peter F. Sharkey, Gregory K. Deirmengian
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fm1Rothman Institute Manual of Total Joint Arthroplasty Protocol-Based Carefm2
fm3Rothman Institute Manual of Total Joint Arthroplasty Protocol-Based Care
Editor Javad Parvizi MD FRCS Professor Department of Orthopedic Surgery Rothman Institute Thomas Jefferson University Philadelphia, Pennsylvania, USA Co-editors William J. Hozack MD Professor Department of Orthopedic Surgery Rothman Institute Thomas Jefferson University Philadelphia, Pennsylvania, USA Peter F. Sharkey MD Professor Department of Orthopedics Riddle Memorial Hospital Media, Pennsylvania, USA Gregory K. Deirmengian MD Associate Professor Department of Orthopedic Surgery Sydney Kimmel Medical College Thomas Jefferson University Philadelphia, Pennsylvania, USA
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Rothman Institute Manual of Total Joint Arthroplasty: Protocol-Based Care
First Edition: 2017
9789386261052
Printed at:
fm5Dedication
Life brings us in contact with many. There are those we will remember forever. I dedicate this to those who have made an indelible mark in my life.
Javad Parvizi
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fm7Section Editors fm9Contributors fm15Preface
Orthopedic surgery and the delivery of care to patients have entered a new era. The financial pressure on the healthcare has compelled us to examine the cost-effectiveness of our practices and care protocols. The easy access to information on the Internet has generated well-read and fairly informed patients. The various grading systems for the doctors and the hospitals, together with the satisfaction scores from patients have all led to a rush to change the manner in which we deliver care. The recent changes in healthcare reimbursements and introduction of “bundling” in the US have further compelled the medical community to seek strategies that will allow delivery of high quality and cost-effective care.
At our institution, we have been a believer in protocol-based care that allows efficient and cost-effective care. If these protocols are based on evidence, they provide further improvements in patient outcomes and serve to reduce cost. I am proud to present to you this book that summarizes many, if not all, the protocols that we have implemented at the Rothman Institute. The impetus behind writing this book is the numerous inquiries from colleagues and friends who have reached out to us asking for our protocols in various areas. We hope that having all of the institutional protocols will help our colleagues in the field to deliver greater care to their patients without having to reinvent the wheel. We realize that orthopedics is a fluid science, and many of these protocols will change in the future, if not changed by the time this book is printed. We will strive to keep the readers of this book informed of those changes by printing supplemental material in the future.
Javad Parvizifm16
fm17Acknowledgments
The completion of this book would not be possible without the immense help of many whose names do not appear in the author list. We would like to thank Katherine Huff and Krystal Golankiewicz for proofreading the chapters. Special thanks to the nurses and other residents on the orthopedic service who provided insight to the authors during the preparation of the chapters to ensure that the protocols were accurately presented.