Mismatch 'never events' in hip and knee arthroplasty: a cohort and intervention study

The Bone & Joint Journal
Anders OdgaardS Overgaard

Abstract

The aim of this study was to give estimates of the incidence of component incompatibility in hip and knee arthroplasty and to test the effect of an online, real-time compatibility check. Intraoperative barcode registration of arthroplasty implants was introduced in Denmark in 2013. We developed a compatibility database and, from May 2017, real-time compatibility checking was implemented and became part of the registration. We defined four classes of component incompatibility: A-I, A-II, B-I, and B-II, depending on an assessment of the level of risk to the patient (A/B), and on whether incompatibility was knowingly accepted (I/II). A total of 26 524 arthroplasties were analyzed. From 12 307 procedures that were undertaken before implementation of the compatibility check, 21 class A incompatibilities were identified (real- or high-risk combinations; 0.17%; 95% confidence interval (CI) 0.11 to 0.26). From 5692 hip and 6615 knee procedures prior to implementation of the compatibility check, we found rates of class A-I incompatibility (real- or high-risk combinations unknowingly inserted) of 0.14% (95% CI 0.06 to 0.28) and 0.17% (95% CI 0.08 to 0.30), respectively. From 14 217 procedures after the introduction of compatibility check...Continue Reading

References

Apr 1, 1989·Acta Orthopaedica Scandinavica·P LjungU Rydholm
Jan 1, 1986·The Journal of Arthroplasty·G A HanksJ A Cardea
May 15, 2013·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Susan Paparella
Jul 19, 2013·Psychological Science·Trafton DrewJeremy M Wolfe
Apr 15, 2014·The Journal of Arthroplasty·Robert K WhittakerAlister J Hart
Feb 14, 2015·Annals of the New York Academy of Sciences·Claus BundesenThomas Habekost
Jun 23, 2015·Journal of Experimental Psychology. Human Perception and Performance·Jason RajsicJay Pratt
Oct 24, 2015·Annals of the Royal College of Surgeons of England·W D HarrisonG Cheung
Dec 23, 2016·Healthcare : the Journal of Delivery Science and Innovation·Benjamin G ThomassonErin Pukenas
Jan 7, 2017·The Quarterly Journal of Experimental Psychology : QJEP·Jason RajsicJay Pratt
Apr 1, 2017·World Journal of Orthopedics·Alessandro CalistriKoen Aimè De Smet
Jul 14, 2018·Mayo Clinic Proceedings·Daniel S TawfikTait D Shanafelt

❮ Previous
Next ❯

Citations

Jun 27, 2020·Journal of Patient Safety·David L B Schwappach, Yvonne Pfeiffer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.