Study: Standardize Processes to Increase Total Joint Arthroplasty Patient Volume

While hospital procedure volumes are correlated with patient outcomes in total joint arthroplasty, process standardization is also strongly associated with improved quality of care, according to an article published in The Journal of Bone and Joint Surgery.

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An analysis of 182,146 patients who underwent total joint arthroplasty was performed. Adherence to evidence-based processes of care was defined by the administration of perioperative antibiotic prophylaxis, beta-blockade and venous thromboembolism prophylaxis.

Researchers found that a higher patient volume for surgeons was associated with lower risks of complications, lower rates of readmission, shorter length of stay and higher likelihood of being discharged home. Higher patient volume in hospitals was also associated with lower risk of mortality, lower risk of readmission and likelihood to be discharged home.

The impact of process standardization was substantial in creating a high patient volume environment. Process standardization could help providers optimize quality and efficiency in total joint arthroplasty.

Read the abstract for “The Influence of Procedure Volumes and Standardization of Care on Quality and Efficiency in Total Joint Replacement Surgery.”

Read other coverage on total joint replacement:

– University of Massachusetts Medical School Receives $12M for Total Joint Replacement Research

– Dr. Mark McFarland: The Future of Total Joint Replacement as an Outpatient Procedure

– Carolinas Medical Center-Mercy Receives Total Hip and Knee Replacement Certification

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