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C Warner

Publications and source records attributed to C Warner.

46 records · Page 3Linked to original sources

The use of the orthopaedic perioperative autotransfusion (OrthoPAT) system in total joint replacement surgery.

Management of blood loss in orthopaedic surgery has evolved over the years. New approaches to making blood safer for patients has involved the use of preoperative autologous donation, the use of epoetin alfa administered preoperatively, intraoperative salvage, and perioperative salvage and infusion devices. A new alternative to salvage and infusion devices is the OrthoPAT. This article is meant to introduce the device to the orthopaedic nurse who works in the OR, PACU, and orthopaedic or medical-surgical unit, and who cares for orthopaedic patients who experience significant blood loss in total joint replacement surgery.

Arthroplasty, Replacement↗

Using patient reports to measure health care system performance.

We developed a self-administered patient questionnaire that asks for data concerning the time to receive services (access to care), communication between providers (coordination of care), and follow up after tests and treatment (continuity of care). From these data, we construct rates of performance about the clinical management systems that support provision of these services. Rates of system performance are calculated for indicators using patients' responses to survey questions. These indicators add the number of patients reporting a problem of those patients who have encountered a particular clinical management system. Information derived from 3000 patient questionnaires is matched with data abstracted from health care medical records. The sensitivity and specificity of patient reports are being evaluated for all indicators classified as gold standards for medical records. Indicators considered gold standard items for patient reports are matched for agreement with any information contained in the medical record. Also, patient characteristics associated with accurate reporting is to be assessed using multivariate logistic regression models.

Algorithms↗