NQMC Update Service: August 4, 2014 ▲ American Association of Hip and Knee Surgeons

NQMC Update Service: August 4, 2014

American Association of Hip and Knee Surgeons

• Total knee replacement: percentage of patients undergoing a total knee replacement who are evaluated for the presence or absence of cardiovascular risk factors within 30 days prior to the procedure including history of DVT, PE, MI, arrhythmia, and stroke.

• Total knee replacement: percentage of patients undergoing a total knee replacement who had a history completed within one year prior to the procedure that included all of the following: onset and duration of symptoms, location and severity of pain, activity limitations.

• Total knee replacement: percentage of patients undergoing a total knee replacement who had a physical examination completed within one year prior to the procedure that included all of the following: gait, knee range of motion, presence or absence of deformity of the knee, stability of the knee, neurologic status, vascular status, skin, height, and weight.

• Total knee replacement: percentage of patients undergoing a total knee replacement who had the prophylactic antibiotic completely infused prior to the inflation of the proximal tourniquet.

• Total knee replacement: percentage of patients undergoing a total knee replacement with documented shared decision-making including discussion of conservative therapy prior to the procedure.

• Total knee replacement: percentage of patients undergoing a total knee replacement with radiographic evidence of arthritis within one year prior to the procedure.

• Total knee replacement: percentage of patients undergoing total knee replacement whose operative report identifies the prosthetic implant specifications including the prosthetic implant manufacturer, the brand name of the prosthetic implant, and the size of the prosthetic implant.