Treatment of Hip and Knee Periprosthetic Joint Infection Requires Extensive Administrative Work.

Background: Treatment of periprosthetic joint infections (PJIs) typically requires more resource utilization than primary total joint arthroplasty. This study quantifies the amount of time spent in the electronic medical record (EMR) for patients who have PJI requiring surgical intervention.

Methods: A retrospective analysis of EMR activity for 165 hip and knee PJIs was performed to capture work during the preoperative and postoperative time periods.

Extensive Preoperative Work Is Required for Revision Hip and Knee Arthroplasty.

Background: Determining the clinical effort associated with preparing for revision total hip and knee arthroplasty is necessary to maintain the appropriate work relative value unit rating. We have investigated the work done by the orthopedic surgical team in the days and weeks prior to revision hip and knee arthroplasty using a count of time by team members in the electronic medical record (EMR).

Methods: EMR audit logs were generated, and preoperative work (POW) was calculated for members of the surgical team for 200 sequential revision cases.

Electronic Medical Record Audit Time Logs as a Measure of Preoperative Work Before Total Joint Arthroplasty.

Background: In order to achieve rapid recovery total joint arthroplasty, surgeons and their teams are spending more time in the weeks before surgery to prepare patients. This study aims to quantify total knee and hip prearthroplasty work using retrospective electronic medical record (EMR) activity audit log analysis.

Methods: EMR activity in 100 elective knee and 100 elective hip arthroplasty cases was performed using audit logs.