All aboard the quality train!

By John J. Callaghan, MD

As many of you know, I’ve identified “quality” as the focus of my AAOS presidency. I understand that every member of the AAOS believes that he or she delivers quality care to his or her patients. At the end of the day, however, I think most of us realize there is always room for improvement.

The perception that quality problems exist is widespread. Within orthopaedics, we must sort out which of these perceived problems are real—and how those real problems can be addressed (minimized or improved). The issues of wide variations in the use of healthcare services—such as the underuse of some services, overuse of other services, and misuse of services, including an unacceptable level of errors—are reflected in the following examples of perceived quality problems in healthcare delivery:

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