Clinical updates, teaching notes, and editorial context.
A compact update layer for evidence shifts, practical clinical learning, and changes to the reference library. Articles are organised for fast scanning before deeper study.
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- 20 Aug 2026
Evidence notes and learning essays
Subspecialty and learning themes
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Systems
Article archive
7 articles in systems
Run Charts and SPC for Surgeons
Two bars cannot tell you whether anything changed. Run charts and control charts distinguish real signal from ordinary noise — and stop you reacting to variation that means nothing.
OrthoVellum
quality improvement / statistics
Root Cause Analysis After a Serious Incident
There is rarely a single root cause, and England has now moved away from mandating RCA altogether. What replaced it, how systems analysis actually works, and why hindsight bias ruins most investigations.
OrthoVellum
patient safety / human factors
Running an M&M Meeting That Changes Something
Most morbidity and mortality meetings are a list of cases followed by a shrug. The ones that work share a structure, a classification, and an actions register that gets read out first.
OrthoVellum
clinical governance / patient safety
PDSA Cycles That Actually Finish
Most surgical improvement projects die between the first measurement and the second. The reasons are predictable — and so are the fixes.
OrthoVellum
quality improvement / audit
What Clinical Governance Actually Is
Clinical governance is not a committee or a mandatory training module. It is the accountability framework that connects audit, incidents, guidelines and appraisal — and knowing how it fits together makes all of them less painful.
OrthoVellum
clinical governance / quality improvement
FeaturedThe Second Fracture Can Be Prevented: Bone Health and Secondary Prevention After Fragility Fracture
A practical Australian-focused guide to secondary fracture prevention after fragility fracture, including FRAX, fracture liaison services, anabolic-first thinking, and denosumab cessation pitfalls.
Orthovellum Team
fragility-fracture / secondary-prevention
The Orthogeriatric Model: Shared Care for Hip Fractures
Why the 'shared care' model has revolutionized hip fracture outcomes. A detailed look at the roles of orthopaedic surgeons and geriatricians in reducing mortality.
Orthovellum Team
geriatrics / systems