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Reinier Feitz Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Yara E. van Kooij Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Marloes H. P. ter Stege Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Mark J. W. van der Oest Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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J. Sebastiaan Souer Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands

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Robbert M. Wouters Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Harm P. Slijper Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Ruud W. Selles Department of Plastic, Reconstructive, and Hand Surgery, Rotterdam, The Netherlands
Department of Rehabilitation Medicine, Rotterdam, The Netherlands

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Steven E. R. Hovius Hand and Wrist Center, Xpert Clinics, Amsterdam, The Netherlands
Radboud University Medical Center, Radboud Institute for Health Sciences, Department of Plastic, Reconstructive and Hand Surgery, Nijmegen, The Netherlands

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Hand–Wrist Study Group RAM Blomme, BJR Sluijter, DJJC van der Avoort, A Kroeze, J Smit, J Debeij, ET Walbeehm, GM van Couwelaar, Guus M Vermeulen, JP de Schipper, JFM Temming, JH van Uchelen, HL de Boer, KP de Haas, K Harmsen, OT Zöphel, R Koch, TM Moojen, X Smit, GJ Halbesma, R van Huis, PY Pennehouat, K Schoneveld, YE van Kooij, RM Wouters, JJ Veltkamp, A Fink, WA de Ridder, J Tsehaie, R Poelstra, MC Janssen, PO Sun, VJMM Schrier, L Hoogendam, JS Teunissen, Jak Dekker, M Jansen-Landheer

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for improving outcomes: 3 ‘Without such a feedback loop, providers lack the requisite information for learning and improving’. We sought precise moments in the regular delivery of care to insert user-friendly feedback loops for patients, surgeons

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Marianne Arner Department of Clinical Science and Education, Karolinska Institutet and Department of Hand surgery Södersjukhuset, Stockholm, Sweden

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emphasised that the primary focus for an NQR is to improve health care, since many surgeons tend to focus primarily on research. The main concept for quality registries is that registered data should be used as directly as possible in the care of patients, e

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Jacobien H.F. Oosterhoff Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, the Netherlands
Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

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Job N. Doornberg Department of Orthopaedic Surgery, Amsterdam UMC, University of Amsterdam, the Netherlands
Department of Orthopaedic & Trauma Surgery, Flinders Medical Centre, Flinders University, Adelaide, SA, Australia

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Machine Learning Consortium Members of the Machine Learning Consortium: Paul Algra, Michel van den Bekerom, Mohit Bhandari, Michiel Bongers, Charles Court-Brown, Anne-Eva Bulstra, Geert Buijze, Sofia Bzovsky, Neil Chen, Job Doornberg, Andrew Duckworth, J. Carel Goslings, Benjamin Gravesteijn, Olivier Groot, Gordon Guyatt, Laurent Hendrickx, Dirk-Jan Hofstee, Frank IJpma, Ruurd Jaarsma, Stein Janssen, Paul Jutte, Aditya Karhade, Lucien Keijser, Gino Kerkhoffs, David Langerhuizen, Jonathan Lans, Wouter Mallee, Matthew Moran, Margaret McQueen, Marjolein Mulders, Miryam Obdeijn, Tarandeep Oberai, Jacobien H.F. Oosterhoff, Rudolf Poolman, David Ring, Paul Tornetta III, Joseph Schwab, Emil H. Schemitsch, Niels Schep, Inger Schipper, Bram Schoolmeesters, Marc Swiontkowski, David Sanders, Sheila Sprague, Ewout Steyerberg, Stephen D. Walter, Monique Walenkamp

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feedback loop to improve performance. We envision the plateau of productivity of the hype cycle as follows: AI-derived applications will facilitate data-driven personalized care for our patients, limiting surgeons’ bias, and empower shared decision

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Geke A. W. Denissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Liza N. van Steenbergen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Wouter T. Lollinga Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands

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Nico J. J. Verdonschot Dept. of Biomechanics, Radboud University Medical Center, Nijmegen, The Netherlands
Department of Biomechanical Engineering, University of Twente, Enschede, The Netherlands

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Berend W. Schreurs Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
Dept. of Orthopaedics, Radboud University Medical Center, Nijmegen, The Netherlands

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Rob G. H. H. Nelissen Landelijke Registratie Orthopedische Implantaten (Dutch Arthroplasty Register), ’s Hertogenbosch, The Netherlands
Dept. of Orthopaedics, Leiden University Medical Center, Leiden, The Netherlands

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the registration can detect these misclassified procedures and provide a means to improve data quality within a feedback quality control loop. Registration of product number and batch number creates unique data registration and thus data quality. In

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