Key result
An audit of 500 hip fracture admissions in Australia identified long emergency department door-to-operating theatre times and a high re-operation rate compared to Scottish benchmarks.
Observational (n=500)
No
Auditing hip fracture management against international benchmarks identified areas for quality improvement, specifically regarding surgical delays and re-operation rates.
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Local audits detect hip fracture care delays; leaves open whether targeted fixes improve 4-month outcomes.
The aim of this study was to audit our management of hip fracture and to compare the results with the Scottish Hip Fracture Audits of both 2004 and 2006. We present data utilising a subset of the SAHFE proforma on 500 consecutive admissions to Redcliffe Hospital with a fractured hip, a review of progress at four months post-operatively and a comparison of outcomes in orthopaedic units in Scottish hospitals. We outline how the audit helped us to detect long emergency department door-to-operating theatre times plus a high re-operation rate and subsequently identify the steps required to improve the quality of care and clinical governance of patients sustaining a hip fracture.
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Stride et al. (2007) conducted an observational in Fractured hip (n=500). Hip fracture management vs. Scottish Hip Fracture Audits (2004 and 2006) was evaluated on Emergency department door-to-operating theatre times and re-operation rate. An audit of 500 hip fracture admissions in Australia identified long emergency department door-to-operating theatre times and a high re-operation rate compared to Scottish benchmarks.
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