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Related Experiment Videos

Case study. Fractured ankle.

B J Plociak1, A Lato, M Palumbo

  • 1Rhode Island Hospital, Providence, USA.

Orthopedic Nursing
|October 29, 2000
PubMed
Summary
This summary is machine-generated.

A new clinical pathway for fractured ankle patients needing surgery aims to reduce hospital stays. This quality improvement initiative focuses on optimizing care for patients whose open reduction and internal fixation can be deferred.

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Area of Science:

  • Orthopaedic Surgery
  • Clinical Quality Improvement
  • Emergency Medicine

Background:

  • Fractured ankle management in emergency departments requires optimized care pathways.
  • Delayed surgical intervention is sometimes necessary for specific patient cases.
  • Multidisciplinary collaboration is key to improving patient outcomes and resource utilization.

Observation:

  • A Clinical Quality Improvement (CQI) Team developed a "Fractured Ankle Critical Path" for patients requiring open reduction and internal fixation.
  • This pathway specifically addresses patients whose surgery may be deferred by an orthopaedic surgeon.
  • The team comprised orthopaedic trauma surgeons, emergency physicians, case managers, and home care representatives.

Findings:

  • The critical path integrates a Home Care referral procedure.

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  • It includes a standardized "R.I. Hospital Fracture and Orthopaedic Information Sheet".
  • A "Fractured Ankle Home Care Protocol" is a core component of the pathway.

    • Implications:

    • Implementation of the Fractured Ankle Critical Path aims to decrease patient length of stay.
    • The initiative seeks to maintain or improve positive patient outcomes.
    • This approach offers a model for enhancing care efficiency in managing complex fractures.