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Improving follow-up after fragility fractures: an evidence-based initiative
1Elite Sports Medicine and University of Connecticut, Farmington, USA.
Background:
Patients with fragility fractures are at risk for recurrent fractures and are at risk for inadequate follow up. Prevention of future fractures through appropriate follow-up can decrease annual healthcare expenditures and patient morbidity and mortality.
Purpose:
The purpose of this quality improvement project was to delineate an evidence-based practice initiative at a university health center to improve patient follow-up care after fragility fractures.
Methods:
A review of the literature revealed significant evidence calling for notification of the patients' primary care provider, ordering a bone density scan within 3 months, and a referral to osteoporosis. A plan for improving patient outcomes was developed utilizing the iowa Model of Evidence-Based Practice to Promote Quality Care. The evidence-based initiative was implemented, and the outcomes were assessed.
Outcome:
The results were that 100% of patients received adequate follow-up after fragility fractures.
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01:27Fractures: Bone Repair
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:26Flail Chest-II
Assessment:
1. Clinical Evaluation:
History: