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Reducing mortality from hip fractures: a systematic quality improvement programme.

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  • 1Ashford & St. Peter's NHS Trust.

BMJ Quality Improvement Reports
|August 6, 2016
PubMed
Summary
This summary is machine-generated.

Implementing an orthogeriatrics team significantly improved hip fracture care. This led to better adherence to best practice tariffs and a notable reduction in patient mortality, positioning the hospital among national leaders.

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Area of Science:

  • Geriatric Medicine
  • Orthopaedic Surgery
  • Healthcare Management

Background:

  • Hip fractures are a major cause of mortality and morbidity in the elderly.
  • Optimal care requires a multidisciplinary approach, guided by best practice guidelines.
  • Initial performance metrics indicated suboptimal hip fracture care delivery.

Purpose of the Study:

  • To evaluate the impact of an orthogeriatrics team on hip fracture care quality.
  • To assess improvements in adherence to best practice tariffs and patient mortality rates.

Main Methods:

  • Implementation of an orthogeriatrics team at Ashford & St Peter's NHS Trust (SPH) in 2010.
  • System redesign, regular governance meetings, audits, and quality improvement initiatives.
  • Monitoring of key performance indicators including operative time and best practice tariff attainment.

Main Results:

  • Significant improvement in achieving the best practice tariff for hip fracture care.
  • Reduction in patient mortality from 7.8% to 5.3% by 2013.
  • National ranking among the top trusts for hip fracture care outcomes.

Conclusions:

  • An orthogeriatrics team model is effective in enhancing hip fracture patient care.
  • Systematic quality improvement efforts can lead to substantial reductions in mortality.
  • Achieving best practice tariffs correlates with improved patient outcomes and reduced mortality.