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Related Experiment Video

Updated: Aug 15, 2025

Micro-Computed Tomography Analysis of the Knee in Aged Dunkin-Hartley Guinea Pigs after Intra Articular Injection

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Quality Improvement of a Hip Injection Service.

Haris Duvnjak¹, Mohannad B Ammori²

¹Otolaryngology, Wrexham Maelor Hospital, Wrexham, GBR.

|January 5, 2023

Summary

Standardized proformas improved hip osteoarthritis injection efficiency. This quality improvement project reduced patient wait times, increasing the number of patients treated per list.

Keywords:

hip intra-articular injection osteoarthritis (oa)quality improvement research time-to-treatment

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Last Updated: Aug 15, 2025

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Novel Diagnostics in Revision Arthroplasty: Implant Sonication and Multiplex Polymerase Chain Reaction

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Published on: December 3, 2017

Area of Science:

Orthopedics
Quality Improvement Science

Background:

Osteoarthritis poses a significant burden on public health and healthcare systems.
Intra-articular steroid injections are an effective conservative treatment for osteoarthritis.
Delays in treatment, specifically hip injections, exceed the National Health Service (NHS) 18-week target.

Purpose of the Study:

To enhance the efficiency and capacity of intra-articular hip steroid injection lists.
To reduce patient wait times from referral to treatment (RTT).

Main Methods:

Retrospective data collection of injection sites and waiting times (January-April 2019).
Introduction of standardized proformas for documentation and discharge summaries.
Comparison of appointment times pre- and post-intervention to increase patient throughput.

Main Results:

26% of 138 patients faced delays exceeding 18 weeks.
Mean wait time was 14 weeks (SD 6).
Mean appointment duration decreased from 12 min 36 sec to 8 min 36 sec post-intervention.

Conclusions:

Standardized proformas significantly improved efficiency by reducing documentation time.
The intervention increased capacity, allowing more patients to be treated per injection list.
This quality improvement initiative addresses NHS targets for timely patient care.