The Experience in Exeter with. hip fracture care. Data For Change
|
|
|
- Barnaby May
- 5 years ago
- Views:
Transcription
1 The Experience in Exeter with hip fracture care Data For Change John Charity Associate Specialist in T&O, Lead NHFD Clinician, Royal Devon and Exeter NHS Foundation Trust Respond Deliver & Enable
2 People are saying, Big Data is the new oil. Gary Wolf
3 Background Hip fractures in Exeter -types & numbers 550 patients / year 34 Intracapsular (undisplaced) 6% 36 Subtrochanteric 7% 194 Intertrochanteric 35% 52% 288 Intracapsular(displaced)
4 Aims NICE Guideline on Hip Fractures CG 124 National Hip Fracture Database (NHFD) and the positive impact to our service: 30-day mortality, Time to surgery, LoS Effect of a multidisciplinary approach
5 NICE CG 124 -Key priorities 1. Timing of surgery On the day of, or the day after, admission 2. Planning Schedule hip procedure on a planned theatre list 3. Surgery Cemented arthroplasty for displaced intracapsular Sliding hip screw for simple intertrochanteric
6 4. Mobilisation Starting on day aftersurgery, at least once a day 5. Multidisciplinary protocol Orthogeriatric-led team Rapid return to pre-fracture status & place of residence Falls prevention, cognitive & bone health assessments 6. Early supported discharge Once medically stable & mobilising short distances
7 3. Surgical procedures Displaced intracapsular fractures Cemented arthroplasty hemiarthroplasty (84%) or total hip replacement (16%) Use a proven femoral stem design (Exeter Trauma Stem - ETS)
8 Proven Stem Design?
9 Exeter Trauma Stem Based on the Exeter stem: familiarity Proven durable stem fixation Technically straightforward Low cost (1/3 price of Exeter stem) Ease of revision to THR
10 Exeter Trauma Stem: Results Australia: Cumulative % revision 5 yrs (Favorable)
11 3. Surgical procedures Hemi or THR? For displaced intracapsular fractures offer THR if: walking independently out of doors and cognitively intact and medically fit for anaesthesia 2010 in Exeter: ~15% 2013: 30%
12 The National Hip Fracture Database Web-based audit of hip fracture care England, Wales, N. Ireland, Isle of Man & Channel Islands BOA BGS
13 184 eligible hospitals 95% of total cases recorded >60,000 cases / year >300,000 recorded since 2007 Largest national hip fracture audit in the world 6 standards: prompt admission early surgery pressure ulcers orthogeriatric input bone health falls assessment All hospitals in rank order
14 Best Practice Tariff Dept of Health initiative rewarding the achievement of specified standards with 1350 uplift: Age > 60 years Time to theatre < 36 hours Joint care between Orthopaedics and Geriatrics Assessment using agreed protocol Seen peri-operatively by Geriatrician Post op Geriatrician led: Rehabilitation Bone health and falls prevention AMTS pre and post op
15 Orthogeriatric Service (2010) Joint care with geriatricians Multidisciplinary board round at 09:00 coordinating pathway of every patient Planning for discharge: arrangements start on day of admission assessment of patient needs on an individual basis Trauma nurse practitioner + healthcare assistant providing 7 day cover 2 additional rehabilitation therapists & 1 OT providing 7 day cover Consultant geriatrician patient reviews on Saturdays & Sundays Daily trauma list starting at 08:00 by designated surgeon Hip surgeon availability with 6 day cover for total hip replacements Multidisciplinary monthly meeting to review hip fracture admissions data
16 Auditing our patients journey Current projects Time of admission to orthopaedic ward Warfarin reversal Hip fracture consent form Start times in trauma theatre Efficiency of trauma evening lists Failure rate of cephalomedullary nails Impact of time to theater on length of stay Accuracy of coding and quality of discharge summaries 30-day readmissions for all causes
17 April March 2013
18
19 Mortality RDEFT
20 Mortality RDEFT 15% 10% 5% 30 Day Mortality 13% 5.7% 0%
21
22 Exeter Hip Fracture Service Last quarter 2012 vs.first quarter Q Q % > 36 hrs % lack of time % unfit for surgery
23 2010 report RDE = 15.5 days 2013 report RDE = 11.5 days
24 The Future Summary More ETS hip hemis More Exeter THRs Early Supported Discharge strategies Theatre time Reduced mortality Less delays to theatre Reduced length of stay Benefits of a multidisciplinary approach High quality care can be cost effective
Guidelines to standards. Orthogeriatrics How The UK Care For Fragility Fractures
Guidelines to standards Orthogeriatrics How The UK Care For Fragility Fractures Karen Hertz-SOTN Advanced Nurse Practitioner The NHFD Project - jointly led by BOA and BGS with the involvement of the RCN
SAFE HIP FRACTURES. Dr Karthik Kayan MD FRCP Consultant Physician and Orthogeriatrician Stockport NHS Foundation Trust
SAFE HIP FRACTURES Dr Karthik Kayan MD FRCP Consultant Physician and Orthogeriatrician Stockport NHS Foundation Trust Why hip fracture? Common in older adult (~84 years) UK current incidence : 70000 (Stockport
Introduction of Early Supported Discharge to Intermediate Care Pathway for Hip Fracture
Introduction of Early Supported Discharge to Intermediate Care Pathway for Hip Fracture Neil Pendleton, Mark Brown, Heather Spence Salford Royal NHS Hospital Introduction of Early Supported Discharge to
Hip Fracture from audit into action
Hip Fracture from audit into action Antony Johansen Orthogeriatrician Trauma Unit University Hospital of Wales, Cardiff National Hip Fracture Database Royal College of Physicians, London Global projections
The Peterborough experience over the years with hip fractures. Martyn Parker Peterborough UK
The Peterborough experience over the years with hip fractures Martyn Parker Peterborough UK PETERBOROUGH HIP FRACTURE PROJECT Avoid delays to surgery Minimally invasive surgery by experienced staff Unrestricted
Falls and Fragility Fracture Audit Programme
Falls and Fragility Fracture Audit Programme Update for Healthcare Conference 5 th November 2014 Dr Helen Wilson Member of FFFAP Executive Board Content The Falls and Fragility Fracture Audit Programme
Implementing a new Orthogeriatric model to improve patient care and outcomes Aiming for Excellence!
Implementing a new Orthogeriatric model to improve patient care and outcomes Aiming for Excellence! Introduction Hip fractures effect 70,000 people in UK Central challenge for UK Trauma services- 560 in
Rehabilitation - Reducing costs and hospital stay. Dr Elizabeth Aitken Consultant Physician
Rehabilitation - Reducing costs and hospital stay Dr Elizabeth Aitken Consultant Physician What factors affect outcome? Comorbidities Cardiac Respiratory Neurological Nutritional issues Diabetes Anaemia
National Hip Fracture Database North West Regional Meeting 13th March 2013 Planning patient care and achieving Best Practice Tariff
National Hip Fracture Database North West Regional Meeting 13th March 2013 Planning patient care and achieving Best Practice Tariff Dr John Tsang MB ChB, FRCP Consultant Orthogeriatrician Lead clinician
Hip Fracture (HFR) Measures Document
Hip Fracture (HFR) Measures Document HFR Version: 2 - covering patients discharged between 01/10/2017 and present. Programme Lead: Sam Doddridge Clinical Leads: Ms Phil Thorpe Dr John Tsang Number of Measures
How to make changes in the NHS
How to make changes in the NHS Keith Willett Prof of Orthopaedic Trauma Surgery University of Oxford prev. National Clinical Director for Trauma Care ATOCP Conference Oxford 2016 Medical Director for Acute
Mr Maulik J Gandhi (ST6 T&O) Mr Jan Herman Kuiper Ms Swati Bhasin Mr David J Ford Mr Alastair Marsh Mr Sohail Quraishi
The Dudley Grid: An evidence-based audit/research tool to investigate mortality risk following a displaced intracapsular hip fracture. How can it be applied in practice? Mr Maulik J Gandhi (ST6 T&O) Mr
Improving hip fracture care in Ireland: a preliminary report of the Irish Hip Fracture Database
Improving hip fracture care in Ireland: a preliminary report of the Irish Hip Fracture Database Item Type Article Authors Ellanti, Prasad;Cushen, Breda;Galbraith, Adam;Brent, Louise;Hurson, Conor;Ahern,
Our Experience as Mortality Outliers. Calderdale and Huddersfield NHS Foundation Trust Chris Ramsdale Sudhi Ankarath
Our Experience as Mortality Outliers Calderdale and Huddersfield NHS Foundation Trust Chris Ramsdale Sudhi Ankarath Where were we? 2 orthopaedic wards 61 beds Patients admitted wherever the empty bed was
CHARTER DAY 2018 THE VALUE OF THE IRISH HIP FRACTURE DATABASE IN ENHANCING PERFORMANCE OF TRAUMA AND ORTHOPAEDIC SERVICES
CHARTER DAY 2018 THE VALUE OF THE IRISH HIP FRACTURE DATABASE IN ENHANCING PERFORMANCE OF TRAUMA AND ORTHOPAEDIC SERVICES Mr Paddy Kenny Joint National Clinical Lead Programme in Trauma & Orthopaedic Surgery
Striving to improve hip fracture care
Striving to improve hip fracture care The UHL experience 2008-2015 Mr F. Condon, Consultant Orthopaedic Surgeon Ms Jude Ryan, Consultant Ortho-Geriatrician (Mat Leave) & A. Butler Orthopaedic CNS (Mat
Scottish Standards of Care for Hip Fracture Patients
Scottish Standards of Care for Hip Fracture Patients This document has been prepared in collaboration with Healthcare Improvement Scotland to align with the forthcoming updated Older People in Hospitals
Accompanied to walk Yes No Accompanied to walk Yes No Side of Fracture
Fracture Neck Of Femur / Fast Track Criteria: Admission where femoral neck fracture is the primary diagnosis Accident & Emergency Assessment (To be completed by A/E Nurse and/or A/E doctor) Patient label
My hip fracture care: 12 questions to ask A guide for patients, their families and carers
My hip fracture care: 12 questions to ask A guide for patients, their families and carers About this guide This guide is aimed at patients who have a hip fracture, and their families and carers. It explains
Management of Hip Fractures
Management of Hip Fractures in the Elderly Patient David A. Brown MD COL U.S. Army Ret. The Center for Orthopedics and Neurosurgery Optimizing Management of Hip Fractures in the Elderly Patient Optimizing
Fracture Database. National Report Better, safer care
Irish Hip Fracture Database National Report 2016 Better, safer care REPORT PREPARED BY Dr Emer Ahern IHFD Clinical Geriatric Lead Consultant Geriatrician, St Luke s General Hospital Kilkenny Dominika Batorova
Irish Hip Fracture Database National Report Better, safer care
Irish Hip Fracture Database National Report 2014 Better, safer care Irish Hip Fracture Database National Report 2014 Better, safer care Mr Conor Hurson Chair Irish Hip Fracture Database National Office
A & E Protocol: Suspected Neck of Femur # Patient sticker:
Proforma for Fractured Neck of Femur Audit: FAST TRACK 1 of 10 A & E Protocol: Suspected Neck of Femur # Date: / / Time of Arrival: Name of triage nurse: Time of triage : A& E member of staff: Resuscitate
78,000 hip fractures per year. 700,000 older people attend A&E due to a fall each year. Falls in the UK Overview and health care strategy
Falls in the UK Overview and health care strategy Sue Jackson Chartered Physiotherapist Orthopaedic / A&E extended scope practitioner Some statistics for the UK 30% aged >65 will fall per year 45% aged
What is the shared care model for the Hip fracture patient The Ortho-geriatric Model of Care at St Vincent s Public Hospital Our team and how we make
What is the shared care model for the Hip fracture patient The Ortho-geriatric Model of Care at St Vincent s Public Hospital Our team and how we make it work! Benefits of a Shared Care Model The Shared
The Pain of a Fractured Neck of Femur. Ms Fiona Nielsen- Project Lead
The Pain of a Fractured Neck of Femur - Project Lead Our health service 75,000 in-patients 165,000 out-patients 900 beds 6,200 staff 70,000 emergency attendances #NOF Presentations 2010-2011- 262 2011-2012-
Geriatric Hip Fractures: Pearls for the Hospitalist. Disclosures. Learning Objectives. Speakers Bureau-Synthes
Geriatric Hip Fractures: Pearls for the Hospitalist Jason W. Stoneback, MD Assistant Professor, Univ. of Colorado SOM Director, Orthopedic Trauma and Fracture Surgery Service Director, Orthopedic Inpatient
Prevention and treatment of falls, hip and non-hip fragility fractures in England. Where have we got to and where do we need to go?
Prevention and treatment of falls, hip and non-hip fragility fractures in England. Where have we got to and where do we need to go? David Oliver Bournemouth NHFD meeting 18 th April To Cover... I: The
The audit is managed by the Royal College of Psychiatrists in partnership with:
Background The National Audit of Dementia (NAD) care in general hospitals is commissioned by the Healthcare Quality Improvement Partnership on behalf of NHS England and the Welsh Government, as part of
FRAGILITY FRACTURE REGISTRY IN HONG KONG. Dr. WK NGAI COC (O&T), Hospital Authority
FRAGILITY FRACTURE REGISTRY IN HONG KONG Dr. WK NGAI COC (O&T), Hospital Authority Osteoporosis - Silent Epidemic Every year, 2 million fractures occur in USA that no accident, but signs of osteoporosis
2O18 ANNUAL REPORT SUPPLEMENTARY REPORT
2O18 ANNUAL REPORT SUPPLEMENTARY REPORT Enhancing Outcomes for Older People ABBREVIATIONS AND DEFINITIONS For the purposes of this report, the following interpretation of terms should be used. ACT Australian
FRiSCy Oxford Fracture Prevention Service
FRiSCy Oxford Fracture Prevention Service MK Javaid Lecturer in Metabolic Bone Disease, University of Oxford Hon Consultant Rheumatologist, Nuffield Orthopaedic Centre Lead Clinician for FRiSCy Declaration
CORAIL Hip System. Clinical Summary
CORAIL Hip System Clinical Summary 25-year ARTRO Results: A Special Vintage from the Old World Vidalain, J-P The CORAIL Hip System: A Pratical approach based on 25 years of experience. 2011; Chapter 4.2.1:94-101
NHFD Chester Feb 3 rd 2010
NHFD Chester Feb 3 rd 2010 Commissioning Toolkit for Falls & Fractures Finbarr C Martin Geriatrician, Guys and St Thomas, London Acting National Clinical Director, DH Co-chair NHFD Standard 6: Falls The
Clinical Care Team approach to management of key conditions
Clinical Care Team approach to management of key conditions BJD Ho Chi Minh City Nov 30, 2012 Kristina Åkesson, MD, PhD Dept of Orthopedics Malmö University Hospital Lund University Malmö, Sweden Multidisciplinary
Title. Lau, TW; Fang, CX; Leung, FKL. Geriatric Orthopaedic Surgery and Rehabilitation, 2013, v. 4 n. 1, p Citation.
Title The Effectiveness of a Geriatric Hip Fracture Clinical Pathway in Reducing Hospital and Rehabilitation Length of Stay and Improving Short-Term Mortality Rates Author(s) Lau, TW; Fang, CX; Leung,
Outcome Following Surgery for Proximal Femur Fractures in Centenarians
American Research Journal of Orthopedics and Traumatology (ARJOT), 7 Pages Research Article Outcome Following Surgery for Proximal Femur Fractures in Centenarians Donald Buchanan 1, Neil Shastri-Hurst
Joint replacement reviews conducted by physiotherapists Bernarda Cavka Advanced Practice Physiotherapist The Royal Melbourne Hospital
Joint replacement reviews conducted by physiotherapists Bernarda Cavka Advanced Practice Physiotherapist The Royal Melbourne Hospital 2014 The Quantum Leap The Royal Melbourne Hospital (RMH) One of two
The following pages are extracted from the system help pages and provides a little background to each dataset item.
1.00 Dataset Item Summary Notes FFN Hip Fracture Audit database Minimum Common Dataset (MCD MCD) Version 1.5 June 2014 The following pages are extracted from the system help pages and provides a little
National Hip Fracture Database National report 2013 Summary
National Hip Fracture Database National report 2013 Summary National Hip Fracture Database National report 2013 Prepared on behalf of the Clinical Effectiveness and Evaluation Unit at the Royal College
Komorbiditet og ortopædkirugi - erfaringer og viden. Benn Rønnow Duus, Ledende overlæge, Ortopædkirurgisk afdeling Bispebjerg Hospital
Komorbiditet og ortopædkirugi - erfaringer og viden Benn Rønnow Duus, Ledende overlæge, Ortopædkirurgisk afdeling Bispebjerg Hospital Kræft og komorbiditet alle skal have del i de gode resultater 1 Kræftens
Hip fracture. The management of hip fracture in adults. Issued: June 2011 last modified: March NICE clinical guideline 124
Hip fracture The management of hip fracture in adults Issued: June 2011 last modified: March 2014 NICE clinical guideline 124 guidance.nice.org.uk/cg124 NICE has accredited the process used by the Centre
Fragility Fracture Network - FFN
Fragility Fracture Network - FFN A Global Multidisciplinary Network to Improve Fragility Fracture Management and Prevention Ami Hommel RN, CNS, PhD, Associate Professor Lund University & Skane university
Page Proof 1 of 5. Fig. E1-A The INTERTAN nail was short or long.
Page 1 of 5 Fig. E1-A The INTERTAN nail was short or long. Fig. E1-B The sliding hip screw comes in different lengths, and is used with or without a trochanteric stabilizing plate. Page Proof 1 of 5 Page
National Services Scotland. Scottish Hip Fracture Audit
National Services Scotland Scottish Hip Fracture Audit Hip Fracture Care Pathway Report 217 NHS National Services Scotland/Crown Copyright 217 First published October 29 Brief extracts from this publication
Self-assessment checklist
Self-assessment checklist 1 1 All hospitals should have a fully staffed diabetes inpatient team, made up of the following 1 : consultant. Sufficient diabetes inpatient specialist nurses to run a daily
Hip Fracture and the Orthogeriatrician. Antony Johansen
Hip Fracture and the Orthogeriatrician Antony Johansen The geriatric orthopaedic unit Irvine and Devas. J Bone Joint Surgery 1963; 49-B:186-7 Management of the fractured neck of femur in the elderly female:
Prevention and Management of Hip Fracture in Older People
Scottish Intercollegiate Guidelines Network 56 Prevention and Management of Hip Fracture in Older People A national clinical guideline 1 Introduction 1 2 Prevention of hip fracture 4 3 Pre-hospital management
Introduction. Peripheral arterial disease. Hospital inpatient data - 5,498 FCE (2009/10), & 530 deaths in England alone
1 Introduction 2 Introduction Peripheral arterial disease Affects 20% adults in Europe and North America In the UK 500-1000/million PAD, 1-2% require amputation LLA 8-15% in people with diabetes with up
Femoral neck fractures Total hip replacement
Femoral neck fractures Total hip replacement Subcapital hip fractures The use of THR Historical data RCT outcomes 3 groups of patients Displaced subcapital fractures Which method is best? Arthroplasty
Recovering after a hip fracture: helping people understand physiotherapy in the NHS
Recovering after a hip fracture: helping people understand physiotherapy in the NHS Physiotherapy hip sprint audit report 2017 Published February 2018 In association with Commissioned by Physiotherapy
of the Bone and Joint Decade The Global Challenge of Fragility Fractures and the Role of Fragility fracture Network
of the Bone and Joint Decade The Global Challenge of Fragility Fractures and the Role of Fragility fracture Network The Fragility Fracture Network of the Bone and Joint Decade Mission: To promote globally
FULL TITLE OF PROJECT
FULL TITLE OF PROJECT Models of care for the delivery of secondary fracture prevention after hip fracture: a health service cost, clinical outcomes and cost-effectiveness study within the South Central
South East Coast Operational Delivery Network. Critical Care Rehabilitation
South East Coast Operational Delivery Networks Hosted by Medway Foundation Trust South East Coast Operational Delivery Network Background Critical Care Rehabilitation The optimisation of recovery from
Use Of A Long Femoral Stem In The Treatment Of Proximal Femoral Fractures: A Report Of Four Cases
ISPUB.COM The Internet Journal of Orthopedic Surgery Volume 5 Number 1 Use Of A Long Femoral Stem In The Treatment Of Proximal Femoral Fractures: A Report Of Four Cases C Yu, V Singh Citation C Yu, V Singh..
Audit of perioperative management of patients with fracture neck of femur
Audit of perioperative management of patients with fracture neck of femur *M Dissanayake 1, N Wijesuriya 2 Registrar in Anaesthesia 1, Consultant Anaesthetist 2, North Colombo Teaching Hospital, Ragama,
Falls and non-hip fragility fractures: The past decade and the way ahead..
Falls and non-hip fragility fractures: The past decade and the way ahead.. David Oliver Regional NHFD Meeting, London September 2011 I: Epidemiology of falls and fractures in England Falls Epidemiology
Fixing footcare in Sheffield: Improving the pathway
FOOTCARE CASE STUDY 1: FEBRUARY 2015 Fixing footcare in Sheffield: Improving the pathway SUMMARY The Sheffield Teaching Hospitals NHS Foundation Trust diabetes team transformed local footcare services
SCHEDULE 2 THE SERVICES
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. Service Commissioner Lead Provider Lead Period Date of Review B10/S/a DRAFT - Thoracic Surgery 12 months 1. Population Needs
Acute care for older people with frailty
Acute care for older people with frailty Professor Simon Conroy Clinical lead, Acute Frailty Network, England Geriatrician, University Hospitals of Leicester Worldview that will colour this talk Demography
Appendix E : Evidence table 9 Rehabilitation: Other Key Documents
Appendix E : Evidence table 9 Rehabilitation: Other Key Documents 1. Cameron et al. Geriatric rehabilitation following following fractures in older people: a systematic review. Health Technology Assessment
Aged Care and Health Services Research. A/Prof Kwang Lim Sep 2016
Aged Care and Health Services Research A/Prof Kwang Lim Sep 2016 Accumulating evidence 20% of health care interventions is based on hard evidence. Feasibility of doing randomised controlled trials on all
Raising Transparency of Pricing for Total Hip and Total Knee Replacements: A National Pilot on Value for Money for the NHS in Orthopaedic Procurement
11 th June 2015 Dear Colleague Raising Transparency of Pricing for Total Hip and Total Knee Replacements: A National Pilot on Value for Money for the NHS in Orthopaedic Procurement I write on behalf of
Audit of Care Pathways for Hip Fracture Patients in Scotland
December 212 to March 213 December 212 to March 213 A Report from the Musculoskeletal Audit on behalf of the Scottish Government The information in this report is intended to be used for improvement purposes.
Co-ordinating care through multidisciplinary working
Co-ordinating care through multidisciplinary working Shane O Hanlon Consultant, Elderly Care Medicine (Surgical Liaison & Oncogeriatrics) Kay Hargreaves Macmillan Occupational Therapist Case Mrs Jones
Title: From zero to comprehensive Fracture Liaison service (FLS) within existing resources
Best of Health Staff Awards 2010/11 Best of Health Awards 2013 Dr Abhaya Gupta Consultant Physician Hywel Dda Health Board Title: From zero to comprehensive Fracture Liaison service (FLS) within existing
AN AUDIT: THROMBOPROPHYLAXIS FOR TOTAL HIP REPLACEMENT PATIENTS AT NORTHWICK PARK AND CENTRAL MIDDLESEX HOSPITALS
The West London Medical Journal 2010 Vol 2 No 4 pp 19-24 AN AUDIT: THROMBOPROPHYLAXIS FOR TOTAL HIP REPLACEMENT PATIENTS AT NORTHWICK PARK AND CENTRAL MIDDLESEX HOSPITALS Soneji ND Agni NR Acharya MN Anjari
Hip Fractures. Anatomy. Causes. Symptoms
Hip Fractures A hip fracture is a break in the upper quarter of the femur (thigh) bone. The extent of the break depends on the forces that are involved. The type of surgery used to treat a hip fracture
Acute Care of Older Surgical Patients. Dr Shane O Hanlon Consultant Geriatrician St Vincent s University Hospital IHFM 8 th Nov 2017
Acute Care of Older Surgical Patients Dr Shane O Hanlon Consultant Geriatrician St Vincent s University Hospital IHFM 8 th Nov 2017 NCEPOD 2010 overall care % 50 45 40 35 30 25 20 15 10 5 0 Good practice
(i) This FAQ does not deal with clinical issues (eg What is the definition of a stroke unit? or
STROKE INTEGRATED PERFORMANCE MEASURE RETURN (IPMR) FREQUENTLY ASKED QUESTIONS (FAQ) Prepared by NHS North West, Lancashire & Cumbria Cardiac & Stroke Network, Cheshire and Merseyside Clinical Networks
National Institute for Health and Clinical Excellence. Clinical guideline: Hip Fracture PRE-PUBLICATION CHECK ERROR TABLE
National Institute for Health and Clinical Excellence Clinical guideline: Hip Fracture PRE-PUBLICATION CHECK ERROR TABLE Organisation Order number Section number in FULL guideline Page number ERROR REPORT
Surveillance of Surgical Site Infection Annual Report For procedures carried out from: January December 2009
Surveillance of Surgical Site Infection Annual Report For procedures carried out from: January 2003 - December 2009 Scottish Surveillance of Healthcare Associated Infection Programme (SSHAIP) Contents
Case Report Bilateral Neck of Femur Fractures in a Bilateral Below-Knee Amputee: A Unique Case
Case Reports in Orthopedics Volume 2016, Article ID 7083671, 4 pages http://dx.doi.org/10.1155/2016/7083671 Case Report Bilateral Neck of Femur Fractures in a Bilateral Below-Knee Amputee: A Unique Case
BGS Spring The Dementia and Delirium CQUIN
The Dementia and Delirium CQUIN Dr Louise Allan Clinical Senior Lecturer in Geriatric Medicine Institute of Neuroscience Newcastle University Outline Why should it have happened? Why did it happen? How
Providing NHS Healthcare in Care Homes: a geriatrician s experience
Margaret Butterworth Care Homes Forum KCL July 10 th 2013 Providing NHS Healthcare in Care Homes: a geriatrician s experience Professor Finbarr C Martin, Geriatrician Guys & St Thomas Hospital and King
Role of the Occupational Therapist in Critical care
Role of the Occupational Therapist in Critical care Sarah Elliott Physiotherapist Emily Fox Occupational Therapist Objectives Critical Care Services at Medway Hospital Identifying a need for OT NICE /
IAEM Clinical Guideline 11 Management of Patients with Suspected Hip Fracture in the Emergency Department
IAEM Clinical Guideline 11 Management of Patients with Suspected Hip Fracture in the Emergency Department Version 1 September 2018 Authors: Dr Mary Moore, Ms Marianne Walsh, Dr Termizi Hassan Guideline
Fall-related hip fracture in NSW Epidemiology, evidence, practice and the future
Fall-related hip fracture in NSW Epidemiology, evidence, practice and the future Jacqueline CT Close Orthogeriatrician, Prince of Wales Hospital Director - Falls and Injury Prevention Group Neuroscience
The Warwick Hip Trauma Evaluation an abridged protocol for the WHiTE Study
Freely available online TRAUMA The Warwick Hip Trauma Evaluation an abridged protocol for the WHiTE Study A MULTIPLE EMBEDDED RANDOMISED CONTROLLED TRIAL COHORT STUDY X. L. Griffin, J. Achten, N. Parsons,
Compare your care. How asthma care in England matches up to standards R E S P I R AT O R Y S O C I E T Y U K
Compare your care How asthma care in England matches up to standards PRIMARY CARE R E S P I R AT O R Y S O C I E T Y U K Asthma matters Around 4.5 million people in England that s 1 in 11 are being treated
Major Trauma Dashboard Measures. SUPPORT DOCUMENT April 2016 TO BE READ IN CONJUNCTION WITH THE MT DASHBOARD
Major Trauma Dashboard Measures SUPPORT DOCUMENT April 2016 TO BE READ IN CONJUNCTION WITH THE MT DASHBOARD Introduction This document addresses key questions relevant to the Major Trauma Dashboard and
The Older Persons Journey: The Local Health District Perspective
The Older Persons Journey: The Local Health District Perspective Department of Geriatric Medicine Nepean Blue Mountain LHD Dr Anita Sharma FRACP, PhD 27 th August 2015 Nepean Blue Mountains PHN Vision
Research Gaps in Care of Hip Fracture (Organized by The Hip Society and ORS) Organizers: Harry Rubash, MD Kevin Bozic, MD, MBA
Research Gaps in Care of Hip Fracture (Organized by The Hip Society and ORS) Organizers: Harry Rubash, MD Kevin Bozic, MD, MBA Speakers: William Macaulay, MD Stephen Kates, MD Hip Fracture Research Gaps:
Inpatient cost for hip fracture patients managed with an orthogeriatric care model in Singapore
Singapore Med J 2017; 58(3): 139-144 doi: 10.11622/smedj.2016065 Inpatient cost for hip fracture patients managed with an orthogeriatric care model in Singapore Lester Teong Jin Tan 1, MBBS, MRCS, Seng
The role of audit in secondary prevention of fragility fractures
The role of audit in secondary prevention of fragility fractures David Marsh General Secretary, Fragility Fracture Network Emeritus Professor of Orthopaedics, University College London CONFLICT OF INTEREST
The cost and consequences of proximal femoral fractures which require further surgery following initial fixation
The cost and consequences of proximal femoral fractures which require further surgery following initial fixation C. Thakar, J. Alsousou, T. W. Hamilton, K. Willett From John Radcliffe Hospital, Oxford,
DISCLOSURE FNFX ORIF OR ARTHROPLASTY? 11/21/2016 FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? ROYALTIES DEPUY, BIOMET
FEMORAL NECK FRACTURES: ORIF OR ARTHROPLASTY? GEORGE HAIDUKEWYCH, MD ORLANDO, FLORIDA DISCLOSURE ROYALTIES DEPUY, BIOMET CONSULTING DEPUY, SYNTHES, BIOMET, RESPONSIVE ORTHOPEDICS STOCK OWNERSHIP ORTHOPEDIATRICS
British Geriatrics Society
Healthcare professional group/clinical specialist statement Thank you for agreeing to give us a statement on your organisation s view of the technology and the way it should be used in the NHS. Healthcare
Care of older people in surgery (COPS)
Care of older people in surgery (COPS) Who, what, and does it make a difference Professor Jacqueline Close Geriatrician - POWH Clinical Director Falls, Balance and Injury Research Centre Early Mobilisation
SCHEDULE 2 THE SERVICES
04e SCHEDULE 2 THE SERVICES A. Service Specifications This is a non-mandatory model template for local population. Commissioners may retain the structure below, or may determine their own in accordance
Outcomes Following Total Hip Arthroplasty: A Review of the Registry Data
Symposium - Total Hip Arthroplasty Outcomes Following Total Hip Arthroplasty: A Review of the Registry Data Abstract While total hip arthroplasty remains one of the most reliable procedures with excellent,
Misdiagnosis of occult hip fracture is more likely in patients with poor mobility and cognitive impairment
Acta Orthop. Belg., 2010, 76, 341-346 ORIGINAL STUDY Misdiagnosis of occult hip fracture is more likely in patients with poor mobility and cognitive impairment Munier HOSSAIN, Syed A. AKBAR, Glynne ANDREW
Data Dictionary Version 9.1
Data Dictionary Version 9.1 September 2016 Australian and New Zealand Hip Fracture Registry Background: A minimum data set (MDS) was created for the Australian and New Zealand (ANZ) Hip Fracture Registry
SCHEDULE 2 THE SERVICES. A. Service Specifications
SCHEDULE 2 THE SERVICES A. Service Specifications Service Specification No. 04/MSKT/0013 Service PAN DORSET FRACTURE LIAISON SERVICE Commissioner Lead CCP for Musculoskeletal & Trauma Provider Lead Deputy
Tier 3 and 4 healthy weight and obesity services in Kent
Tier 3 and 4 healthy weight and obesity services in Kent Model user guide September 2016 1 Background Tier 3 healthy weight services for Kent residents are currently commissioned by Kent County Council
Emergency Care Strategy Guide
International Clinical Operations Board Emergency Care Strategy Guide Volume 3: Tool Suite Road Map 5 1 2 3 Introduction to the Emergency Care Tool Suite 4 The Emergency Department Performance Audit Profiled
What is Acute Oncology? Kay McCallum Acute Oncology Advanced Nurse Practitioner John Radcliffe Hospital Oxford September 2015
What is Acute Oncology? Kay McCallum Acute Oncology Advanced Nurse Practitioner John Radcliffe Hospital Oxford September 2015 What is Acute Oncology? Outline of Talk Concept of Acute Oncology Service (AOS)
People at the centre of health and care
People at the centre of health and care Improving Care for Older People in Acute Care F is for Frailty F is for Frailty Identification and co-ordination of care for frail older people Starting point -
National audit of inpatient falls
National audit of inpatient falls Commissioners report 2015 North West In association with: Commissioned by: Contents Key issue 4 Methodology 4 Organisational audit 4 Clinical audit 4 Key findings 5 Organisational
Six step guide to improving diabetes footcare. Putting feet. first
Six step guide to improving diabetes footcare Putting feet first In England there are over 140 leg, foot or toe amputations a week. Diabetes related amputations and foot ulcers cost the NHS in England