Improving the Patient Journey for Hip Fracture Patients from Arrival in the Emergency Department to Admission to the Orthopaedic Ward.pdf (1.11 MB)
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Improving the Patient Journey for Hip Fracture Patients from Arrival in the Emergency Department to Admission to the Orthopaedic Ward

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posted on 27.07.2020 by Mary Jones
This Quality Improvement (QI) Project focuses on the admission pathway of hip fracture patients in a large acute hospital in Dublin. Hip fractures are the most common fragility fracture in the over 50’s in Ireland, accounting for 36.5% of orthopaedic admissions and 46.7% of orthopaedic bed days (Kelly et al 2018). It is a common injury but its effects on patients and carers is often underestimated by clinical staff (Saletti-Cuesta et al 2018)The National Office of Clinical Audit (NOCA) established an Irish Hip Fracture Database (IHFD) in 2012 to specifically audit and review hip fracture in Ireland with a view to improving patient care and morbidity as well as easing the burden on the healthcare system. The establishment of the IHFD has been in line with other European countries who have seen the rise of hip fracture patients presenting to the Emergency Departments. The IHFD founded six core standards to improve patient care and improve mortality. The first standard is the admission of the patient to the orthopaedic ward within four hours of presentation. This is a challenging standard, with current Emergency Departments in Ireland facing some of the worst overcrowding ever seen (Liston et al 2017), staff shortages as doctors emigrate to take up positions in other countries (Clarke et al 2017). The aim of this QIP is to improve patient flow from arrival in the ED through to admission within the 4 hour standard. The Quality Improvement (QI) tool DMAIC (Define, Measure, Analyse, Improve and Control) will be used to define the problem. A process flow map will be used to review the patient journey and review for any reasons for delays.

History

First Supervisor

Dr. Pauline Joyce

Comments

A thesis submitted in partial fulfilment of the requirements for the degree of MSc in Physician Associate Studies to the Royal College of Surgeons in Ireland in 2019

Published Citation

Jones M. Improving the Patient Journey for Hip Fracture Patients from Arrival in the Emergency Department to Admission to the Orthopaedic Ward [MSc Thesis]. Dublin: Royal College of Surgeons in Ireland; 2019.

Degree Name

MSc Physician Associate Studies

Date of award

30/11/2019

Programme

  • MSc Physician Associate Studies

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