Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Hip fracture care clinical care standard indicators: 1a-Evidence of local arrangements for the management of patients with hip fracture in the emergency department

Identifying and definitional attributes

Metadata item type:Help on this termIndicator
Indicator type:Help on this termIndicator
Short name:Help on this termIndicator 1a-Evidence of local arrangements for the management of patients with hip fracture in the emergency department
METeOR identifier:Help on this term628064
Registration status:Help on this termHealth, Standard 12/09/2016
Description:Help on this term

Evidence of local arrangements for the management of patients with hip fracture in the emergency department.

Rationale:Help on this term

Patients who sustain hip fractures are, and will continue to be, an important patient group in the Australian healthcare system. In most instances, the first hospital contact these patients will have will be when they present to an emergency department (Considine & Hood 2000).

Patients presenting to the emergency department with a hip fracture should be rapidly assessed and assigned to a fast track admission pathway (SIGN 2009; Hili et al. 2014). The rate of post-operative complications, including confusion, healthcare associated infection, length of hospital stay and 12 month mortality, is lower in hip fracture patients managed by a comprehensive multidisciplinary fast-track treatment and care programme (SIGN 2009).

Indicator set:Help on this termClinical care standard indicators: hip fracture Health, Standard 12/09/2016
Australian Commission on Safety and Quality in Health Care, Superseded 18/06/2018
Outcome area:Help on this termCare at presentation Health, Standard 12/09/2016

Collection and usage attributes

Computation description:Help on this term

Documented local arrangements for the management of patients with hip fracture in the emergency department that address timely assessment and management of the patient’s medical conditions, including but not limited to:

  • diagnostic imaging
  • pain control
  • cognitive assessment.

The documentation may be in the form of local protocols and/or a clinical pathway.

Computation:Help on this term

Yes/No

Representational attributes

Representation class:Help on this termCount
Data type:Help on this termReal
Unit of measure:Help on this termService event
Format:Help on this term

Yes/No

Source and reference attributes

Submitting organisation:Help on this term

Australian Commission on Safety and Quality in Health Care

Reference documents:Help on this term

Considine J & Hood K 2000. Emergency department management of hip fractures: development of an evidence-based clinical guideline by literature review and consensus. Emergency Medicine 12(4):329-36.

Hili S, Dawe EJC, Lindisfarne EAO & Stott PM 2014. Perioperative management of elderly patients suffering a hip fracture. British Journal of Hospital Medicine 75(2):78-82.

SIGN (Scottish Intercollegiate Guidelines Network) 2009. Management of hip fracture in older people: a national guideline. NHS Quality Improvement Scotland (NHS QIS).

My items Help on this term
Download Help on this term