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:||Indicator|
|Short name:||Indicator 1a-Evidence of local arrangements for the management of patients with hip fracture in the emergency department|
|Registration status:||Health, Standard 12/09/2016|
Evidence of local arrangements for the management of patients with hip fracture in the emergency department.
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:||Clinical care standard indicators: hip fracture 2018 Australian Commission on Safety and Quality in Health Care, Standard 15/05/2018|
|Outcome area:||Care at presentation Health, Standard 12/09/2016|
Collection and usage attributes
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:
The documentation may be in the form of local protocols and/or a clinical pathway.
|Unit of measure:||Service event|
Source and reference attributes
Australian Commission on Safety and Quality in Health Care
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).