Table 2 Summary of selected findings
Greater likelihood of discharge to original residence in hospitals with: | |
|---|---|
Pre-op | More FTE for non-consultant grade ED doctors at the trust |
Peri-op | Anaesthetic NHFD lead with role reflected in their job plan |
More FTE for consultant anaesthetists at the trust | |
Greater proportion of surgery which is NICE compliant | |
Post-op | A Fracture Liaison Service is in place |
Near-patient haemoglobin testing in routine use in recovery* | |
100% of patients receive an inpatient delirium assessment | |
Governance | Consultant orthopaedic surgeon attends clinical governance meeting |
Physiotherapist attends clinical governance meeting | |
NHFD data regularly disseminated to hip fracture ward staff* | |
Consultant anaesthetist attends clinical governance meeting | |
Workload | More hours of orthogeriatric staff grade direct clinical care per week is provided |
Greater likelihood of return to original residence at 120 days in hospitals with: | |
Pre-op | Dedicated hip fracture ward to which patients can be admitted direct from ED |
Treatment plan routinely discussed with the patient and NOK on admission | |
Larger proportion of patients given a nerve block pre-op. | |
Peri-op | Larger proportion of eligible patients receive a total hip replacement |
Greater likelihood of good patient mobility outcomes in hospitals with: | |
Pre-op | Pre-op. pain is routinely scored |
More FTE for ED consultants at the trust | |
Peri-op | 100% of patients assessed by an orthogeriatrician within 72 h of admission |
Anaesthetic rota protocol includes consecutive trauma theatre days on call | |
Larger proportion general anaesthetics accompanied by a nerve block | |
Post-op | Near-patient haemoglobin testing in routine use in recovery* |
Governance | Nursing lead attends clinical governance meeting |
NHFD data regularly disseminated to hip fracture ward staff* | |
Clinical governance meetings occur monthly | |
Workload | More hours of orthogeriatric consultant direct clinical care per week is provided |