A Completed Audit Cycle Examining Quality Improvement Pre and Post Introduction of Ed Multi-Disciplinary Simulation Based Medical Education Training on the Tallaght Hospital Hip Fracture Pathway
Geriatric Orthopaedic Surgery and Rehabilitation
; 12:11, 2021.
Article
in English
| EMBASE | ID: covidwho-1817119
ABSTRACT
Introduction:
The care of patients with hip fractures is a surrogate marker of trauma care. Irish hip Fracture Standard 1 involves patients with a hip fracture being admitted to an orthopaedic ward bed within 4 hours of attending the ED. We wanted to audit our current practice and introduce a quality improvement project to improve the timeliness and efficiency of care of our hip fracture patients compared with the gold standard IHFS 1. We introduced a 90-minute multidisciplinary simulation training programme on the hip fracture pathway to our ED in February 2021. All key stakeholders were represented;from Emergency Medicine, Orthopaedics, Nursing (EM and Orthopaedic), Radiology, Radiography, Porters (32 people overall). Because of Covid-19, the training was available in person and online via zoom.Methods:
We performed a retrospective audit of patients presenting to TUH ED with a proximal third of femur fracture between 4th February and 31st March inclusive in 2020 and 2021, pre and post introduction of multidisciplinary simulation based medical education on the hip fracture pathway. Data was collected from the electronic record database (symphony).Results:
2020 n = 31;Average time to ward-8hrs 29 mins. 26% patients reached ward <4 hours. (8/31). 2021 n = 25;Average time to ward-5hrs 58 mins (32% reduction vs 2020). 72% patients reached ward <4 hours. (18/25) (46% increase vs 2020).Conclusion:
Simulation based medical education is a successful intervention to improve compliance with our hip fracture pathway, time from presentation to transfer to an orthopaedic ward bed and achieve IHFS 1.
adult; clinical article; conference abstract; controlled study; coronavirus disease 2019; emergency medicine; female; femur fracture; gold standard; hip fracture; human; male; medical education; nursing; orthopedics; radiography; radiology; retrospective study; simulation; simulation training; timeliness; total quality management; training
Full text:
Available
Collection:
Databases of international organizations
Database:
EMBASE
Type of study:
Experimental Studies
Language:
English
Journal:
Geriatric Orthopaedic Surgery and Rehabilitation
Year:
2021
Document Type:
Article
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