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Fracture neck of femur audit
Author(s)Nigel Page
Journal titleAgeing and Health: the Journal of the Institute of Ageing and Health (West Midlands), no 3, 1998
Pagespp 30-32
KeywordsFractures ; In-patients ; Medical care ; Evaluation ; Birmingham.
AnnotationFracture neck of femur is an important cause of morbidity and mortality in older people. More than 50,000 patients, most over 65 years old, are treated each year, at a cost of more than £5,000 per case on average. Following a previous audit and recommendations from the Royal College of Physicians and the Audit Commission, working practice at the City Hospital NHS Trust in Birmingham was altered in an attempt to improve the overall care of these patients. In September 1995, an orthogeriatric ward, run jointly by geriatricians and orthopaedic surgeons was opened. This 16-bedded unit is to take those patients requiring intensive multidisciplinary input following surgery. In conjunction with this, orthopaedic practice was changed to use a jointly prepared clerking pro-forma which included details such as mental function, previous physical ability, level of social support, and detail of co-existing medical problems. The aim was to treat patients with adequate surgical, medical and rehabilitative methods, and to anticipate and avoid problems that may occur during their hospital stay and ultimate discharge.
Accession NumberCPA-980311004 A
ClassmarkCUF: LF7: LK: 4C: 87E

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