Presentation on theme: "Better Together 2 Departments Focus To improve Hip Fracture Pathway to meet Msk Standards WHY? Original Pathway did not include all elements to reflect."— Presentation transcript:
Better Together 2 Departments Focus To improve Hip Fracture Pathway to meet Msk Standards WHY? Original Pathway did not include all elements to reflect Gold Standard Msk Pathway Documentation missing/inadequate/not reflect best practice WHEN? By August, predict evidence of reaching Gold Standard WHAT? All Hip Fracture Patients entering Dr. Gray’s will receive Gold Standard Care Documented evidence/improved practice to meet National Guidelines WHO? Emergency Department and Orthopaedics, Ward 6
Emergency Department Hip Fracture Management and Audit tool With ED Team Leaders Pathway documentation was discussed Re-designed to reflect Gold Standard Care Missing Elements No form of Cognitive Screening No Record of Pressure area Checks Poor Documentation ED Form would often be Blank! Criteria sporadic/lacking
Exemplar Model Quality Improvement Approach PDSA Templates Test Change Continuing Local Audit & Msk Audit Close liaison between departments
Completed Assessments by Element Trend for ED, Dr. Gray’s Hospital ( AMT4/4AT )
Ward 6 Robust Admission Procedure NHS Clinical Guidance - Assessment/Documentation Falls Assessment Nutritional Assessment Pressure Area Assessment Cognition Assessment did not exist PDSA Templates Test Change Local Audit & Continuing Msk Audit Nursing Initiative - apply AMT10 ALL patients over 65 years on admission to the Ward AMT4/4AT ?
Completed IN-Patient Assessments by Element Trend for Ward 6, Dr. Gray’s Hospital (AMT10)
What are we planning? Audit & Success? We really need to look at our Fasting For Theatre Times!