Scottish National Hip Fracture Audit

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Scottish National Hip Fracture Audit

• Jenny Mountain Audit Co-ordinator
• ISD Scotland

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HIP FRACTURE AUDIT

• Steering Group - 2 Clinical Leaders
• National Co-ordinator - management, data
  analysis, dissemination - ISD
• Dedicated audit sisters -data collection and
  data entry - Locally funded
• Core data set - acute stay data, 4 month follow
  and reoperation - set protocols
• Six monthly local reports, Comparative reports,
  Annual reports

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Participating Hospitals

• Ninewells, Dundee
• Perth RI
• RAH Paisley
• RI Edinburgh
• Stirling Royal

• Borders General
• Dunfermline QMH
• Dr Grays, Elgin
• Falkirk District RI
• Hairmyres Hospital
• Inverclyde
• Raigmore, Inverness
• Wishaw
• Monklands

• Crosshouse
• Ayr
• Southern General Glasgow
• Dumfries Galloway

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Benefits

• Patient contact
• Easily accessible, locally owned data
• Monitoring role
• Focal point for all disciplines
• Knowledge of process

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Clinical Standards Board Scotland

• Established in April 1999
• Role to promote public confidence in the NHS -
  meet nationally agreed standards
• To Demonstrate that within resources available,
  NHS is delivering highest possible standards of
  care
• The CSBS Standards for Older People in Acute Care
  - hip fracture tracer condition
• CSBS OPAC Report (scheduled for April 2003)
  likely to focus new interest on Hip Fracture care

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AMALGAMATED DATABASE

• 25 000 hip fracture patients
• 98 complete follow up to 4 months
• Statistically explored, published
• Research Registrar

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FOCUS

• Data - Core Dataset
• Local accessible information
• Add on projects (Warfarin)
• Specific local audits
• Patients
• Patient Contact, Follow up
• Clinical role of audit nurses

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PATIENT FOCUS
Mrs X (Stoke on Trent) message to Chief
Executive. "When she was on holiday in
Edinburgh at the beginning of the year she fell
and fractured her femur. She was treated really
well in Ward 6 and was delighted this morning
when Sister Farquar telephoned to ask how she was
doing. She was very impressed by this and
appreciates it very much and was to pass on her
thanks to those concerned."