Audit of Fractured Neck of Femur Integrated Care Pathway

2005 ◽  
Vol 9 (3) ◽  
pp. 106-108
Author(s):  
M Hempling ◽  
A Adhikari
Keyword(s):  
Integrated Care ◽  
Care Pathway ◽  
Junior Doctors ◽  
Target Problem ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Integrated Care Pathway ◽  
Assess Quality

Objectives: To assess quality of documentation in the fractured neck of femur pathway and to target problem areas with its use. Methods: Review of notes of all patients presenting to St Helier with a fractured neck of femur between 1 June and 31 August 2003. Results: Overall, doctors were worst at using the pathway; nurses were variable; physiotherapists were excellent. Several sections were underused or not used at all. A very low percentage managed to sign, date and include the patient's name. Conclusions: Better education, particularly of junior doctors, about how and why to use these documents and file them properly should eliminate the majority of problems with the use of the integrated care pathway.

Multidisciplinary integrated care pathway for fractured neck of femur

Injury ◽  
2005 ◽  
Vol 36 (1) ◽  
pp. 93-98 ◽  
Author(s):  
P.A. Gholve ◽  
K.P. Kosygan ◽  
S.W. Sturdee ◽  
A.A. Faraj
Keyword(s):  
Integrated Care ◽  
Care Pathway ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Integrated Care Pathway

Closing the audit loop: the role of a pilot in the development of a fractured neck of femur integrated care pathway

2002 ◽  
Vol 6 (3) ◽  
pp. 130-134 ◽  
Author(s):  
Maggie Tarling ◽  
Elizabeth Aitken ◽  
Om Lahoti ◽  
Jenni Randall ◽  
Marcia Skeete ◽  
...  
Keyword(s):  
Integrated Care ◽  
Care Pathway ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Integrated Care Pathway

scholarly journals An integrated care pathway improves quality of life in Primary Biliary Cirrhosis

QJM ◽  
2008 ◽  
Vol 101 (7) ◽  
pp. 535-543 ◽  
Author(s):  
D. E.J. Jones ◽  
K. Sutcliffe ◽  
J. Pairman ◽  
K. Wilton ◽  
J. L. Newton
Keyword(s):  
Quality Of Life ◽  
Primary Biliary Cirrhosis ◽  
Integrated Care ◽  
Care Pathway ◽  
Biliary Cirrhosis ◽  
Integrated Care Pathway

An Evaluation of the Quality of Integrated Care Pathway Development in the UK National Health Service

2005 ◽  
Vol 9 (1) ◽  
pp. 6-12 ◽  
Author(s):  
Michelle Croucher
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Integrated Care ◽  
Care Pathway ◽  
Evidence Based ◽  
Integrated Care Pathway ◽  
Uk National Health Service ◽  
The Uk

An integrated care pathway (ICP) is an outline of planned care for a specific patient group. It highlights usual practice that is evidence-based, from which variations occur as health-care professionals use their professional judgement. The objectives of the study were to identify the key elements within an ICP, to formulate a checklist utilizing the ICP key elements, and to evaluate ICPs available from the UK National electronic Library for Health (NeLH) against the checklist. An ICP key elements checklist was produced from a review of ICP literature. In all, 90% of the ICPs evaluated contained a plan of anticipated care along some form of timeline, including processes and outcomes. Also, 70% of the ICPs evaluated did not contain a variance-recording framework. In addition, 70% of the ICPs evaluated did not contain any evidence of evidence-based best practice. This study shows that there is wide variability in the quality of the ICPs being developed in the UK National Health Service (NHS), and that the development of ICPs in many health-care organizations is inadequate. Variability of the ICPs being developed will have a direct impact on the quality of patient care, and improvements in care and service delivery may not be identified, implemented or reviewed. It is recommended that a tool be produced, which would provide a standard framework for NHS staff to follow when developing ICPs.

An Integrated Care Pathway Appraisal Tool: A ‘Badge of Quality’

2002 ◽  
Vol 6 (1) ◽  
pp. 13-17 ◽  
Author(s):  
Kathryn E de Luc ◽  
Claire Whittle
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Quality Of Health Care ◽  
Local Development ◽  
Care Pathway ◽  
Integrated Care Pathways ◽  
Integrated Care Pathway ◽  
The Uk ◽  
Appraisal Tool

Integrated care pathways (ICPs) are being introduced as a tool to improve the quality of health care. Their local development usually involves some consensus-based approach which engages clinical staff in discussions about how to improve services. Whilst this has definite advantages, it also means that ICPs which are developed for ostensibly the same group of patients with a specific disease or condition will vary in content and quality. Many articles have been written expounding the benefits of using ICPs, but recently there have been a number of evaluations of ICPs which report little or no significant improvement in the quality of health care as a result of their introduction. Why is there this divergence of views about the value of ICPs? Could it be connected with the variability in quality of the ICPs being introduced? What is missing from many of the evaluations of ICPs undertaken so far is a consideration of how good those ICPs really are. This article describes an appraisal instrument for ICPs — the integrated care pathway appraisal tool (ICPAT) — which has been developed within the West Midlands region of the UK and which can provide a framework for assessing the quality of ICPs.

102 Peer Teaching in Hip Fracture: Responding to the Medical Needs of Surgical Patients and Educational Needs of Junior Doctors

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
N Jones ◽  
J Francis ◽  
R Parikh ◽  
M Shaath
Keyword(s):  
Metastatic Cancer ◽  
Vascular Complications ◽  
Educational Programme ◽  
Junior Doctors ◽  
Fractured Neck Of Femur ◽  
Neck Of Femur ◽  
Teaching Programme ◽  
Medical Needs ◽  
Strongly Agree ◽  
Case Based

Abstract Introduction Fractured Neck of Femur (FNOF) patients are complex. A mortality project identified topics for a peer-led teaching programme. Method Eight bite-sized case-based sessions were devised, to provide a framework to approach the following topics: Anaemia, delirium/dementia, ECG abnormalities, metastatic cancer, osteoporosis, renal disease, respiratory disease, and vascular complications. Attendees were asked to complete pre- and post- teaching programme questionnaires using a Likert Scale to indicate agreement with statements relating to the topic areas chosen (1=strongly disagree and 5=strongly agree). Result Pre-programme questionnaire: respondents were neutral (average 3.04) when asked whether topic areas were currently “well managed”. Attendees lacked confidence, indicating preparedness as neutral (average 3.35). Trainees agreed that they would benefit from teaching (average 4.56). Post-programme questionnaire: increased confidence was reported when considering preparedness (average 4.3). Attendees felt the teaching programme was “accessible” and the “topics well-chosen”. 100% of attendees regarded the teaching as ‘excellent’ or ‘very-good’. Conclusions Matching patient needs to an educational programme is important. The “bite-sized” nature of the programme paired with case-based learning increased confidence. A peer-led teaching programme is a positive response to themes emerging from morbidity and mortality reviews.

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