MANAGEMENT OF HIP FRACTURES IN OLDER PATIENTSARE WE SIGN COMPLIANT?

3/20/2004

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Table of Contents

MANAGEMENT OF HIP FRACTURES IN OLDER PATIENTSARE WE SIGN COMPLIANT?

The Cost Of Care

Guidelines help to assimilate, evaluate and implement, the ever increasing amount of evidence and opinion on best current practice.

SIGN 15 – 1997

Do We Need To Be Compliant?

Hip fracture care is now emerging as a case study in clinical governance in Scotland , with SIGN providing nationally accepted evidence based standards, and the SCOTTISH HIP AUDIT documenting care along with QA visits by the CLINICAL STANDARDS BOARD in Scotland providing national accountability.

Medico-legal Implications

66 % from own home

FRACTURE PATTERN

Reasons for delay

Thromboprophylaxis

ANTIBIOTIC PROPHYLAXIS

General anaesthetic-61%

Phase 2- Questionnaire

Influence of SIGN

CEMENTED Vs UNCEMENTED

10 Years of SIGN 6 Years since hip guideline

Wide variation in levels of acceptance among senior staff.

SIGN strives to promote clinical excellence in Scotland. Greater focus on local implementation is crucial to change, if SIGN guidelines are to become a true reflection of current practice in Scotland.

SIGN 50 -2001(A guideline developer’s handbook)

Author: ANAND PILLAI

Home Page: http://www.edu.rcsed.ac.uk