IHFD National Report 2016 Key Findings

Key Findings
Six percent (6%) of patients went directly to theatre from the emergency department.
Fourteen percent (14%) of patients were admitted to a ward within 4 hours - this is an increase of four percentage points (Blue Book Standard 1).
Seventy-five percent (75%) of patients received their surgery within 48 hours. There was also a slight increase in the number of patients receiving surgery within 24 hours to 41% and 59% within 36 hours.
Five percent (5%) of hip fracture patients developed a pressure ulcer Grade 2 or higher following admission this is a one percentage point increase from 2015.
Fifty-six percent (56%) of patients were reviewed at some time during their admission by a geriatrician.
Seventy-seven percent (77%) of patients were mobilised on the day of or day after surgery. This is an increase of 4 percentage points from 2015. Of those mobilised on day of, or day after surgery 2,158 (93%) were mobilised by a physiotherapist.
Bone protection was commenced on 43% of patients during their hospital admission - this is an increase of 9 percentage points from 2015. Twenty percent (20%) received no assessment which is a 5 percentage point reduction from 2015. In total, 57% of patients reached Blue Book Standard 5 which is a ten percentage point improvement.
Prior to discharge, 54% of patients had a falls assessment during their admission, this is a seven percentage point increase from 2015 (Blue Book Standard 6).
The median length of stay has reduced by one day to 12 days.
Coverage has improved from 81% in 2015 to 86% in 2016 detailing 3,159 hip fracture cases. Thirteen hospitals achieved over 90% coverage.
Type of fracture was recorded as not known in only 3% of cases, this is an improvement of 6 percentage points from last year.
Reason for delay to surgery: There was a significant reduction in the ‘not known’ category from 13% in 2015 to 6% in this report. This is a seven percentage point decrease and indicates improving data quality.