IHFD National Report 2019

IHFD National Report 2019

The Irish Hip Fracture Database National Report 2019 includes data on 3,701 cases. The data provides detailed insight into the care, pathways, and outcomes of patients and allow each hospital to benchmark itself against comparable hospitals in Ireland and internationally.

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Key Recommendations

  • Introduce a new IHFS for early mobilisation – measuring how many patients were mobilised by a physiotherapist on the day after their surgery.

  • Develop workshops to create
    a learning culture for quality
    improvement using the audit
    data.

  • Support hospitals to collect
    high levels of data until at
    least 2022, as they recover
    from COVID-19.

  • Implement processes for
    the collection of data of the
    patient’s recovery after they
    leave hospital.

  • Develop a research group for the IHFD, including Public and Patient Interest (PPI) representatives.

  • Conduct an organisational audit to look at resources, governance and quality improvement at hospital level in 2020.

  • Increase engagement with PPI representatives to:
    • raise awareness of topics such as falls prevention and frailty
    • create resources for patients
    • create opportunities for engagement around patient issues

  • The Health Service Executive (HSE), National Office for Trauma Services in collaboration with the Clinical Programmefor Trauma and Orthopaedic Surgery, will:
    • continue to implement a national hip fracture bypass for all hospitals
    • improve patient care pathways for hip fracture

  • Hospital Hip Fracture Governance Committees should continue to meet regularly and use the audit data to measure and improve their service

  • Focus on increasing compliance with the IHFS to attain the BPT.

  • Develop and resource a multidisciplinary orthogeriatric service

  • Prioritise the discharge of patients directly home from hospital where possible