Irish Hip Fracture Database National Report 2019

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 Programme for 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