| One year later: did the quality circle of geriatric hip fracture care achieve quality outcomes? | |
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MedLine Citation:
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PMID: 10855150 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In 1 year, the Geriatric Orthopaedic Hip Fracture Program saw various positive results. The accomplishments are as follows: Appropriate use of consulting services. Reduction in the mortality rate. Increase in the number of patients (76%) who returned to home versus skilled nursing facilities. Reduction of LOS. Fifty-seven percent of patients are independent with ADLs at 6 months after hip fracture repair. Sixty-four percent remain independent ambulators and use aids on an as needed basis. Our team has learned that we need to improve certain areas of the program. We need to reinforce to the staff the importance of following skin care and toileting guidelines. Other research articles looking at the overall condition of the geriatric patient have used the Apache score or the Anesthesia Rating score and we plan to follow suit. The Apache and Anesthesia ratings have been used to predict outcomes; the higher the score, the less successful the outcome. Within the cost structure, we needed to become more aware of the comorbidity costs and identify opportunities to address these issues. |
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Authors:
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S M Leininger |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Nursing case management : managing the process of patient care Volume: 4 ISSN: 1084-3647 ISO Abbreviation: Nurs Case Manag Publication Date: 1999 Nov-Dec |
Date Detail:
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Created Date: 2000-07-06 Completed Date: 2000-07-06 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9606068 Medline TA: Nurs Case Manag Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 263-7 Citation Subset: N |
Affiliation:
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Orthopedics and Urology Services, West Penn Allegheny University Hospitals, Pittsburgh, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Activities of Daily Living Aged Aged, 80 and over Case Management / organization & administration* Female Hip Fractures / complications, nursing* Humans Length of Stay / statistics & numerical data Male Management Quality Circles / organization & administration* Outcome Assessment (Health Care) / organization & administration* Patient Care Team / organization & administration Patient Readmission / statistics & numerical data Program Evaluation |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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