© 2002 Quality and Safety in Health Care
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Compiled by Tim Albert
| The first 150 words of the full text of this article appear below. |
A team of investigators were able to compare audits on treatment for hip fractures carried out in seven hospitals in East Anglia, UK in 1992 and 1997. They found a number of changes. Pharmaceutical thromboembolic prophylaxis had gone up from 45% to 81% and early mobilisation from 56% to 70%. Cases of pneumonia, wound infection, pressure sores, and fatal pulmonary embolism had gone down. Functional outcomes (at 3 months) and mortality had not improved. Some hospitals were doing better in some areas, but others were doing worse. "This highlights the need for continuous quality improvement by repeating the audit cycle to reach and then improve standards", write the authors. They identify rehabilitation and long term support as key areas for future research.
See page 239
" . . . the performance of individuals and organisations should be continuously measured, not in a desire to reprimand or punish but to enhance. . . [Full text of this article]
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