Description
In this talk, Nick Clement, a local hip and knee surgeon involved in the Scottish Hip Fracture Audit Steering Group, discusses the significance of hip fracture registries in improving patient outcomes. He compares different types of registries, examining their effectiveness in implementing evidence-based guidelines for hip fractures and how these impact hospital performance and patient care. Clement highlights the Scottish Hip Fracture Audit, established in 1993, as a model with a robust record of reducing length of hospital stays and improving mortality rates. He notes a significant monetary saving due to reduced hospital stays and a decrease in 30-day mortality rates, thereby saving lives.
The presentation also touches on the quality of care standards in Scotland versus England, citing recent figures and the effects of COVID-19 on patient outcomes. Clement explains that both regions show similar lengths of stay and surgery rates, but Scotland's audit system offers better data quality for improving practices. He explores the correlation between adherence to care standards and improved health-related quality of life post-surgery, concluding that the drive to meet these standards, rather than payment incentives, leads to better outcomes. The IMPACT initiative during COVID-19 is highlighted as evidence of how registry data can rapidly inform government policies for hip fracture care.
Overall, the presentation emphasizes the importance of maintaining high standards in hip fracture care across the UK, aiming for collaborative improvement in patient outcomes.