Strong administrative support needed to improve wait times for hip fracture

Improving measures of hip fracture wait times: a focus on ontario.

In 2009-2010, a "time of surgery" data element was added to CIHI's Discharge Abstract Database enabling a more precise calculation of patient wait times for hip fracture repair, measured in hours rather than days. Using an Ontario sample, we explored this more precise calculation for the first three quarters of 2009-2010 (April to December), and the impact of adding wait times in the emergency ...

Improving Wait Times to Care for Individuals with Multimorbidities and Complex Conditions Using Value Stream Mapping

Background Recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a LEAN methodology, namely – an adaptation of Value Stream Mapping (VSM) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   Methods Over an 18-month time period, staff applied a patient-cen...

Perceptual training to improve hip fracture identification in conventional radiographs

Diagnosing certain fractures in conventional radiographs can be a difficult task, usually taking years to master. Typically, students are trained ad-hoc, in a primarily-rule based fashion. Our study investigated whether students can more rapidly learn to diagnose proximal neck of femur fractures via perceptual training, without having to learn an explicit set of rules. One hundred and thirty-ni...

Using dietetic assistants to improve the outcome of hip fracture.

OBJECTIVE To examine how improved attention to nutritional status and dietary intake, achieved through the employment of dietetic assistants (DAs), will affect postoperative clinical outcome among elderly women with hip fracture. DESIGN Open prospective randomised controlled trial, comparing conventional nursing care with the additional nutritional support provided by DA. SETTING Thirty-eig...

Unacceptable emergency wait times.