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Minimum Standards for the Management of Hip Fractures: Background

Hip fractures are a significant injury in elderly patients, representing a leading cause of morbidity, mortality and loss of function.

Poor management of patients with hip fractures can result in medical complications, longer hospital stays and inferior patient outcomes.

NSW Health has long recognised the issues for hip fracture patients. In 2010 the ACI released the Orthogeriatric Model of Care: Clinical Practice Guide, which provided a practical guide to the management of frail, older orthopaedic patients. This was followed in 2011 by the Clinical Excellence Commission’s Fractured Hip Surgery in the Elderly report, which identified a number of key care-elements that are necessary to improve patient management and reduce 30-day mortality.

The ACI Unwarranted Clinical Variation Taskforce determined that the management of patients with hip fractures would be a priority for 2013. The Minimum Standards for the Management of Hip Fracture project is a collaborative effort by the Surgery, Anaesthesia and Critical Care Portfolio and the Primary Care and Chronic Services portfolios in ACI.

Implementation of the Standards is currently underway and will eventually incorporate all 39 hospitals that operate on patients with Hip Fracture in NSW. The project will be supported by a formative evaluation and economic appraisal.