Fracture clinic redesign: improving standards in patient care and interprofessional education
| Autor: | J Bayer, K. Christen, O Murray, Andrew Marsh |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Quality management Attitude of Health Personnel MEDLINE Likert scale Fractures Bone Interquartile range Medical Staff Hospital medicine Humans Adverse effect Referral and Consultation Quality Indicators Health Care Retrospective Studies Practice Patterns Nurses' business.industry Incidence (epidemiology) Retrospective cohort study General Medicine Interprofessional education Quality Improvement Organizational Innovation Patient Discharge Orthopedics Family medicine Clinical Competence Emergency Service Hospital business Morale |
| Zdroj: | Swiss Medical Weekly. |
| ISSN: | 1424-3997 1424-7860 |
| DOI: | 10.4414/smw.2012.13630 |
| Popis: | Summary INTRODUCTION: Current fracture clinic models, espe- cially with the advent of reductions in junior doctors' hours, may limit outpatient trainee education and patient care. We have designed a new fracture clinic model, in- volving an initial consultant-led case review focused on pa- tient management and trainee education. METHODS: Prospective outcomes for all new patients at- tending the redesigned fracture clinic over a 3-week period in 2010 (n = 240) were compared with a historical cohort from the same period in 2009 (n = 296). The primary out- come measure was the proportion of patients with direct consultant input. Secondary outcome measures included patient discharge rates, return rates, use of the nurse-led fracture clinic and the incidence of adverse event reporting. Trainees attending each clinic completed a five-point Likert questionnaire assessing the adequacy of education, support, staff morale and standards of patient care, before and after introduction of the clinic redesign. Using a separ- ate Likert questionnaire, emergency room (ER) staff were evaluated to determine the impact of the new style clinic on their education, daily practice and interprofessional rela- tions. Adverse events were gathered from the 'incident re- cord 1' (IR1) reporting system. RESULTS: The percentage of cases given consultant input increased significantly from 33% in 2009 to 84% in 2010 (p |
| Databáze: | OpenAIRE |
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