- Title
- Preventable mortality in geriatric hip fracture inpatients
- Creator
- Tarrant, S. M.; Hardy, B. M.; Byth, P. L.; Brown, T. L.; Attia, J.; Balogh, Z. J.
- Relation
- Bone & Joint Journal Vol. 69B, Issue 9, p. 1178-1184
- Publisher Link
- http://dx.doi.org/10.1302/0301-620X.96B9.32814$2.00
- Publisher
- British Editorial Society of Bone and Joint Surgery
- Resource Type
- journal article
- Date
- 2014
- Description
- There is a high rate of mortality in elderly patients who sustain a fracture of the hip. We aimed to determine the rate of preventable mortality and errors during the management of these patients. A 12 month prospective study was performed on patients aged > 65 years who had sustained a fracture of the hip. This was conducted at a Level 1 Trauma Centre with no orthogeriatric service. A multidisciplinary review of the medical records by four specialists was performed to analyse errors of management and elements of preventable mortality. During 2011, there were 437 patients aged > 65 years admitted with a fracture of the hip (85 years (66 to 99)) and 20 died while in hospital (86.3 years (67 to 96)). A total of 152 errors were identified in the 80 individual reviews of the 20 deaths. A total of 99 errors (65%) were thought to have at least a moderate effect on death; 45 reviews considering death (57%) were thought to have potentially been preventable. Agreement between the panel of reviewers on the preventability of death was fair. A larger-scale assessment of preventable mortality in elderly patients who sustain a fracture of the hip is required. Multidisciplinary review panels could be considered as part of the quality assurance process in the management of these patients.
- Subject
- preventable mortality; geriatric hip fracture; inpatients; generiatric inpatients; prospective study
- Identifier
- http://hdl.handle.net/1959.13/1302141
- Identifier
- uon:20416
- Identifier
- ISSN:2049-4394
- Language
- eng
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