Continuous quality improvement in the care of older patients with hip fractures.
Economic restraints are forcing hospitals to develop and implement patient centered, cost-effective care approaches. This article describes how the quality of care to older patients with hip fractures was improved using Continuous Quality Improvement (CQI) and Managed Care processes. During a six month project, twenty five female patients were treated. Outcomes demonstrated that using CQI and Managed Care are effective in reducing mortality, complications and length of stay. As well, staff and patient satisfaction were very high. The structure, process and outcomes of this project are discussed.
McCulloch
C A
CA
Scarborough Grace Hospital, Ontario.
Tucker
D E
DE
D000368:Aged; D019090:Case Management / Q000458:organization & administration*; D003362:Cost-Benefit Analysis; D005260:Female; D006620:Hip Fractures / Q000451:nursing*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D010865:Pilot Projects; D017749:Total Quality Management / Q000458:organization & administration*