Impact of organisational changes on fracture neck of femur management.
BACKGROUND
In 2005, University Hospitals of Leicester formed a Fracture Neck of Femur (#NOF) project group to improve care of this group of patients.


METHODS
The salient changes effected by the group were the appointment of designated orthogeriatricians, trauma co-ordinators, clinical aides, and discharge nurses.


RESULTS
As a result of these measures, the number of patients going to theatre within 48 h of admission rose from 38.5% in 2005/6 to 90% in 2007/8. In-hospital mortality decreased from 16.5% in 2005/6 to 10.9% in 2007/8. The 30-day mortality dropped from 13% in 2005/6 to 10.9% in 2007/8. Hospital stay reduced from 29 days in 2005/06 to 17 days in 2007/8.


CONCLUSIONS
Re-organisation of available resources has a positive impact on reducing mortality and in-hospital stay of fracture neck of femur patients.
Leicester Royal Infirmary, University Hospitals Leicester, UK. emdmallick@hotmail.com
Emad
E
Mallick
Abhinav
A
Gulihar
Grahame
G
Taylor
Andrew
A
Furlong
Radhakant
R
Pandey
D000369:Aged, 80 and over; D003695:Delivery of Health Care / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D005260:Female; D005265:Femoral Neck Fractures / Q000401:mortality / Q000601:surgery*; D006299:Health Services for the Aged / Q000458:organization & administration* / Q000592:standards / Q000706:statistics & numerical data; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D008297:Male; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care