Scoping review of potential quality indicators for hip fracture patient care.
The purpose of this study is to identify existing or potential quality of care indicators (ie, current indicators as well as process and outcome measures) in the acute or postacute period, or across the continuum of care for older adults with hip fracture.



Scoping review.



All care settings.



English peer-reviewed studies published from January 2000 to January 2016 were included. Literature search strategies were developed, and the search was peer-reviewed. Two reviewers independently piloted all forms, and all articles were screened in duplicate.



The search yielded 2729 unique articles, of which 302 articles were included (11.1%). When indicators (eg, in-hospital mortality, acute care length of stay) and potential indicators (eg, comorbidities developed in hospital, walking ability) were grouped by the outcome or process construct they were trying to measure, the most common constructs were measures of mortality (outcome), length of stay (process) and time-sensitive measures (process). There was heterogeneity in definitions within constructs between studies. There was also a paucity of indicators and potential indicators in the postacute period.



To improve quality of care for patients with hip fracture and create a more efficient healthcare system, mechanisms for the measurement of quality of care across the entire continuum, not just during the acute period, are required. Future research should focus on decreasing the heterogeneity in definitions of quality indicators and the development and implementation of quality indicators for the postacute period.
Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.
Kristen B
KB
Pitzul
Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
Sarah E P
SE
Munce
Gerstein Science Information Centre, University of Toronto, Toronto, Ontario, Canada.
Laure
L
Perrier
Department of Physical Therapy, University of Alberta, Edmonton, Alberta, Canada.|Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.
Lauren
L
Beaupre
Department of Medicine, McGill University, Montreal, Quebec, Canada.
Suzanne N
SN
Morin
Bone and Joint Canada, Toronto, Ontario, Canada.
Rhona
R
McGlasson
Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada.|Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.|Department of Physical Therapy, University of Toronto, Toronto, Ontario, Canada.
Susan B
SB
Jaglal
D003266:Continuity of Patient Care; D006620:Hip Fractures / Q000628:therapy*; D017052:Hospital Mortality; D006801:Humans; D007902:Length of Stay; D010043:Outcome and Process Assessment, Health Care; D005791:Patient Care / Q000592:standards*; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care
HEALTH SERVICES ADMINISTRATION & MANAGEMENT; REHABILITATION MEDICINE