Most Proposed Topic :
Clinical Safety and Quality Service I (projects aiming to improve efficiency and effectiveness of care delivery to meet international standards)
Authors: (including presenting author): :
SY So(1), YP Tang(1), KM Lau(1)
Affiliation: :
(1) Physiotherapy Department, Tung Wah Eastern Hospital
Introduction: :
Hip fracture is a common and serious injury in elderly, comprising 20% of the Tung Wah Eastern Hospital (TWEH) inpatient admissions. Rehabilitation have shown to promote recovery, however variation in practice exists among physiotherapists due to different clinical experience and training background. With anticipated high turnover of physiotherapist, a structured and standardized rehabilitation program would be essential.
Objectives: :
To:
1) minimize practice variation by establishing standardized assessment and treatment regime for patients receiving geriatric hip fracture rehabilitation program;
2) maintain and enhance service quality through regular compliance audit and outcome evaluation; and,
3) facilitate and standardized junior staff orientation.
Methodology: :
Revamp of program was introduced to the Physiotherapy orthopedics team in April 2022 followed by a compliance audit, which set as an baseline and highlighting areas of improvement. A structured program in which stratified care with standardized treatment regime will be provided based on findings from the assessment of patients’ mobility status and needs. To facilitate the implementation, current assessment and exercises prescription form were updated. An orientation package for junior staff and a tele-rehabilitation prescription template were also developed.
The efficacy of the program was evaluated through auditing program compliance of colleagues and analyzing patients’ functional outcomes which were collected 2 months prior and after program commencement. Subjective commentary on the efficacy of the orientation package was also collected from colleagues.
Result & Outcome: :
The compliance audit showed an overall improvement from 77.6% to 93.2% , in which all five areas under concern identified in the baseline audit were improved. A larger variety of treatment choices specific to patients’ mobility status and functional goal was also observed. However, the functional outcomes did not show a significant difference. Positive feedbacks from junior staff were received regarding the new orientation package.
