Background: Use of bisphosphonates following NOF fracture in patients over the age of 60 has extensive evidence showing up at a 50% relative reduction in fracture risk. However this is variably recorded on the immediate discharge letter (IDL) and subsequently poorly communicated to Primary Care via the emergency care summary (ECS). Aim: To review how often IV Zoledronate is used in hospital, documented in the IDL and on ECS, leading to an improvement of documentation and communication between primary and secondary/tertiary care and therefore the safer management and usage of medicines. Method
Introduction: This audit was performed by the Northumbria-Healthcare NHS Foundation Trust (NHFCT) Falls and Syncope Service to inform the development of the NHFCT Integrated Falls Strategy (IFS). Method: From the opening of the Northumbria Specialist Emergency Care Hospital (NSECH) on 16/06/2015 all ED records were prospectively screened to identify the first 1000 patients aged 65 years and over that had attended with a fall. The 5-year outcome data was obtained from NHFCT electronic records. Results: Of the 1000 attends aged 65 years and over with a fall (13.7 attends daily), 55 were patients
Introduction: At Warrington hospital, a small district general, the orthogeriatric team adheres to national guidelines by conducting bone health assessments for inpatients with neck-of- femur (NOF) fractures and commencing suitable secondary prevention measures. However, there is a noticeable gap in secondary prevention for patients with non-NOF fractures requiring admission (such as tibial or humeral fractures). This predisposes patients to a future increased risk of disability, morbidity and mortality following discharge. Method: A Quality Improvement initiative was launched, introducing
Introduction The fall risk factors in older adults living in residential care homes for the elderly (RCHEs) are multifactorial. In Hong Kong, around 9.5% of RCHEs have a fall rate over 30% (Elderly Health Service, 2022)1. The objective of this survey is to identify the common fall risk factors among frequent fallers in RCHEs in biological, environmental, and behavioural domains, based on the World Health Organization (WHO)’s risk factor model for fall (World Health Organization, 2021)2. Methods 197 frequent fallers from 67 RCHEs with fall prevalence over 30% in Hong Kong were included in this