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and improvement project
This project is designed to promote the use of fascia iliaca block as a method of analgesia for patients who present to Nepean Hospital with a neck of femur fracture, as recommended by the ACI guidelines.
Added: 28 June 2019|Last updated: 15 July 2019
This project aims to implement a sustainable and patient centred service for patients attending the rheumatology outpatient clinics at Royal Prince Alfred Hospital.
Royal Prince Alfred Hospital
Added: 24 April 2019|Last updated: 9 May 2019
The appointment booking process for clients accessing the Fairfield Orthopaedic Hip and Knee Service was modified to enable the Culturally and Linguistically Diverse (CALD) population greater access to the service.
Added: 19 October 2018|Last updated: 20 November 2018
While local specialist services are available to help prevent secondary fracture, in the Richmond area, only 10% of those at risk are being assessed. This project will improve identification and referral for at-risk patients and help improve patient awareness of the risk of secondary fracture.
Lismore Base Hospital
Added: 20 August 2018|Last updated: 30 August 2018
This project reviewed the journey of patients undergoing an elective total hip or knee replacement at the Tweed Hospital. In consultation with staff and patients, a range of improvements were implemented, including preoperative assessments, patient information brochures, clinical pathways and pain management.
The Tweed Hospital
Added: 6 March 2017|Last updated: 28 April 2017
Ryde Hospital refurbished its Fracture Clinic, developed an information sheet for patients and created a streamlined model of care, to reduce waiting times and improve the patient experience.
Added: 19 July 2016|Last updated: 19 August 2016
This project decreased unnecessary time spent in orthopaedic clinics, reduced the number of patients per clinic to a safe and manageable level and standardised follow-up pathways for orthopaedic patients.
The Children's Hospital at Westmead
Added: 26 April 2016|Last updated: 28 April 2016
This project made changes to its staffing and administrative processes, to deliver a more timely and efficient orthopaedic service to patients at Gosford and Wyong Hospitals.
Central Coast Local Health District
Added: 30 November 2015|Last updated: 3 December 2015
This project aimed to improve the patient flow of restricted weight bearing (RWB) patients through the acute orthopaedic service, by implementing a reconditioning program that optimised recovery following surgery. Communication processes were also incorporated into the model of care, to keep patients informed and improve their experience.
Concord Repatriation General Hospital
Added: 27 November 2015|Last updated: 3 December 2015
Port Macquarie Base Hospital reviewed its fractured femur care pathway, based on the ACI's Minimum Standards for the Management of Hip Fractures. This resulted in a formalised orthogeriatric model of care that addressed factors including multimodal pain control, time to theatre, time to mobilisation and refracture prevention.
Port Macquarie Base Hospital
Added: 21 October 2015|Last updated: 9 November 2015
This is a multidisciplinary team-based model, designed for patients over 50 years of age, presenting to the Emergency Department with a minimal trauma fracture.
Hunter New England Local Health District
Added: 11 April 2012|Last updated: 5 January 2015
This study will pool data from multiple sites to quantitatively demonstrate the relative efficiency of physiotherapy service compared with the usual care provides for patients presenting to ED with musculoskeletal conditions (triage category 3-5). The study will compare waiting times and overall length of stay for patients presenting to ED with an isolated musculoskeletal injury treated by the physiotherapy practitioner and this data will be compared to the treatment provided by usual care providers to determine if there is a...
Added: 30 October 2014|Last updated: 30 October 2014
Assessment of cognitively impaired older persons with musculoskeletal conditions in Emergency Departments (EDs). To conduct a comparative study assessing pain scores and analgesic administration in cognitively impaired and cognitively intact older people diagnosed with a long bone fracture. To conduct a cluster randomised controlled trial of the Pain Assessment in Advanced Dementia (PAINAD) screening tool for cognitively impaired older people presenting with suspected long bone fracture; To determine if the PAINAD screening tool assists emergency nurses’ pain assessment and facilitates...
Northern Sydney Local Health District
Added: 29 October 2014|Last updated: 30 October 2014
2011 heralded a significant shift in the Model of Care for Bathurst Health Service (BHS) Orthopaedic services. Increasing demands for service, increased waitlist times and inconsistent models of anaesthetic and post-operative service delivery models of care resulted in increased length of stay (LOS) and secondary sequelae of increased pressure area numbers, rehabilitation bed use and inconsistent post-operative analgesic regimes that limited functionality. With the introduction of activity based funding, a new multi-disciplinary model of care was developed between the Surgical...
Bathurst Base Hospital
Added: 24 September 2013|Last updated: 17 October 2014
Aim: The OACCP aims to provide interventions that support people with osteoarthritis of the hip and/or knee to: Self-manage their condition and co-morbidities; ...
Benefits: The OACCP model of care has been implemented and evaluated in eight LHDs in NSW. Most of the participants have been on the NSW public hospital wa...
9 February 2015
Aim: The Musculoskeletal Primary Health Care Initiative aims to plan, implement and evaluate a ‘one-stop’ program of care within primary care settings fo...
Benefits: The Musculoskeletal Primary Health Care Initiative proposes the benefits will be that validated musculoskeletal models of care can be provided in primary health...
9 February 2015
Aim: To improve the outcomes of patients with fractured hips requiring surgery and management in NSW.
Benefits: Reduced medical complications, reduced hospital stays and improved patient outcomes.
7 April 2015
Aim: To ensure people who sustain a minimal trauma fracture have access to early identification, diagnosis, treatment, and follow-up for osteoporosis.
Benefits: Benefits include improved patient outcomes, better utilisation of hospital services, and reductions in health system costs for at risk people.
9 February 2015
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