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Stopping of the routine check x-ray post hip hemiarthroplasty for intra-capsular neck of femur fractures

by Andy Jones | 4 months ago | in Urgent and Emergency Care
Horizon 2

1 - Safe and sustainable practice

2 - Reduced demand on radiology departments

3 - Reduced demand on nursing / portering staff

4 - Cost saving for the trust

5 - Potential for reduced transmission of airborne / droplet infection around the hospital

Having audited our last 3 years data, including 960 hemiarthroplasties, we noted that the rate of complications picked up on the check x-ray was just 0.1% (1 case of dislocation) and within our overall 1.25% complication rate, the vast majority occurred after a satisfactory check x-ray. We therefore propose only getting an x-ray if clinically indicated. Having now adopted this practice, latest data has shown no adverse events to date.

In our trust, it will also save at least £10000 per year when looking at the cost of x-rays alone. 

What is needed to sustain the change?

General consensus to adopt a change in practice. 

What is your region?

South West

Tagged users
edited on Jul 13, 2020 by Change Challenge
Andy Jones

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Greta McLachlan 4 months ago

Status labels added: Education, Effective Team Working, Equipment, Guidance, Implementation, Pathway Redesign, Screening, Things To Stop, Horizon 2

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Change Challenge 3 months ago

Status labels removed: Education, Effective Team Working, Equipment, Guidance, Implementation, Pathway Redesign, Screening, Things To Stop

Reply 0

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