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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXXIX | Pages 253 - 253
1 Sep 2012
Ieong E Sadri A Jarral O Shafafy R Neen D Housden P
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The Dawn Hip - An Effective Strategy to Improve the Management of Traumatic Hip Fractures

Introduction

Traumatic hip fractures are managed with nationwide standards, and are regularly audited and published. A previous audit last year at the William Harvey revealed 66% of hip fractures were operated within 48 hours, compared to the national average of 75%. We implemented a strategy to improve this target by introducing the ‘Dawn Hip’ - a hip fracture operation which is prepared for surgery at 8am on the Emergency (CEPOD) list.

Methods

Over a two month period after the introduction of the ‘Dawn hip’, the number of hip operations and start time on the CEPOD list were audited. Performance data were extrapolated from the National Hip Fracture Database (NHFD) and compared nationally.