Does quality of care in hip fracture vary by day of admission?

This study investigates if the day of the week a person is admitted with a hip fracture influences the quality of care they receive. We found those admitted Thursday and Friday were likely to obtain poorer postoperative care, indicating a need to optimize services ensuring equality for all.PurposeWe sought to investigate how the day of admission affects the quality of care provided to hip fracture patients according to national standards (The Scottish Standards of Care for Hip Fracture Patients [SSCHFP]).MethodsRetrospective analysis of national cohort data. Data were collected by the Scottish Hip Fracture Audit (SHFA) local audit co-ordinators (LACs) at participating Scottish hospitals on behalf of NHS Scotland and the Scottish Government. Adherence to the SSCHFP included assessment of both individual and cumulative standard attainment as a marker for quality of patient care.ResultsFrom January 2014 to April 2018, 15,351 admissions for hip fracture were recorded. Compared with Monday admission (reference day), patients admitted on a Thursday or Friday had a significantly lower likelihood of achieving the postoperative standards of prompt mobilization (OR 1.77;p 
Source: Archives of Orthopaedic and Trauma Surgery - Category: Orthopaedics Source Type: research

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Source: UNISON Health care news - Category: UK Health Authors: Tags: News Press release coronavirus health pay Sara Gorton Unpaid overtime Source Type: news
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Source: BMC Medical Ethics - Category: Medical Ethics Authors: Tags: Research article Source Type: research
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Source: Frontiers in Neurology - Category: Neurology Source Type: research
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Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Source: The Doctors Lounge - Psychiatry - Category: Psychiatry Tags: Cardiology, Family Medicine, Neurology, Nursing, Physiotherapy, Psychiatry, News, Source Type: news
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Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
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Source: Pain Research and Management - Category: Anesthesiology Authors: Tags: Pain Res Manag Source Type: research
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