Dawkins Claire, Atkinson Kate, Tate Anne, Eardley W G P
James Cook University Hospital, Middlesbrough, United Kingdom.
Department of Trauma & Orthopaedics, James Cook University Hospital, Middlesbrough, United Kingdom.
Geriatr Orthop Surg Rehabil. 2015 Sep;6(3):157-9. doi: 10.1177/2151458515583087.
Hip fracture incidence rises globally in an aging population who live in an era of financial austerity. Health service providers are under pressure both to optimize care and to increase efficiencies in the management of this vulnerable patient group. One area of inefficiency in perioperative processes is the assessment of deranged clotting profiles secondary to warfarinization and in the monitoring of hemoglobin. Delays are inherent in these processes, threatening patient care and impacting on financial incentivisation of performance. Point-of-care testing, while widespread in other areas of health care, is underutilized in hip fracture management. This work explores the application to hip fracture care of this technology and suggests future direction to investigate its potential benefits.
在人口老龄化且处于财政紧缩时代的全球范围内,髋部骨折的发病率不断上升。医疗服务提供者面临着优化护理以及提高对这一脆弱患者群体管理效率的双重压力。围手术期流程中一个效率低下的领域是对华法林化继发的凝血指标紊乱的评估以及血红蛋白的监测。这些流程中存在固有延迟,威胁着患者护理,并影响绩效的财务激励。即时检验虽然在医疗保健的其他领域广泛应用,但在髋部骨折管理中却未得到充分利用。这项工作探讨了该技术在髋部骨折护理中的应用,并提出了未来研究其潜在益处的方向。