Health Quality Ontario’s Hip Fracture Quality Standard includes 15 quality statements addressing care
for adults aged 50 years and older undergoing surgery for fragility hip
fractures from the emergency department to three
months following surgery. Fragility fractures are fractures caused by
low-energy trauma, such as falls from standing height.
Below is a sample of tools that may help you with the
implementation of the quality statements into practice, organized according to
purpose. Some of these tools will help to support multiple quality
statements.
Are there other tools or resources you use? Do you have
experience implementing these tools? If so, please use the comments section
below to share!
Comprehensive Tools and Resources
The following tools and/or resources may apply to more than
one quality statement in the
Hip Fracture Quality Standard:
Tools to Support Clinical Practice
Examples of clinical order sets for hip
fracture:
The following tools and/or resources applies to Quality Statement 10: Screening for and Managing
Delirium
in the Hip Fracture Quality Standard:
- Confusion Assessment Method (CAM)—a standardized,
evidence-based tool that enables non-psychiatrically trained clinicians to
identify and recognize delirium quickly and accurately
- Delirium
Senior Friendly Care Toolkit
—a toolkit from the
Regional Geriatric Program of Toronto on screening, detecting,
prevention, management, monitoring and evaluation of delirium
- Delirium, Dementia and Depression (3 D’s)—information for
clinicians from Bone and Joint Canada on the importance of assessing and
managing the 3 D’s in hip fracture patients
- Mini
Mental State Examination (MMSE)
—an 11-question screening tool for cognitive
impairment in older adults to test five areas of cognition: orientation,
registration, attention and calculation, recall, and language
Educational Resources for Health
Care Professionals
- Pain Assessment Scales—a resource compiled by the National
Initiative on Pain Control that includes the Wong-Baker FACES Pain Rating
Scale, 1-10 Numeric Pain Rating Scale, and the Pain Quality Assessment
Scale
- Functional Recovery of Hip Fracture Patients—a
resource from Bone and Joint Canada that provides a detailed
look at rehabilitation strategies to maximize functional recovery of hip
fracture patients
- Osteoporosis Guidelines—a resource repository by Osteoporosis Canada that
includes clinical practice guidelines for osteoporosis and fracture
risk assessment tools
- Canadian Fall
Prevention Education Collaborative
—a centre for fall
prevention education that offers workshops and e-learning
courses and serves as a platform for sharing evidence-based practices,
programs and events related to fall and injury prevention for older adults
- Fall Prevention Month—a website focused on fall prevention that
offers resources, communications, and promotional materials to help
organizations disseminate and implement fall
prevention activities
Resources for Patients and Families
- Patient Reference Guide: Hip Fracture—a resource
by Health Quality Ontario to help people with hip
fractures and their families or caregivers know what high-quality
care looks like and ask informed questions when receiving treatment
in hospital and after discharge
- Hip Fracture Recovery Pathway: Before Surgery to Day 7—a
visual guideline for patients and caregivers by Alberta Health
Services that details the care that the patient will
receive each day from before their hip fracture surgery to
Day 7 post-surgery
- Recovery from a Hip Fracture: Information for Patients and
Caregivers
—a patient information booklet by the Canadian Orthopaedic Foundation that
outlines what patients and their caregivers can expect during recovery
from a hip fracture, and provides
recommendations on managing different aspects of the
patient’s health, such as mental health,
pain, exercise, and fall prevention
- Osteoporosis Booklets and Fact Sheets—a resource repository
by Osteoporosis Canada that includes booklets and fact sheets for patients
on osteoporosis and related topics, such as nutrition, exercise and drug
treatments
- Exercise and Falls Prevention Programs—information on free
classes for seniors (aged 65 and older) in Ontario to help maintain
balance and strength or prevent falls
Other Tools and Resources
Comment below to describe your experience with these
tools or share any others you have found useful!