Fracture clinic referrals: the need for self audit

An audit was carried out on 250 patients who attended an acute orthopaedic clinic following referral from the Accident and Emergency Department. Of the patients 17.2 per cent had an incorrect diagnosis made, and 12 per cent of the patients had been incorrectly treated. Of all plaster splints 49.4 pe...

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Bibliographic Details
Published inInjury Vol. 19; no. 2; pp. 77 - 78
Main Author Morton, R.J.
Format Journal Article
LanguageEnglish
Published Oxford Elsevier Ltd 01.03.1988
Elsevier
Subjects
Biological and medical sciences
Diagnostic Errors
Emergency Service, Hospital - standards
England
Female
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
Orthopedics
Quality of Health Care
Referral and Consultation
Traumas. Diseases due to physical agents
England
Hospital ward
Fracture
Treatment
Emergency
Trauma
Diseases of the osteoarticular system
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Summary:An audit was carried out on 250 patients who attended an acute orthopaedic clinic following referral from the Accident and Emergency Department. Of the patients 17.2 per cent had an incorrect diagnosis made, and 12 per cent of the patients had been incorrectly treated. Of all plaster splints 49.4 per cent were removed, and 25.4 per cent were substantially altered by the orthopaedic staff. Six per cent of patients were admitted from the clinic. The implications of these results on the need for audit and direct feedback in order to improve the quality of care and efficient use of resources are discussed.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:0020-1383
1879-0267
DOI:10.1016/0020-1383(88)90076-9