Surg J R Coll Surg E
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Surg J R Coll Surg E · Dec 2015
ReviewThe best practice tariff and hip fractures: How can Northern Ireland keep up?
Current hip fractures guidelines recommend surgery within 36 h of admission. The 2011 National Hip Fracture Database (NHFD) report shows our institute has the fewest patients meeting this target (9%). Northern Irelands' exclusion from the "Best Practice Tariff" means no incentive-led treatment or prioritisation of hip fracture patients. ⋯ Without a change in funding, Northern Ireland will struggle to compete with the UK mainland and decrease mortality in this patient group.
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Surg J R Coll Surg E · Dec 2015
How often does the operating list follow the planned order? An analysis of elective maxillofacial operating lists.
The authors explored consistency of the observed running order in operating sequence compared with prior scheduled listing. We analysed potential variables felt to be predictive in the chances of a patient having their procedure as previously scheduled. ⋯ Approximately half of lists showed some alteration to the previously printed order. It appears that being first on an elective list offers the greatest guarantee that a patient will have their operation as per prior schedule. It may be reasonable for clinicians to be mindful of potential operating list alterations when preparing their patients for elective surgery.