On 3 June 2019, an 80-year-old lady named Joëlle was admitted to the ER after falling over at home. An emergency CT scan of her pelvis revealed that she had broken her left hip, Joëlle was transferred to the orthopaedic department, where surgery was scheduled. However, the intervention was delayed for 3 days due to a number of emergencies and the surgeon's unavailability. The patient was not prescribed any venous thromboembolism (VTE) prophylaxis. Several weeks after leaving the hospital, Joëlle returned to the ER with a pulmonary embolism. Unfortunately, complications related to that pulmonary embolism prevented Joëlle from recovering her previous functional capacity. Analysis of this adverse event suggested three improvement interventions: shortening the time to the surgical procedure, implementing a standardised protocol and establishing an interdisciplinary approach to care.
Date de parution : 12/2019
Thème : Broken hip
Mots clés : Interdisciplinarity, Broken hip, Protocol
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