Hip Fracture Audit SIG
- The international Interim Steering Committee of the Hip Fracture Registry Special Interest Group has worked since early 2013 in a series of Skype meetings with the principal goal of making possible an FFN Hip Fracture Audit Database, provisionally planned for 2015/2016.
- Work commenced with a consensus exercise aimed at delivering a concise FFN Minimum Common Dataset (MCD). This drew on far more detailed and extensive datasets already in use for large-scale audit, and largely derived from the original Swedish Rikshoft dataset.
- Consensus work resulted in a one-page FFN MCD that is both simple and concise, but captures key elements of case mix, care and early outcomes. Two brief appendices cover follow-up and surgical complication and their management. The MCD has already been well received internationally as potentially user-friendly and cost-effective too, taking much less staff time to complete than previous datasets.
- In recent months the Interim Steering Committee has worked with Crown Informatics - the IT provider for the UK National Hip Fracture Database - on the Pilot Phase of the FFN Hip Fracture Database. Five trauma units - in Germany, Malta, Slovenia and Spain - have committed to participation in an MCD-based Pilot Phase. Data collection is now commencing and will continue to the end of 2014.
- A preliminary report on the Pilot Phase will be presented at the 3rd Global Congress in September, along with a proposed report on the use of the MCD as a basis for comparison of historic data from established hip fracture audits using more detailed but compatible datasets. A final report will be prepared in early 2015.
- Evaluation of experience in the Pilot Phase is expected to provide useful lessons in advance of the proposed wider development – yet to be planned and financed – of the FFN Hip Fracture Database. In particular, the challenges of meeting Information Governance standards on data handling within and between the different jurisdictions are already being usefully explored.
- The above work by the Interim Steering Committee and Crown Informatics has paved the way for the launch of the wider Special Interest Group, with participation in MCD-based comparative international hip fracture audit as a major incentive to join.
The following link provides access to the FFN Hip Fracture dataset, with data definitions and a demonstration video illustrating data entry http://web1.crownaudit.org/FFN/info.nsf
2015/5/27 REPORT of the pilot phase