Hip Fracture Audit SIG

Hip Fracture Audit Special Interest Group

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

If you would like to join the FFN Hip fracture minimum dataset Special Interest Group, please complete the application form and email it to FFN Central Office at ff-network@mci-group.com.