ANZHFR Sprint Audits
ANZHFR Sprint Audits
A Sprint Audit involves additional questions or variables that are temporarily added to the routine registry data collection. Sprint Audits allow us to get a ‘close up’ view of one aspect of care in a short period of time.
Click on the titles below to find a summary of our ANZHFR Sprint Audit projects, findings and recommendations.
The ANZHFR Preoperative Fasting Sprint Audit was undertaken in June 2023.
Rationale:
• To highlight current fasting practices and where there are potential gaps in care and opportunities to improve care.
• Data will be used to drive quality improvement activities.
• Reducing fasting times will reduce thirst, hunger, nausea, anxiety, hypoglycaemia and contribution to hospital acquired malnutrition.
• Reducing unnecessary fasting prior to surgery will ultimately improve the patient experience
Summary of the audit results can be downloaded and saved HERE
Prof Jacqui Close (Registry Co-Chair and Geriatrician) and Dr Philip Black (Anaesthetist) have recorded a podcast highlighting the results and discussing the roll out of Sip Til Send at Prince of Wales Hospital https://www.buzzsprout.com/1739857/13839642
Resources for Sip Til Send from Prince of Wales Hospital can be found under Shared Hospital Resources at https://anzhfr.org/resources/
The results and information on the roll-out of the Sip Til Send initiative at Prince of Wales and Sydney/Sydney Eye hospital were also presented at the Binational Hip Fest. The recording can be accessed on the ANZHFR Training and Education You Tube site.
This ANZHFR Sprint Audit was completed in July 2022. A summary report of the key findings is available here. The lead investigators are working on more detailed analysis and it is anticipated the results will be published in a peer-reviewed journal. Sincere thanks to all participating teams.
Patient Level Results
Background
Malnutrition is the most costly comorbidity in hip fracture and the one most likely to prolong length of stay [1]. It is a stronger predictor of 12-month mortality than ASA grade, Charlson Comorbidity Index, time to surgery, or type of surgery [2]. Malnutrition is observed across all BMI ranges, and in overweight or obese patients is a very strong predictor of 12-month mortality [3]. It has been widely established that multidisciplinary, multimodal nutrition care can improve outcomes [4].
As reported in the ANZHFR Annual Report (2021):
The ANZHFR Sprint Audit sought to gain greater insight into the current provision of nutrition care to patients with a hip fracture in Australia and New Zealand.
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Audit Population
Thirty hospitals across Australia and New Zealand voluntarily contributed patient-level data to the ANZHFR Sprint Audit on malnutrition. This resulted in a study population of 450 patients with a hip fracture aged 50 years and over admitted to a participating hospital between 1 - 31 August 2021.
Thirty-six hospitals voluntarily contributed facility-level data to the ANZHFR facility-level Nutrition Sprint Audit.
Findings
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Facility Level Results
Findings
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Further Reading
For more information on systematised, interdisciplinary opportunities for nutrition care in hip fracture, consider these freely available resources:
- Tune in to ANZHFR's podcast series Hipcast to listen to Dr Jack Bell and Dr Ólöf G. Geirsdóttir discuss their open access textbook Interdisciplinary Nutritional Management and Care for Older Adults | An Evidence-Based Practical Guide for Nurses
- Nutritional Care of the Older Patient with Fragility Fracture: Opportunities for Systematised, Interdisciplinary Approaches Across Acute Care, Rehabilitation and Secondary Prevention Settings