Clinical pathways for geriatric patients with proximal femoral fracture improve process and outcome.

Objective: The objective of the current study was to evaluate the implementation of clinical pathways (CPs) in hip fracture management.

Methods: Six hundred and five proximal femoral fractures were prospectively included into a hospital data-base. The effects of CPs were evaluated using a pre-during-post design.

Continuous improvement process: ortho-geriatric co-management of proximal femoral fractures.

Objective: The objective of the current study was to evaluate the effect of a quality management system on treatment and care delivery of proximal femoral fractures. Specifically, our hypothesis was that the "plan-do-check-act (PDCA)" philosophy of the ISO 9001 quality management system results in a continuous improvement process.

Methods: 1015 proximal femoral fractures were prospectively included into a hip fracture database over a 5-year period, after a restructuring process with implementation of clinical pathways and standard operation procedures.