University Assignment: Service Improvement for Neck of Femur Fractures

This report examines two service improvement initiatives related to fractured neck of femur. The first initiative focuses on a fast-track management system designed to reduce hospital stay durations and waiting times, emphasizing the importance of timely surgery and patient mobilization. The second initiative explores the implementation of radiographer-directed immediate reporting of Emergency Department radiographs as a cost-effective measure to improve diagnostic efficiency. The report compares and contrasts these two approaches, highlighting their impacts on patient care, hospital resource utilization, and overall healthcare service delivery. The analysis draws on various research papers and studies to support the effectiveness and implications of these service improvement strategies, offering insights into their respective strengths and potential challenges. Both initiatives aim to reduce patient wait times, improve patient outcomes, and optimize healthcare resource allocation.

Running head: GOOD SERVICE INITIATIVE
GOOD SERVICE INITIATIVE
Name of the Student
Name of the University
Author note

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Service initiative aimed for fractured neck of femur
Fast-track management system is chosen as a necessary service as it has an essential
role in improving the overall recovery period. The fast-track management system enhances
the patient care for neck of femur fracture (Paul and Issac, 2018). The evaluation was based
upon the principal that in the hospital would diminish two stages such as length stays (days or
hour) for inpatient as well as diminishing the long waiting time (hour). The coordinator of the
trauma team chose data depending on the timings involved and were put into databases
directly. The physicians can mobilise patient successfully due to reduction in time. The
patient mobilisation is done on day 1 and the record have shown that the patient is
progressing to an independent stage of mobility and morbidity (Pollmann et al. 2019). The
service initiative was arranged properly for improving the mortality and morbidity among
neck of femur patient. It emphasises that the surgery need to be performed on the service day
or utmost the following day. Fast track treatment approaches minimise the time length at
which the patient is conformed for bed rest and hence other defects starts to be visible (Xue
et al. 2019).
Service improvement Initiative
Radiographer directed instant reportage of Emergency Department (ED) radiographs
is a cost-effective process in addition to the widespread outline that make a noteworthy
influence to the present determination to upsurge package efficiency in an existing budget
limitation (Stevens, 2019). Demand for both ED as well as radiology services endures to
upsurge all over the UK though concurrently, healthcare organisations which estimate the
quality of care given in addition to compel cost of service. Guidance provided on radiograph
reporting times acclaims ED radiographs on day of attendance by however in service,

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deferrals in informing continue (Hardy, Hutton and Snaith, 2013). Hence, this process that
radiographer quick reporting for ED is a cost effective process.
Comparison
The fast track system suggested that the running the treatment policy quicker helps in
easy diagnosis (Paul and Issac, 2018). The fast track system not only helps patient to reduce
pain along with this the system also enhances the cost reduction policy (Alkaramani et al.,
2020). The cost reduction policy improves the fast track system. This initiative used clinical
diagnostic tool for measuring the impact. The faster system launched helped. However,
implementation of fast track has reduced the time effect, whereas implementation of faster
reporting for radiographer to ED have made the diagnosis easy (O'Connor, 2019). The fast
tracking system is beneficiary as it can help to improve the patient services. Faster treatment
or diagnostic measure helps in improvement in the health service sector.
This system helps patients spends less time in the hospital or in the trolleys with the
fracture. On other hand, as fractured neck of femur people needs trolleys to move, fast track
system not only improved in patient but also reduced the trolley space (Paul and Issac, 2018).
Identification of the main causes of fracture in neck of femur postponement in surgery
associated directly with patients suffering from several other diseases. Hence it is necessary
to enhance the patient’s health improvement time (Xue et al. 2019).
The second initiative suggested quicker handing over the radiographic data. Faster
diagnosis, surgery and handing of the report would improve the patient’s treatment measures.
Whereas immediate reporting of radiographer to the ED is described as an initiative which
determines the longitudinal study by representing indulgent to the variations establishing the
radiographers style of practice (Brown et al., 2019). This method is chosen because it helps
in time reduction and development in image aptitude by uplifting radiographers by allocating

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the report with radiologists by the complete assortment of imaging details (Hardy, Hutton and
Snaith, 2013). The reporting of radiographic imageries by radiographers to the ED is
measured as a predictable facility which includes remarkable global thoughtfulness from
diverse countries enthusiastic to deliberate analogous preparations of work. The fast track as
well as fat reporting of radiographer to ED was properly placed by healthcare people (Hardy,
Hutton and Snaith, 2013). As they have noticed that delaying in the service was affecting
patient health and diagnosis. Hence, immediate reporting and faster services are helpful. Both
the approaches were highly impactful. There was less wait time for the patient, less crowd in
the hospitals, initially there used to be big queue (Holland et al., 2020). The excellence of
information delivered by radiographers was proved as a standard equivalent towards a
consultant radiologist, however the choice of reporting individual radiographer's rehearsal is
characteristically absorbed towards a single imaging modality such as mammography, X-ray,
and ultrasound as well as anatomical section. Researches have shown that under-utilisation
skills of radiographers in addition to the result, have effected reporting service of the service
capacity and quality was date limited (Brown et al. 2019). The study has powered the clinical
test hypothesis by producing a reasonable robust details towards cost effectiveness towards
radiographer that led to ED MSK instant reporting service.
However, the reporting to ED approach is cost effective. Researchers have shown that
the radiographer led instant informing to ED MSK trauma radiographs is a cost effective
process (Katz et al. 2020). The main difference between these two techniques is that service
optimisation step. In case of fast track, the service optimisation is a time dependant process
whereas faster reporting service to ED optimisation would cause the patient under trauma to
be have daily living.

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References
Alkaramani, E., Salameh, M., Adam, M., George, B., Alser, Y. and Ahmed, G. (2020)
Simultaneous Bilateral Neck of Femur Fracture in a Young Adult with Underlying Metabolic
Disturbances. Case Reports in Orthopedics. 2020pp. 1-3.
Brown, C., Neep, M., Pozzias, E. and McPhail, S. (2019) Reducing risk in the emergency
department: a 12‐month prospective longitudinal study of radiographer preliminary image
evaluations. Journal of Medical Radiation Sciences. 66 (3), pp. 154-162.
Culpan, G., Culpan, A., Docherty, P. and Denton, E. (2019) Radiographer reporting: A
literature review to support cancer workforce planning in England. Radiography. 25 (2), pp.
155-163.
Hardy, M., Hutton, J. and Snaith, B. (2013) Is a radiographer led immediate reporting service
for emergency department referrals a cost effective initiative?. Radiography. 19 (1), pp. 23-
27.
Holland, P., Spence, H., Clubley, A., Brooks, C., Baldwin, D. and Pointon, K. (2020)
Reporting radiographers and their role in thoracic CT service improvement: managing the
pulmonary nodule. BJR|Open. 2 (1), pp. 20190018.
Katz, M., Rockne, W., Braga, R., McKellar, S. and Cochran, A. (2020) An improved patient
safety reporting system increases reports of disruptive behavior in the perioperative setting.
The American Journal of Surgery. 219 (1), pp. 21-26.
Kosy, J., Blackshaw, R., Swart, M., Fordyce, A. and Lofthouse, R. (2013) Fractured neck of
femur patient care improved by simulated fast-track system. Journal of Orthopaedics and
Traumatology. 14 (3), pp. 165-170.

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O'Connor, R. (2019) Prehospital care in isolated neck of femur fracture: a literature review.
Journal of Paramedic Practice. 11 (1), pp. 21-27.
Paul, P. and Issac, R. (2018) Delay in time from fracture to surgery: A potential risk factor
for in-hospital mortality in elderly patients with hip fractures. Journal of Orthopaedics. 15
(2), pp. 375-378.
Pollmann, C., Røtterud, J., Gjertsen, J., Dahl, F., Lenvik, O. and Årøen, A. (2019) Fast track
hip fracture care and mortality – an observational study of 2230 patients. BMC
Musculoskeletal Disorders. 20 (1),
Stevens, B. (2019) A survey assessment of reporting radiographers' scope of practice in the
West Midlands region of the United Kingdom. Radiography. 25 (3), pp. 214-219.
Xue, X., Yang, C., Onishi, T., King, M. and Datta-Gupta, A. (2019) Modeling Hydraulically
Fractured Shale Wells Using the Fast-Marching Method With Local Grid Refinements and an
Embedded Discrete Fracture Model. SPE Journal. 24 (06), pp. 2590-2608.