Audit of Fractured Neck of Femur Integrated Care Pathway

Objectives: To assess quality of documentation in the fractured neck of femur pathway and to target problem areas with its use. Methods: Review of notes of all patients presenting to St Helier with a fractured neck of femur between 1 June and 31 August 2003. Results: Overall, doctors were worst at using the pathway; nurses were variable; physiotherapists were excellent. Several sections were underused or not used at all. A very low percentage managed to sign, date and include the patient's name. Conclusions: Better education, particularly of junior doctors, about how and why to use these documents and file them properly should eliminate the majority of problems with the use of the integrated care pathway.