The construction and implementation of a clinical decision-making algorithm reduces the cost of adult fracture clinic visits by up to £104800 per year: a quality improvement study

摘要

INTRODUCTIONInappropriate referrals to the new patient fracture clinic unnecessarily consume hospital resources and many hospitals lack clear guidelines as to what should be referred. Many of these injuries can be definitively managed by the emergency department. Our aim was to construct and disseminate a clinical decision-making algorithm to reduce the frequency of inappropriate referrals to fracture clinics at our institution, to improve the management of patients with minor injuries and save the hospital and the patient the cost of unnecessary visits.