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Subsequent Fracture Prevention in Patients 50 Years and Older With Fragility Fractures

A Quality Improvement Initiative

Mackey, Patricia A.; Rosenthal, Laura D.; Mi, Lanyu; Whitaker, Michael D.

The Journal for Healthcare Quality (JHQ): January/February 2019 - Volume 41 - Issue 1 - p 17–22
doi: 10.1097/JHQ.0000000000000133
Original Article

ABSTRACT Because of osteoporosis, patients older than 50 years with fragility fractures are at risk of further fractures. We developed a quality improvement initiative based on an evidence-based Fracture Liaison Service (FLS) model of care to help prevent subsequent fractures. Previous to the implemented FLS model, less than 13% of patients with fragility fractures were assessed for osteoporosis at our institution. We created a registry tool to identify patients with fractures who were older than 50 years. Our interventions focused on identifying, contacting, and educating patients; and coordinating screening tests and an outpatient follow-up visit with an endocrinologist. Identification of patients older than 50 years with fragility fractures increased from 0% to 74.5%, with implementation of the fracture registry. Of those identified, 33.9% were screened and had a follow-up visit. The fragility fracture population older than 50 years is at risk of subsequent fractures and should be identified, contacted, educated, screened, and assessed for osteoporosis to prevent subsequent fractures.

For more information on this article, contact Patricia A. Mackey

The authors declare no conflicts of interest.

© 2019 National Association for Healthcare Quality
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