Table 4.

Lessons Learned.

Establishing a pathway for multidisciplinary communication was essential to improve our care of patients with hip fractures and the timeliness of surgical treatment. Identifying common delays such as preoperative testing (ie, echocardiogram) and establishing protocols helped to expedite surgical treatment of patients with hip fractures. INR reversal was a common reason for delay of care for hip fracture patients, a standardized reversal protocol is beneficial. Annual retraining of care providers was important at our academic institution to continue the hip fracture pathway due to resident and fellow turnover. Continued research and improvement in discharge planning and disposition are areas of future improvement and standardization to continue to improve care for these complex patients

Abbreviation: INR, international normalized ratio.