[AVBC 2025] Transforming Care of Fragility Fractures Through ED Nerve Blocks and Multi-disciplinary Care
Care Process & Redesign
Appropriate & Value-based Care Conference
National Healthcare Group
16 December 2025
To provide optimal care for the index fracture episode and to prevent future fragility fractures through secondary. The program shows promise in improving patient outcomes through enhanced peri-operative protocols and seamless transition support.
Year Submitted: 2025
Published Date: 16 December 2025
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Productivity, Cost Saving, Time Saving, Value Based Care, Safe Care, Preventive Approach, Adverse Outcome Reduction
About this Content
Aims
To provide optimal care for the index fracture episode and to prevent future fragility fractures through secondary prevention.
Background
Fragility fractures have a high mortality rate and require comprehensive management. The program aims to transform care through ED nerve blocks and expanded multi-disciplinary care.
Methods
The program encompasses inpatient, outpatient, and community care for all fragility fractures. It includes comprehensive screening, multi-disciplinary care pathways, and holistic management for secondary prevention.
Results
The implementation of nerve blocks in the ED increased from 66.7% in June 2024 to 100% in Jan-Mar 2025, providing effective analgesia and minimizing logistical delays.
Conclusion
The program shows promise in improving patient outcomes through enhanced peri-operative protocols and seamless transition support.
Lessons Learnt
Joint training and support by ED and Anaesthesia were enablers for the program. Barriers to prompt surgery were identified and addressed.
Keywords
Osteoporosis, Fractures, Sarcopenia, Rehabilitation, Prevention
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National Healthcare Group |
Organization(s) Involved | Woodlands Health |
Platform(s) | Appropriate & Value-based Care Conference |
Healthcare Professional Group(s) | Nursing |
Applicable Specialty or Discipline | Geriatric Medicine, Emergency Medicine, Orthopaedics |
Project Lead(s) | Jayashri Shobna Venketasubramanian |
Project Member(s) | Louise Heyzer |
Connect with this contributor!
Jayashri Shobna Venketasubramanian - jayashri.shobna@nhghealth.com.sg