Tranexamic Acid in Hip Fracture Surgery
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
Reduce blood transfusion rates, hemoglobin drop (POD1/3), and improve early mobilization for hip fracture patients. TXA protocol improved blood management, patient outcomes, and reduced hospital burden.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Value Based Care, Functional Outcome, Quality Improvement, Job Effectiveness, Clinical Practice Improvement
About this Content
Aims
Reduce blood transfusion rates, hemoglobin drop (POD1/3), and improve early mobilization for hip fracture patients.
Background
Pre-implementation: 40% of patients required blood transfusion during or after surgery; no standard TXA protocol existed.
Methods
Developed and implemented a standardized TXA protocol, trained surgeons on benefits/risks, and monitored key metrics.
Results
TXA usage increased from 37% to 61%; transfusion rates reduced by 14%, early ambulation improved by 11%.
Conclusion
TXA protocol improved blood management, patient outcomes, and reduced hospital burden.
Lessons Learnt
Standardized care protocols and multidisciplinary support were essential for sustained success.
Keywords
Hip Fracture Surgery, TXA Protocol, Blood Management, Early Mobilization
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | Ng Teng Fong General Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Allied Health, Nursing, Medical |
Applicable Specialty or Discipline | Orthopaedics, Surgery, Haematology, Phlebotomy |
Project Lead(s) | Kevin Yik |
Project Member(s) | Nazrul Nashi |
Connect with this contributor!
Fione Gun - fione_gun@nuhs.edu.sg
Project Attachment
C_253_NTFGH_QM_2020_Tranexamic_Acid_in_Hip_Fracture_Surgery.pdf