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Infant Hip Dysplasia - Best Practice Management Model
Infant Hip Dysplasia - Best Practice Management Model
Northern Sydney Central Coast Area Health Service
Abstract
Developmental Dysplasia of Hips (DDH) is a relatively common neonatal condition with the incidence reported as 19 and 4 per 1000 newborn girls and boys respectively. The recognised treatment of this condition involves the use of Hip Abduction Orthoses (HAO) such as a Pavlik Harness or a Hip Abduction Brace.
A best practice management model was developed for babies with DDH following a near incident in 2005. This involved a comprehensive review process which aligned the clinical pathway from diagnosis to the end of treatment with best practice. This resulted in the establishment of:
- Clinical Practice Guidelines, i.e. clinical algorithm (
pdf - 134 KB) - Parent information pamphlet
- Application guidelines for HAO use
- Competency assessment tools for HAO use
- Northern Sydney and Central Coast Area Service HAO networks
- Parent Satisfaction Survey
- KPI monitoring processes
The outcomes included a risk reduction of 77% (Risk Priority Number) and 100% of Key Performance Indicators (KPI’s) being met.
More details about this model can be downloaded in the formats listed below:
Word - 63 KB)
Contact
Deputy Manager - Physiotherapy Department APA Paediatric Physiotherapist
Royal North Shore Hospital
Phone: 02 9926 7555 (Dept)
