Trauma& Orthopaedic manager, Scotland. Focused on improving T&O care in Scotland. #SHFA
Scotland, United Kingdom
Joined January 2017
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Congratulations to the Prince of Wales hospital! @A_MacLullich @kirstymward
🏆 Australian Golden Hip Awards – Best Overall Performance
It’s time to celebrate the hospitals demonstrating outstanding performance in hip fracture care! 👏
A huge congratulations to our Best Overall Performance finalists:
✨ Canberra Hospital, ACT
✨ John Hunter Hospital, NSW
✨ Northern Beaches Hospital, NSW
✨ Prince of Wales Hospital, NSW
✨ Robina Hospital, QLD
✨ Royal Darwin Hospital, NT
✨ Royal Prince Alfred Hospital, NSW
✨ The Alfred Hospital, VIC
✨ The Wollongong Hospital, NSW
✨ Westmead Hospital, NSW
These teams have demonstrated an outstanding commitment to delivering high-quality hip fracture care and achieving excellent outcomes for their patients.🙌
🏆And the Australian Golden Hip Trophy for Best Overall Performance goes to… 🥁
🎉 Congratulations to PRINCE OF WALES HOSPITAL— winner of the 2026 Australian Golden Hip Award for Best Overall Performance! 🎉
This award recognises outstanding overall performance in hip fracture care and celebrates the dedication of the entire team to delivering high-quality care for people with hip fracture.
A fantastic achievement — congratulations to everyone involved! 👏🏆
#ANZHFR #HipFest2026 #GoldenHipAwards #HipFracture #HipFractureCare #QualityImprovement
Karen Adam retweeted
"How do we cut length of stay?"
More beds. Faster discharges. Both get a hearing.
Screen for delirium: the idea nobody takes seriously.
Delirium adds days to admissions. Prevention IS the business case. #delirium
ALT Boardroom suggestion meme, three panels. The boss asks "HOW DO WE CUT LENGTH OF STAY?" Colleagues answer "MORE BEDS", "FASTER DISCHARGES" and "SCREEN FOR DELIRIUM". In the last panel the boss glares and the man who suggested screening is thrown out of the window.
Karen Adam retweeted
The Nursing Delirium Screening Scale (NuDESC). Designed for inpatient monitoring for new #delirium.
Karen Adam retweeted
Mrs Smith, 78, hip fracture patient, described as "confused & aggressive"
Ward round note: "?UTI. Start antibiotics." No mention of "delirium"
My reaction: What about her distress - untreated pain? Dehydration? Medication review? Telling the family the diagnosis? Etc.
Why we need Delirium 8 👇
Karen Adam retweeted
“We had no structured training. It felt like guesswork, not clinical care.”
-- a nurse commenting on his experience of providing care to people with #delirium
➡️ For me, a massive upscaling of good quality delirium education is the single most important change we need to make to improve care.
Karen Adam retweeted
Why Patient-Centred Care Isn’t Enough Anymore
It’s time to move beyond just patient-centred care to active patient partnerships 🤝
💭 Why is this critical?
✅ Empowered patients
✅ Improve quality of care
✅ Boost satisfaction
✅ Lower costs
✅ Meet safety standards
Read more 👉 patientexperienceagency.com.…
#ANZHFR #HealthPartnership #PatientExperience
Karen Adam retweeted
The 4AT can be scored in patients who cannot speak or are too unwell to undergo cognitive testing. No patients are Unable To Assess (UTA) with the 4AT. This improves uptake and accuracy in diagnosis.
See the 4AT website for more details.
Karen Adam retweeted
⁉️ Think it's impossible to achieve high rates of DELIRIUM screening?
Think again:
⭐️ 91% completion of 4AT
⭐️ hip fracture patients
⭐️ whole of Scotland data
⭐️ N=18,040
#delirium
@rosespenfold @andrewhallortho @KarenAdam13 @NIDUS_Delirium @geri_doc @WesElyMD
Karen Adam retweeted
Patients now safely drink water right up until they go for surgery at #NinewellsHospital and hundreds of other hospitals in the world @SipTilSend story is in today’s @Sunday_Post @CPOC_News @ANZCA @A_MacLullich @bmj_latest @scarlettmcnally
Karen Adam retweeted
The typical nil-by-mouth schedule has been no food for six hours before surgery and only “free, clear fluids” until two hours before, then nothing in the final two hours.
Nil-by-mouth rules need updating to implement SipTilSend, writes @scarlettmcnally
bmj.com/content/388/bmj.r306…
Karen Adam retweeted
What does it mean to care at home? A reflection. #homecare #WorldCancerDay #socialcare #carecrisis scottishcare.org/what-does-i…
Karen Adam retweeted
Excellent delirium poster from NHS Greater Glasgow & Clyde (Scotland)
Do you have delirium information posters displayed in your institution?
Link: nhsggc.scot/downloads/causes…
Karen Adam retweeted
🤔 Delirium treatment is actually pretty complex.
When we say 'delirium treatment' what do we mean?
From finding & triggers, to maintaining physiological stability, to treating symptoms & reducing long-term complications, there is a lot to think about.
I've cared for people with delirium for many years now, & it takes me at least 20 mins to work through all the variables, make a plan, & communicate it.
Karen Adam retweeted
The Scottish Arthroplasty Project (SAP) aims to encourage continual improvement in the quality of care provided to joint replacement surgery patients.
🆕View the latest annual report here: publichealthscotland.scot/pu…
Karen Adam retweeted
The annual Scottish Hip Fracture Audit report is out today and reviews performance in relation to care standards. Evidence behind care standards was also updated and refreshed earlier this year.
🔹Report: publichealthscotland.scot/pu…
🔹Evidence: publichealthscotland.scot/me…
Karen Adam retweeted
Really excited to share details of this FT b6 post trauma orthopaedics. It’s a really great team and don’t hesitate to give Jane a call. Exciting role, full training and reg cpd! Hit the link below @Specialist Physiotherapist - NHS Scotland apply.jobs.scot.nhs.uk/Job/J…
Congratulations @docfarrow !
Congratulations to the new Associate Surgical Specialty Leads Abhinav Singh (Paediatrics), Chris Bretherton (Adult Trauma), and Luke Farrow (Adult Elective)! @OrthoSingh @BrethertonC @docfarrow