DNP Graduates — Karen Myrick

Karen Myrick, DNP
Fall 2009

Abstract Title:
Improving Follow-up Care After Fragility Fractures; an Evidence-based Initiative

The goal of this quality improvement project was to delineate an evidence-based practice initiative at a university health center to improve patient follow-up care after fragility fractures. Patients are at risk for recurrent fracture, inadequate follow-up care for patients with fragility fractures was identified as a problem. Prevention of future fractures through appropriate follow-up can decrease annual healthcare expenditures, and patient morbidity and mortality. A review of the literature revealed a significant evidence base supporting appropriate follow-up, including notification of the patients’ primary care provider, ordering a bone density scan within 3 months, and a referral to osteoporosis. A description of the problem and the significance to healthcare is discussed, including current follow-up practices. A plan for improving patient outcomes was developed utilizing the Iowa Model of Evidence-Based Practice to Promote Quality Care. The evidence-based initiative was implemented, and the outcomes assessed. The results were that 100% of patients received adequate follow-up after fragility fractures.