Orthopaedics & Trauma Clinical Audits

25 NHS audits and quality improvement projects from across the UK

Browse 25 NHS orthopaedics & trauma clinical audits and quality improvement projects submitted by clinicians from across the UK. Use these as inspiration for your own audit, to demonstrate clinical governance activity for ARCP or revalidation, or to avoid duplicating work already done at another trust. All submissions are reviewed before publication and contain no patient-identifiable data.

Audit 2025

VTE Prophylaxis Audit – Pre-Operative Hip Fracture Patients

Patients presenting with hip fractures represent one of the highest-risk groups for venous thromboembolism (VTE),...

Princess Royal University H…
307 View
Service Evaluation 2022

Analysis of Orthopaedic Trauma During National Mourning for HM Queen Elizabeth II

Following the death of Her Majesty Queen Elizabeth II in September 2022, central London experienced a substantial...

Guy's and St Thomas' NHS Fo…
261 View
Service Evaluation 2019

The Prosthetic Hip Dislocation Study

Prosthetic hip dislocation (PHD) is a serious and morbid complication following total hip replacement and...

Guy's and St Thomas' NHS Fo…
253 View
Service Evaluation 2022

Complication Rate and Clinical Outcomes of Anterior Lumbar Interbody Fusion

Anterior lumbar interbody fusion (ALIF) is a complex spinal procedure performed at Guy's Hospital for patients with...

Guy's and St Thomas' NHS Fo…
243 View
Audit 2022

UK Foot and Ankle Thromboembolism Audit (FATE-UK)

Venous thromboembolism (VTE) is a recognised complication following foot and ankle surgery, yet post-operative...

Guy's and St Thomas' NHS Fo…
226 View
Audit 2025

Clinical Audit – Timing of Surgery for Distal Radius Fractures

Distal radius (DR) fractures are the most common upper limb trauma presentation. BOAST/NICE guidelines specify clear...

Princess Royal University H…
226 View
Audit 2022

Intra-operative Use of Limb Tourniquets in Orthopaedic Surgery at GSTT

Limb tourniquets are routinely used in orthopaedic surgery to create a bloodless field. Despite their widespread...

Guy's and St Thomas' NHS Fo…
216 View
QIP 2025

Quality Improvement Audit – Use of Iodophor-Impregnated Incise Drapes in Orthopaedic Trauma Surgery

Surgical site infection (SSI) following dynamic hip screw (DHS) fixation or femoral intramedullary nailing is...

Princess Royal University H…
205 View
Audit 2025

A Closed Loop Audit Evaluating Provision of Written Information for Surgical Consent

The Royal College of Surgeons and the GMC both emphasise that robust consent processes should include provision of...

Princess Royal University H…
194 View
Audit 2022

BOAST Compliance Audit: Paediatric Forearm Fractures in the Emergency Department

Angulated forearm fractures in skeletally immature children require timely assessment and definitive manipulation...

Guy's and St Thomas' NHS Fo…
191 View
QIP 2025

EPIC EHR Shared Patient List System for Trauma & Orthopaedics – Re-Audit

An initial audit of the eTrauma patient tracking system at PRUH identified significant operational inefficiencies in...

Princess Royal University H…
190 View
Service Evaluation 2021

Service Evaluation of Foot and Ankle Extra-Corporeal Shockwave Therapy

Extra-Corporeal Shockwave Therapy (ESWT) is an established non-surgical treatment for tendinopathy and plantar...

Guy's and St Thomas' NHS Fo…
182 View
Audit 2023

Neck of Femur Fracture Proforma Completion Audit

Neck of femur fractures represent one of the highest-volume trauma admissions in the NHS and are associated with...

Guy's and St Thomas' NHS Fo…
141 View
Audit 2023

Post-Operative Radiographic Confirmation of Hip Arthroplasty

Post-operative radiographic check X-rays following hip arthroplasty are recommended by national guidelines and best...

Guy's and St Thomas' NHS Fo…
133 View
Audit 2022

Ottawa Ankle Rules Compliance in Emergency Department X-ray Requests

The Ottawa Ankle Rules are a validated clinical decision tool used to determine the need for radiography following...

Guy's and St Thomas' NHS Fo…
133 View
Service Evaluation 2022

Occult Scaphoid Fractures: A Multi-Centre Service Evaluation of MRI Practice

Occult scaphoid fractures — those not visible on initial plain radiographs but subsequently detected on MRI —...

Guy's and St Thomas' NHS Fo…
131 View
Service Evaluation 2024

Long-term Outcomes of Pyrocarbon Shoulder Hemiarthroplasty

Pyrocarbon shoulder hemiarthroplasty is a bearing surface option for younger patients with glenohumeral...

Guy's and St Thomas' NHS Fo…
129 View
QIP 2024

Improving Timeliness of Diagnosis and Treatment of Cauda Equina Syndrome at GSTT

Cauda equina syndrome (CES) is a surgical emergency requiring urgent MRI and, in confirmed cases, prompt surgical...

Guy's and St Thomas' NHS Fo…
126 View
Audit 2024

Improving Trauma Meeting Documentation for Neck of Femur Fractures

Accurate documentation of fracture classification and planned surgical management in the multidisciplinary trauma...

Guy's and St Thomas' NHS Fo…
125 View
Service Evaluation 2022

Lockdown Implant Outcomes for Acromioclavicular Joint Reconstruction

High-grade acromioclavicular joint (ACJ) dislocations can cause significant pain and functional limitation,...

Guy's and St Thomas' NHS Fo…
123 View
Service Evaluation 2023

Comparing Clinical Outcomes Following Single and Double High Tibial Osteotomy

High tibial osteotomy (HTO) is a joint-preserving procedure for younger patients with medial compartment knee...

Guy's and St Thomas' NHS Fo…
122 View
Audit 2024

Management of Acute Kidney Injury in Trauma and Orthopaedic Patients

Acute kidney injury (AKI) is a common and potentially life-threatening complication in trauma and orthopaedic...

Guy's and St Thomas' NHS Fo…
113 View
Audit 2024

Virtual Fracture Clinic: Updating the Standard Operating Procedure for the EPIC Era

Virtual Fracture Clinics (VFCs) allow review of fracture cases by senior orthopaedic clinicians without a...

Guy's and St Thomas' NHS Fo…
113 View
Audit 2023

Compliance Rate with the National Joint Registry in Orthopaedic Trauma

The National Joint Registry requires submission of data for all joint replacement procedures including those...

Guy's and St Thomas' NHS Fo…
109 View
Audit 2024

Improving NICE Guidance Adherence for Operated Hip Fractures at GSTT

Hip fractures affect approximately 76,000 people per year in the UK and carry significant mortality. NICE CG124 sets...

Guy's and St Thomas' NHS Fo…
101 View

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Orthopaedics & Trauma Stats
Total audits 25
Clinical audits 14
QIPs 3
Total views 4293
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