Resources Award

Resources Award

The Resources category looks for projects which demonstrate working to optimise the resources available to achieve shared goals.

The winning project in the Resources category was ‘Management of Buckle Fractures of the Wrist with Removable Splints in Children’.

Approximately one third of all fractures in children occur at the wrist. Many of these result in minor “buckling” of the bone surface. These fractures are stable and heal very well.

Traditionally buckle fractures were treated with a plaster of paris cast worn for up to 4 weeks and followed up in a paediatric fracture clinic. These plasters are time consuming for staff to apply, resulting in longer waiting times for the patient and the need to re-attend the department for replacement of damaged plasters and a fracture clinic review.

A review found that the use of removable wrist splints provided equivalent fracture healing, pain control, improved physical function and patient satisfaction with no need for fracture clinic review.

The implementation of this change has resulted in a significant reduction in waiting times, nursing time, re-attendances for replacement plaster and fracture clinic appointments and represents a financial saving of over ten thousand pounds in fracture clinic appointments alone. The reduction in review appointments will potentially save almost ten thousand pounds. Potentially this policy will save over £20,000 a year in material and fracture clinic appointments while improving the management of the child.

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Pictured are the winners of the Resources category ‘Management of Buckle Fractures of the Wrist with Removable Splints in Children’. The category identifies projects that work to optimise the resources available to achieve shared goals.