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National level audit projects have a long history although most have limited themselves to single patient groups or care pathways. The National Hip Fracture Database is one of the longest running of these national audit projects and can offer an insight into the potential impacts of the National Clinical Audit of Perioperative Care.<\/jats:p>","DOI":"10.1177\/17504589261430308","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T02:20:18Z","timestamp":1774837218000},"page":"577-580","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The National Clinical Audit of Perioperative Care and the perioperative practitioner: Lessons from the National Hip Fracture Database"],"prefix":"10.1177","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-4121-1145","authenticated-orcid":false,"given":"Andrew","family":"Catherall","sequence":"first","affiliation":[{"name":"University College London Hospitals NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,29]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2016.03.011"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2018.79.9.508"},{"key":"e_1_3_2_4_1","unstructured":"Centre for Perioperative Care (CPOC) 2025 RCoA and CPOC to lead first national clinical audit of perioperative care [Online] Available from: https:\/\/cpoc.org.uk\/rcoa-and-cpoc-lead-first-national-clinical-audit-perioperative-care [Accessed December 2025]"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CORR.0000000000002465"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mporth.2024.01.007"},{"key":"e_1_3_2_7_1","volume-title":"Evaluating audit. 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An evaluation of twenty four projects and initiatives London, Caspe Research"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.103B5.BJJ-2020-1839.R1"},{"key":"e_1_3_2_9_1","volume-title":"A guide to quality improvement methods","author":"Healthcare Quality Improvement Partnership","year":"2021","unstructured":"Healthcare Quality Improvement Partnership 2021 A guide to quality improvement methods London, HQIP"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-018-1810-5"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/qhc.9.1.23"},{"key":"e_1_3_2_12_1","first-page":"104","article-title":"Review of the perceptions of general surgical staff within the Wessex region of the status of quality assurance and surgical audit","volume":"75","author":"Karran SJ","year":"1996","unstructured":"Karran SJ, Ranaboldo CJ, Karran A 1996 Review of the perceptions of general surgical staff within the Wessex region of the status of quality assurance and surgical audit Annals of the Royal College of Surgeons of England 75 (Suppl) 104\u2013107","journal-title":"Annals of the Royal College of Surgeons of England"},{"key":"e_1_3_2_13_1","article-title":"The National Hip Fracture Database (NHFD) shows a substantial improvement in the delivery of pain relief to patients presenting to ED with hip fracture in England, Wales and Northern Ireland in 2023","volume":"41","author":"Keating L","year":"2024","unstructured":"Keating L, Johansen A, Eardley W, et al 2024 The National Hip Fracture Database (NHFD) shows a substantial improvement in the delivery of pain relief to patients presenting to ED with hip fracture in England, Wales and Northern Ireland in 2023 Emergency Medicine Journal 41 (Suppl 1) A22\u2013A23","journal-title":"Emergency Medicine Journal"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.10.079"},{"key":"e_1_3_2_15_1","unstructured":"National Hip Fracture Database 2025a Best practice tariff [Online] Available from: https:\/\/www.nhfd.co.uk\/20\/nhfdcharts.nsf\/vwInfo\/Bestpractice [Accessed May 2025]"},{"key":"e_1_3_2_16_1","unstructured":"National Hip Fracture Database 2025b KPI overview [Online] Available from: https:\/\/www.nhfd.co.uk\/20\/nhfdcharts.nsf\/vwcharts\/KPIsoverview?open [Accessed May 2025]"},{"key":"e_1_3_2_17_1","volume-title":"Principles for best practice in clinical audit","author":"National Institute for Clinical Excellence, CHI, Royal College of Nursing et al","year":"2002","unstructured":"National Institute for Clinical Excellence, CHI, Royal College of Nursing et\u2008al 2002 Principles for best practice in clinical audit Oxon, Radcliffe Medical Press Ltd"},{"key":"e_1_3_2_18_1","unstructured":"National Institute for Health and Care Excellence (NICE) 2011 Hip fracture: management (CG124) London NICE [Online] Available from: https:\/\/www.nice.org.uk\/guidance\/cg124 [Accessed November 2025]"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000383"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.14.1738"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-12-105"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.04.012"},{"key":"e_1_3_2_23_1","unstructured":"Royal College of Anaesthetists 2025 RCoA and CPOC to lead first national clinical audit of perioperative care RCoA News 10 September [Online] Available from: https:\/\/www.rcoa.ac.uk\/news\/rcoa-cpoc-lead-first-national-clinical-audit-perioperative-care [Accessed 24 September 2025]"},{"key":"e_1_3_2_24_1","volume-title":"National Hip Fracture Database annual report 2018","author":"Royal College of Physicians","year":"2018","unstructured":"Royal College of Physicians 2018 National Hip Fracture Database annual report 2018 London, RCP"},{"key":"e_1_3_2_25_1","volume-title":"National Hip Fracture Database annual report 2019","author":"Royal College of Physicians","year":"2019","unstructured":"Royal College of Physicians 2019 National Hip Fracture Database annual report 2019 London, RCP"},{"key":"e_1_3_2_26_1","volume-title":"A broken hip \u2013 three steps to recovery. 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