Time to Surgery for Distal Radius Fractures: A Quality Improvement Audit

Treatment of intra-articular distal radius fractures within three DOI or three DOR did not show statistically significant improvements following staff education and service changes. Improved identification and prioritization of intra-articular injuries was observed. In contrast, the proportion of extra-articular fractures operated on within seven DOI differed significantly between audit cycles and exhibited a significant downward trend. No other outcome showed a statistically significant difference or trend. The reduction in extra-articular fractures operated within seven DOI (68%) compared to seven DOR (89%) in the third audit cycle may be explained by patients presenting late or delays in transfers or referrals from peripheral hospitals. Implementation of routine education sessions regarding BOAST guidelines at staff turnover may contribute to improved operative rates within both cohorts. Further audit cycles are necessary to assess the continued impact of service changes on these operative timelines.