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Five‐Year Outcome of Individuals with Hip Fracture Admitted to a Singapore Hospital: Quality of Life and Survival Rates After Treatment

Given the shortage of geriatricians, the challenge of treating older adults rests largely with clinicians who may not have specific training in treating older adults. The GCS, facilitated by the EMR, provided access for many hospital services to the resources of a geriatrician for comanagement. The availability of the GCS helps ensure that Assessing Care of Vulnerable Elders geriatric quality indicators are addressed when appropriate, which may be in the best interests of all. The ability of hospital services to order a geriatric consultation through the CPOE application allows rapid notification and response to the patients’ needs. The report in the EMR allows expert recommendations to be available in a clear, concise manner. A CPOE application and an EMR seem to enhance the ability to order and provide a geriatric consultation. Future goals are to provide consultations regarding geriatric syndromes and to provide clinical education. Providing nongeriatricians with a clinical learning educational opportunity linked to the CPOE at the time they request a consultation may enhance their clinical reasoning when treating geriatric syndromes. A plausible hypothesis is that clinicians would be interested in and responsive to such training. The possibility of incorporating an educational opportunity with just-in-time clinical learning in connection with the CPOE would present an innovative addition to the geriatrics consultation. This deserves further research and development.