Discussion
fracture, cognitive impairment
PERFECT-ER was developed with the aim of enhancing recovery for people with hip fracture and cognitive impairment by making multiple marginal gains in the quality and consistency of care.Where ward pressures were high and resources for SILs were low, dose suffered. The process evaluation findings suggest that although the intervention was standardised, implementation fluctuated across wards and over time and therefore was not optimal. Consistent with other observations, findings indicate the importance of ward context in implementation.Ongoing interprofessional staff communication in hospitals can take time