Croom Orthopaedic Hospital now live with INOR

The National Office of Clinical Audit (NOCA), in conjunction with the Office of the CIO, are currently rolling out the Irish National Orthopaedic Register (INOR). Croom Orthopaedic Hospital is the third hospital to go-live and the largest site to date.

INOR, a national, secure, web-based, real-time system, was established in 2013 to improve and maintain the quality of care for individuals receiving joint replacement surgery in Ireland.

The register will collect information from all hospitals in Ireland undertaking joint replacement surgery and will support early detection of implant performance and improve the efficiency of the recall and review process.


The objectives of INOR and associated Governance processes are to:

  • Increase patient safety, confidence and overall experience
  • Enable early detection of failing devices etc.
  • Enable better identification and management of individuals in at-risk groups.
  • Reduce surgical revision rates improving both costs and patient outcomes
  • Provide orthopaedic surgeons the opportunity to participate and contribute to measurable clinical audit
  • To monitor implant performance
  • To monitor patient outcome and to use patient self scoring as part of the indicator for device failure
  • This will provide continuous feedback to participating centres and surgeons enabling:
  • Timely generation and sharing of information on the outcomes of joint replacements and Identify risk factors for a poor outcome

 Suzanne Rowley, National INOR Coordinator said

“We would like to thank all involved in the project from Croom. They underwent significant change in their processes to enable the implementation of INOR within their hospital. We had complete buy-in from both the medical and nursing staff from the outset, who worked in partnership with us to facilitate this change. We are thankful for the support and dedication of all the staff in Croom, who have enabled this vitally important patient safety initiative to go-live in this hospital”

Roll-out of INOR to the remaining public elective orthopaedic surgery sites is underway and will be completed by the end of 2019.

You can read more about INOR here