AB064. SOH21AS234. Innovative ways of tacking Irish hip fracture standards 1

Background: Patients who wait longer than 4 hours with a hip fracture in the Emergency Department have poorer outcomes than those who get to a bed in less than 4 hours. Nationally, one of the most difficult Irish hip fracture standards to meet is hip fracture standard 1—time to ward <4 hours. The national average in 2019 was 25%.

Methods: Siilo is a secure messenger for medical professionals. It allows medical professionals to connect and securely communicate and collaborate with colleagues about patient care. Siilo was introduced to notify key stakeholders that a patient with a hip fracture was in the Emergency Department, this initiated the hip fracture pathway. Time to ward was recorded and compared with the previous year’s timings.

Results: With key stakeholders involved using SIILO, early results over a 6-month period show 73% of patients in our institution made it to the ward in less than 4 hours, a 55% improvement on the previous year.

Conclusions: Nationally, Irish hip fracture standard 1 has been one of the most difficult standards to improve. A secure and encrypted messaging service opens dialogue amongst key stakeholders as soon as a hip fracture patient enters the hospital and expedites patient care. This concerted effort from all involved ultimately improves patient outcomes and care while meeting National Guidelines.

Keywords: Hip fracture; Irish hip fracture standards; orthopaedics; trauma