AB108. SOH25_AB_035. Timelines for blood results pre- and post-order comms in hip fracture patients
Orthopaedic Session I

AB108. SOH25_AB_035. Timelines for blood results pre- and post-order comms in hip fracture patients

Muhammad Umar, Ashling Whelan, Liz Doran, Paula Adriuz, James O’Toale, Tiarnán Ó Doinn, Rosa McNamara, Patrick Hilary, Conor Hurson, Paul Curtin

Department of Trauma and Orthopaedics, St. Vincent’s University Hospital, Dublin, Ireland

Background: Standard 1 of Irish Hip Fracture Standards (IHFS1), achieving admission to an orthopaedic ward within 4 hours of emergency department (ED) presentation, is associated with improved patient outcomes. This requires coordinated care from ED, orthopaedics, and diagnostics. In 2024, blood results not being available was a factor that impacted meeting IHFS1. Initial audit showed blood results were not consistently available in time to allow transfer to the ward. A quality improvement initiative in ED aimed to improve the turnaround times for blood results in hip fracture patients.

Methods: A retrospective review was conducted on hip fracture patients admitted through the ED of St. Vincent’s University Hospital in January 2024. Patient demographics were gathered, the time blood was collected following registration in the ED, the time blood results were available, and their relationship to the IHFS1 timelines. Audit parameters were re-audited for June 2024.

Results: From January 2024 (n=31) on the median time from ED registration to bloods sent was 1 hour 44 minutes. Median 1 hour 18 minutes for results to be made available. Twenty-nine percent of patients did not have blood results available within the IHFS1 time window. June 2024 (n=25): the median time from ED registration to bloods sent reduced by 30 minutes. Timeline to result availability improved by 52%. Median 0 hour 37 minutes for results to be made available. One hundred percent had blood results available in the IHFS1 time window.

Conclusions: Following the implementation of a more streamlined ordering system for bloods in ED, we observed a faster turnaround in blood results being available. This improved compliance with IHFS1.

Keywords: Irish hip fracture; order comms; bloods; emergency department (ED); Standard 1

Acknowledgments

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Footnote

Funding: None.

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-25-ab108
Cite this abstract as: Umar M, Whelan A, Doran L, Adriuz P, O’Toale J, Ó Doinn T, McNamara R, Hilary P, Hurson C, Curtin P. AB108. SOH25_AB_035. Timelines for blood results pre- and post-order comms in hip fracture patients. Mesentery Peritoneum 2025;9:AB108.

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