Conlon Bernadette, O'Brien Helen, Clarke Vanessa
Fracture Liaison Service, Louth Hospitals, Drogheda, Co Louth, Ireland.
Louth Hospitals, Drogheda, Co Louth, Ireland.
Arch Osteoporos. 2025 Jan 8;20(1):7. doi: 10.1007/s11657-024-01491-3.
The fracture liaison service in the study hospital developed and successfully implemented a digital platform to support the identification of patients while concurrently optimizing participation in the National Fracture Liaison Database. This initiative provides additional evidence of the capacity of digital health to support fracture liaison services.
Resourced fracture liaison services (FLSs) are accepted internationally as the preeminent means of reducing the risk of future fragility fractures. The FLS in the study hospital sought to develop and implement a digital platform to support the identification of patients and concurrently effectively participate in the National Fracture Liaison Service Database (FLS-DB) established to monitor key performance indicators (KPIs).
Through linkage with the already established hospital's eTrauma digital system and Inpatient Management System, a bespoke fracture liaison digital platform was developed and introduced. Platform functionality supports automated patient identification and interoperability with the National Fracture Liaison Service Database enabling the anonymized safe transfer of key performance indicator data.
Through automated identification of patients who require fracture liaison services, rates of identification have improved from 10% in 2021 to 87%. Time previously spent manually identifying patients is now available for clinical care. Key performance indicator data are recorded as part of the assessment and treatment process and successfully anonymized and transferred to the national database.
This initiative provides additional evidence of the capacity of digital health to support fracture liaison services. In comparable settings nationally and internationally where there are coexisting digital systems to support patient management and a national digital database for FLS key performance indicators, there is potential for the successful introduction of similar FLS digital platforms.
研究医院的骨折联络服务部门开发并成功实施了一个数字平台，以支持患者识别，同时优化对国家骨折联络数据库的参与度。这一举措为数字健康支持骨折联络服务的能力提供了更多证据。
资源充足的骨折联络服务（FLS）在国际上被公认为降低未来脆性骨折风险的卓越手段。研究医院的FLS试图开发并实施一个数字平台，以支持患者识别，同时有效参与为监测关键绩效指标（KPI）而建立的国家骨折联络服务数据库（FLS-DB）。
通过与已建立的医院电子创伤数字系统和住院患者管理系统相连接，开发并引入了一个定制的骨折联络数字平台。平台功能支持自动患者识别以及与国家骨折联络服务数据库的互操作性，从而实现关键绩效指标数据的匿名安全传输。
通过自动识别需要骨折联络服务的患者，识别率从2021年的10%提高到了87%。以前用于手动识别患者的时间现在可用于临床护理。关键绩效指标数据作为评估和治疗过程的一部分被记录下来，并成功匿名化并传输到国家数据库。
这一举措为数字健康支持骨折联络服务的能力提供了更多证据。在国内和国际上类似的环境中，若存在支持患者管理的现有数字系统以及用于FLS关键绩效指标的国家数字数据库，则有可能成功引入类似的FLS数字平台。
