Home Run Initiative: Use of a Badge Buddy System in Patients With Hip Fracture.

IF 1.3 4区医学 Q4 HEALTH CARE SCIENCES & SERVICES

Journal for Healthcare Quality Pub Date : 2025-10-21 DOI:10.1097/JHQ.0000000000000496

Gennaro DelliCarpini, Robert Halpern, Nicolas Valentino, Nicole M Stevens

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引用次数: 0

Abstract

Background: Discharge to home is an increasingly used hospital metric unlikely to be met by all patients after hip fracture surgery. There has never been a study using a badge buddy system in patients with hip fracture to improve rates of discharge to home.

Methods: This was a retrospective review of patients who underwent hip fracture surgery between October 2022 and September 2024. The badge buddy was a tag placed on the ID badges of the hip fracture care team, containing information regarding fracture type and talking points for staff members. Primary outcome variables included discharge disposition and readmissions.

Results: A total of 172 patients were included in the control group and 163 patients in the badge buddy group. Discharge to home improved by 14.4% after project implementation (33.1% vs. 47.5%; p = .0038) without any differences in total readmissions (24 control vs. 22 badge buddy).

Conclusion: Use of the badge buddy is associated with an improved rate of discharge home in patients admitted to an orthopedic service without any difference in absolute number of readmissions after badge buddy initiation. The badge buddy system is a useful adjunct to create cohesive messaging across hospital staff to improve home discharge rates in our patients with hip fracture.

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全垒打倡议：在髋部骨折患者中使用徽章伙伴系统。

背景：出院是一项越来越多使用的医院指标，不太可能满足所有髋部骨折术后患者。从未有研究表明，在髋部骨折患者中使用徽章伙伴系统可以提高出院回家的比率。方法：对2022年10月至2024年9月期间接受髋部骨折手术的患者进行回顾性研究。徽章伙伴是放置在髋部骨折护理小组的ID徽章上的标签，包含有关骨折类型和工作人员谈话要点的信息。主要结局变量包括出院处理和再入院。结果：对照组172例，badge buddy组163例。项目实施后，出院率提高了14.4%(33.1%对47.5%;p = 0.0038)，再入院总人数没有任何差异（对照组24人对警徽伙伴22人）。结论：徽章伙伴的使用与骨科服务入院患者出院率的提高有关，在徽章伙伴启动后再入院的绝对数量没有任何差异。徽章伙伴系统是一个有用的辅助工具，可以在医院工作人员之间创建有凝聚力的信息，以提高髋部骨折患者的出院率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal for Healthcare Quality HEALTH CARE SCIENCES & SERVICES-

CiteScore

2.10

自引率

0.00%

发文量

期刊介绍： The Journal for Healthcare Quality (JHQ), a peer-reviewed journal, is an official publication of the National Association for Healthcare Quality. JHQ is a professional forum that continuously advances healthcare quality practice in diverse and changing environments, and is the first choice for creative and scientific solutions in the pursuit of healthcare quality. It has been selected for coverage in Thomson Reuter’s Science Citation Index Expanded, Social Sciences Citation Index®, and Current Contents®. The Journal publishes scholarly articles that are targeted to leaders of all healthcare settings, leveraging applied research and producing practical, timely and impactful evidence in healthcare system transformation. The journal covers topics such as: Quality Improvement • Patient Safety • Performance Measurement • Best Practices in Clinical and Operational Processes • Innovation • Leadership • Information Technology • Spreading Improvement • Sustaining Improvement • Cost Reduction • Payment Reform