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Indagine sul fenomeno del re-ricovero nel reparto Area a Conduzione Infermieristica (ACI) in un ospedale organizzato per intensit? di cura

Author

Listed:
  • Carlotta Patrone
  • Alessio Nicoli
  • Pasqualino Squillace
  • Matteo Puntoni
  • Isabella Cevasco

Abstract

Il fenomeno del re-ricovero impatta fortemente sulla sanita pubblica e ha subito un sempre maggiore interesse da parte della comunita scientifica. E stato dimostrato che diversi parametri possano influenzare tale fenomeno. L?educazione terapeutica e uno di questi. Obiettivo del presente lavoro e analizzare come un reparto a conduzione infermieristica caratterizzato da un?importate educazione terapeutica possa impattare sulla riduzione di tale fenomeno. A tal fine, sono stati estratti i dati relativi a un anno di attivita del reparto a conduzione infermieristica che sono stati confrontati con un gruppo di controllo di pazienti ricoverati nel medesimo ospedale con analoghe caratteristiche in rapporto 1:2. Sono stati calcolati indicatori di "controllo" rispetto al fenomeno del re-ricovero (numero re-ricovero e durata della loro degenza). I risultati dello studio sono stati: 1 episodio di re-ricovero, con una durata di 15 giorni, in ACI a fronte dei 22 episodi di re-ricovero del gruppo di controllo con 188 giornate di degenza complessivi. Sono stati inoltre monitorati ulteriori parametri relativi al benessere organizzativo degli infermieri che hanno riportato risultati quali la diminuzione della % di attivita omesse e l?azzeramento di giornate di assenza. Anche l?efficacia del riconoscimento tempestivo di 5 eventi critici clinici ha impedito che la situazione evolvesse negativamente. In questo lavoro e stato quindi dimostrato come una gestione prettamente infermieristica e l?educazione terapeutica possano impattare positivamente sul re-ricovero e sono state fatte considerazioni che possono essere estese anche ad altri contesti.

Suggested Citation

  • Carlotta Patrone & Alessio Nicoli & Pasqualino Squillace & Matteo Puntoni & Isabella Cevasco, 2020. "Indagine sul fenomeno del re-ricovero nel reparto Area a Conduzione Infermieristica (ACI) in un ospedale organizzato per intensit? di cura," MECOSAN, FrancoAngeli Editore, vol. 0(115), pages 29-48.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2020-115003
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    References listed on IDEAS

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    1. Carlotta Patrone & Lucia Cassettari & Francesca Giovannini & Isabella Cevasco, 2018. "La realizzazione di una metodologia per la misurazione delle performance dei coordinatori infermieristici in un ospedale per intensit? di cura di alta specializzazione attraverso l?approccio del PDCA," MECOSAN, FrancoAngeli Editore, vol. 2018(106), pages 111-127.
    2. Hammer, Michael & Champy, James, 1993. "Reengineering the corporation: A manifesto for business revolution," Business Horizons, Elsevier, vol. 36(5), pages 90-91.
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