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Analisi di casi dello studio APROS sugli accessi al Pronto Soccorso (Simone Cisini) rso

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XXV Congresso CSeRMEG 25-26 ottobre 2013 PROBLEMI CLINICI IN MEDICINA GENERALE tra generalismo e specialismo - www.csermeg.it

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  • DOWNLOAD THIS BOOKS INTO AVAILABLE FORMAT (2019 Update) ......................................................................................................................... ......................................................................................................................... Download Full PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download Full EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download Full doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download PDF EBOOK here { https://soo.gd/irt2 } ......................................................................................................................... Download EPUB Ebook here { https://soo.gd/irt2 } ......................................................................................................................... Download doc Ebook here { https://soo.gd/irt2 } ......................................................................................................................... ......................................................................................................................... ................................................................................................................................... eBook is an electronic version of a traditional print book THIS can be read by using a personal computer or by using an eBook reader. (An eBook reader can be a software application for use on a computer such as Microsoft's free Reader application, or a book-sized computer THIS is used solely as a reading device such as Nuvomedia's Rocket eBook.) Users can purchase an eBook on diskette or CD, but the most popular method of getting an eBook is to purchase a downloadable file of the eBook (or other reading material) from a Web site (such as Barnes and Noble) to be read from the user's computer or reading device. Generally, an eBook can be downloaded in five minutes or less ......................................................................................................................... .............. Browse by Genre Available eBooks .............................................................................................................................. Art, Biography, Business, Chick Lit, Children's, Christian, Classics, Comics, Contemporary, Cookbooks, Manga, Memoir, Music, Mystery, Non Fiction, Paranormal, Philosophy, Poetry, Psychology, Religion, Romance, Science, Science Fiction, Self Help, Suspense, Spirituality, Sports, Thriller, Travel, Young Adult, Crime, Ebooks, Fantasy, Fiction, Graphic Novels, Historical Fiction, History, Horror, Humor And Comedy, ......................................................................................................................... ......................................................................................................................... .....BEST SELLER FOR EBOOK RECOMMEND............................................................. ......................................................................................................................... Blowout: Corrupted Democracy, Rogue State Russia, and the Richest, Most Destructive Industry on Earth,-- The Ride of a Lifetime: Lessons Learned from 15 Years as CEO of the Walt Disney Company,-- Call Sign Chaos: Learning to Lead,-- StrengthsFinder 2.0,-- Stillness Is the Key,-- She Said: Breaking the Sexual Harassment Story THIS Helped Ignite a Movement,-- Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones,-- Everything Is Figureoutable,-- What It Takes: Lessons in the Pursuit of Excellence,-- Rich Dad Poor Dad: What the Rich Teach Their Kids About Money THIS the Poor and Middle Class Do Not!,-- The Total Money Makeover: Classic Edition: A Proven Plan for Financial Fitness,-- Shut Up and Listen!: Hard Business Truths THIS Will Help You Succeed, ......................................................................................................................... .........................................................................................................................
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Analisi di casi dello studio APROS sugli accessi al Pronto Soccorso (Simone Cisini) rso

  1. 1. CSeRMEG Centro Studi e Ricerche in Medicina Generale XXV Congresso Nazionale CSeRMEG Garda, 25-26 Ottobre 2013 “Il mio dottore non c’è, se c’è non riceve, se c’è non è attrezzato” – Analisi di casi dello studio APROS sugli accessi con Codice Bianco ai Pronto Soccorso dell’Ospedale di Niguarda e dell’Ospedale Luigi Sacco Dott. Simone CISINI
  2. 2. PREMESSA 1997 2009 Accessi in PS 21 milioni 24 milioni Posti Letto Ordinari 347.297 220.128 Percentuale di ricoveri 26,1% 15,5%
  3. 3. OVERCROWDING PS Permanenza in PS dei Codici Rossi prima del trasferimento in Terapia Intensiva Mortalità.....................................8,7%  10,7% <6 ore  >6 ore
  4. 4. CODICI BIANCHI IN PS Tra il 15 e il 20% del totale delle prestazioni di Pronto Soccorso Lombardia  15% Pazienti che non necessitano di prestazioni urgenti Migliorare FILTRO PS-PZ  MMG
  5. 5. STUDIO OBIETTIVI: Un’analisi quantitativa e motivazionale del “Codice Bianco”. METODI E MATERIALI: Interviste con questionario sperimentale Ospedale Luigi Sacco di Vialba e Ospedale di Niguarda Dal 25 Febbraio al 8 Aprile 2013 (da lunedì a venerdì) Orario compreso tra le 8.00 e le 20.00 Presenza sistematica durante le interviste con registrazioni Codici Bianchi al triage, assegnati all’ambulatorio Codici Minori ed intervistati prima della visita del medico d’urgenza
  6. 6. STUDIO 342 pazienti: 192 (56.1%) Ospedale di Niguarda 150 (43.9%) Ospedale Luigi Sacco VARIABILI RILEVATE • Socio-Anagrafiche (Genere, Nazionalità, Età, Scolarità, Occupazione) • Accesso al PS (Giorno e Ora di arrivo, Sintomatologia, Decisione di venire in PS, Passaggio dal MMG, Motivazioni) • Esito (Prestazioni e Colore d’Uscita)
  7. 7. RISULTATI Età media (ds): 42 (18) M: 175 (51,2%) F: 167 (48,8%) ITA: 203 (59,4%) STR: 139 (40,6%)
  8. 8. RISULTATI
  9. 9. RISULTATI
  10. 10. RISULTATI
  11. 11. RISULTATI
  12. 12. RISULTATI
  13. 13. RISULTATI
  14. 14. CONCLUSIONI • Rendere più equa la compartecipazione della spesa • Velocizzare e migliorare l’assegnazione del MMG per chiunque ne sia sprovvisto • Migliorare il servizio dei MMG (studi associati ed esami strumentali) • Collaborazione tra gli ambulatori dei Codici Minori e i Medici di Medicina Generale • Maggiore educazione sanitaria mirata a rendere il cittadino un “paziente responsabilizzato”

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