Implementazione e impatto del Fast-track in un Pronto Soccorso: studio pre-post
https://doi.org/10.4081/wpph.2024.9877
Accepted: 5 December 2023
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Background: il sovraffollamento e i lunghi tempi di attesa sono problemi rilevanti nei dipartimenti di emergenza. Il Fast-Track (FT) è un processo sviluppato per gestire in modo più efficace i pazienti ricoverati nei dipartimenti di emergenza con condizioni non urgenti. Scopo dello studio è quello di valutare l’impatto del metodo FT relativamente agli accessi in un Pronto Soccorso (PS). Materiali e Metodi: studio pre-post implementazione del metodo FT. Sono stati inclusi tutti i pazienti afferenti al PS dell’ASL di Barletta che presentavano urgenze minori, con problematiche riguardanti l’area ostetrico/ginecologica, oculistica, pediatrica, otorinolaringoiatrica e ortopedica. Risultati: delle 38.024 prestazioni eseguite in PS, 1606 (4.22 %) sono stati gli accessi in regime di FT. Analizzando i dati del periodo di maggio 2017 (pre) e calcolando in minuti il tempo di attesa dal triage fino alla dimissione è di 55 minuti; invece nel periodo maggio 2022 (post) è di 20 minuti. Conclusioni: il metodo FT sembra essere una strategia utile e sicura per migliorare la gestione dei pazienti ricoverati in pronto soccorso con disturbi minori.
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