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The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway
The Coronavirus Disease (Covid-19) pandemic is rapidly spreading across the world, representing an unparalleled challenge for health care systems. There are differences in the estimated fatality rates, which cannot be explained easily. In Italy, the estimated case fatality rate was 12.7% in mid-Apri...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312393/ https://www.ncbi.nlm.nih.gov/pubmed/32471066 http://dx.doi.org/10.3390/ijerph17113792 |
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author | Capalbo, Carlo Aceti, Antonio Simmaco, Maurizio Bonfini, Rita Rocco, Monica Ricci, Alberto Napoli, Christian Rocco, Matteo Alfonsi, Valeria Teggi, Antonella Orsi, Giovanni Battista Borro, Marina Santino, Iolanda Preissner, Robert Marchetti, Paolo Marcolongo, Adriano Anibaldi, Paolo |
author_facet | Capalbo, Carlo Aceti, Antonio Simmaco, Maurizio Bonfini, Rita Rocco, Monica Ricci, Alberto Napoli, Christian Rocco, Matteo Alfonsi, Valeria Teggi, Antonella Orsi, Giovanni Battista Borro, Marina Santino, Iolanda Preissner, Robert Marchetti, Paolo Marcolongo, Adriano Anibaldi, Paolo |
author_sort | Capalbo, Carlo |
collection | PubMed |
description | The Coronavirus Disease (Covid-19) pandemic is rapidly spreading across the world, representing an unparalleled challenge for health care systems. There are differences in the estimated fatality rates, which cannot be explained easily. In Italy, the estimated case fatality rate was 12.7% in mid-April, while Germany remained at 1.8%. Moreover, it is to be noted that different areas of Italy have very different lethality rates. Due to the complexity of Covid-19 patient management, it is of paramount importance to develop a well-defined clinical workflow in order to avoid the inconsistent management of patients. The Integrated Care Pathway (ICP) represents a multidisciplinary outline of anticipated care to support patient management in the Sant’Andrea Hospital, Rome. The main objective of this pilot study was to develop a new ICP evaluated by care indicators, in order to improve the COVID-19 patient management. The suggested ICP was developed by a multi-professional team composed of different specialists and administrators already involved in clinical and management processes. After a review of current internal practices and published evidences, we identified (1) the activities performed during care delivery, (2) the responsibilities for these activities, (3) hospital structural adaptation needs and potential improvements, and (4) ICP indicators. The process map formed the basis of the final ICP document; 160 COVID-19 inpatients were considered, and the effect of the ICP implementation was evaluated over time during the exponential phase of the COVID-19 pandemic. In conclusion, a rapid adoption of ICP and regular audits of quality indicators for the management of COVID-19 patients might be important tools to improve the quality of care and outcomes. |
format | Online Article Text |
id | pubmed-7312393 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-73123932020-06-26 The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway Capalbo, Carlo Aceti, Antonio Simmaco, Maurizio Bonfini, Rita Rocco, Monica Ricci, Alberto Napoli, Christian Rocco, Matteo Alfonsi, Valeria Teggi, Antonella Orsi, Giovanni Battista Borro, Marina Santino, Iolanda Preissner, Robert Marchetti, Paolo Marcolongo, Adriano Anibaldi, Paolo Int J Environ Res Public Health Brief Report The Coronavirus Disease (Covid-19) pandemic is rapidly spreading across the world, representing an unparalleled challenge for health care systems. There are differences in the estimated fatality rates, which cannot be explained easily. In Italy, the estimated case fatality rate was 12.7% in mid-April, while Germany remained at 1.8%. Moreover, it is to be noted that different areas of Italy have very different lethality rates. Due to the complexity of Covid-19 patient management, it is of paramount importance to develop a well-defined clinical workflow in order to avoid the inconsistent management of patients. The Integrated Care Pathway (ICP) represents a multidisciplinary outline of anticipated care to support patient management in the Sant’Andrea Hospital, Rome. The main objective of this pilot study was to develop a new ICP evaluated by care indicators, in order to improve the COVID-19 patient management. The suggested ICP was developed by a multi-professional team composed of different specialists and administrators already involved in clinical and management processes. After a review of current internal practices and published evidences, we identified (1) the activities performed during care delivery, (2) the responsibilities for these activities, (3) hospital structural adaptation needs and potential improvements, and (4) ICP indicators. The process map formed the basis of the final ICP document; 160 COVID-19 inpatients were considered, and the effect of the ICP implementation was evaluated over time during the exponential phase of the COVID-19 pandemic. In conclusion, a rapid adoption of ICP and regular audits of quality indicators for the management of COVID-19 patients might be important tools to improve the quality of care and outcomes. MDPI 2020-05-27 2020-06 /pmc/articles/PMC7312393/ /pubmed/32471066 http://dx.doi.org/10.3390/ijerph17113792 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Brief Report Capalbo, Carlo Aceti, Antonio Simmaco, Maurizio Bonfini, Rita Rocco, Monica Ricci, Alberto Napoli, Christian Rocco, Matteo Alfonsi, Valeria Teggi, Antonella Orsi, Giovanni Battista Borro, Marina Santino, Iolanda Preissner, Robert Marchetti, Paolo Marcolongo, Adriano Anibaldi, Paolo The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title | The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title_full | The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title_fullStr | The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title_full_unstemmed | The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title_short | The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway |
title_sort | exponential phase of the covid-19 pandemic in central italy: an integrated care pathway |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7312393/ https://www.ncbi.nlm.nih.gov/pubmed/32471066 http://dx.doi.org/10.3390/ijerph17113792 |
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