Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
| Thesis Title | Primary Care, See and Treat and Fast Track: to give appropriate answers to health needs and improve the perceived quality in the Emergency Room |
|---|---|
| Name | Aracena Parra Hori Dison |
| Supervisor(s) | Gelati Luca |
| Academic Year | 2014/15 |
| Thesis type | Non research thesis |
Abstract
In this thesis, the intention is to emphasize the fact that the Emergency room overcrowding phenomenon has shown up not only the lack of coordination that exists between hospital and territory but also the inadequate presence of Primary Health Care in ensuring the taking charge of the patient and the continuity of care. To tackle this problem, I analyzed two necessary solutions:
1. Starting up a Primary Health Care reorganization process integrating the Emergency System in order to ensure care qualityover time and overcome the fragmented interventions.
2. Triage process pathways activation (See and Treat and Fast Track) for charge nurses to address the overcrowding problem inside the Emergency Center immediately. The See and Treat and the Fast Track systems determine the priority of patients' treatments based on the severity of their condition: from
patients with urgent health needs (yellow or red code) to those with no urgent conditions (Green or White code). In this way, the doctor can look after patients with major illness mostly, and thus improving the quality of medical-nursing performance. Emergency room access recent Data shows that in 2014 the
overcrowding phenomenon was still widespread at national level; this means that the process of reordering and integration is a long-term project, although it has been started already for some years. Therefore, it is necessary to counter the overcrowding through Triage paths, waiting for this process to have a
substantial and lasting impact on this phenomenon. In other words, the health system must aim to overcome the fragmentation of efforts and "hospital centrism" vision of care for a greater medical-nurse collaboration and a better global care of the person.