The clinical course of care is a useful / essential for the orientation of clinical practice guidelines compared internationally, involving all the workers involved in the process.
The objective of the PCA (Path Clinical Relief) is the gradual shift from management to specialty to management process, reducing the variability of behavior, keeping in place the most virtuous.
To achieve the objective proposed, we used the methods of multidisciplinary involvement in order to highlight the various critical issues in all its individual merits.
Methods
Have been developed by clinicians professionals useful indicators, highlighting the scientific literature to date, we proceeded to a share of the route to be followed. Remote monitoring was performed by the audit showed that the critical issues to be addressed, or those that have been addressed inefficiently.
Results
Positive was the significant decline in the mortality of patients with urgent diagnosis of STEMI which rose from 10.8% to 6.48%.
Another interesting point was the reduction in the average time from acceptance to the emergency room of the patient with chest pain and the first ECG which went from 33 to 28 minutes.
Other significant points were the increase in smoking patients sent to the center antismoking as well as those sent to the feeding center.
Thanks to the creation of the clinical pathway of care have been highlighted and then solved abnormal alternative routes caused by inefficiencies in the system that could jeopardize patient safety.
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