Astrid Crespo-Lessmann, Carabela-SA Scientific Committee
{"title":"Enhancing the Management of Severe Asthma in Spain: The CARABELA Initiative Disclosed","authors":"Astrid Crespo-Lessmann, Carabela-SA Scientific Committee","doi":"10.1016/j.opresp.2024.100378","DOIUrl":"10.1016/j.opresp.2024.100378","url":null,"abstract":"<div><h3>Introduction</h3><div>Severe asthma management is associated with increased healthcare resource use. The CARABELA initiative employs lean methodology to optimize severe asthma management in Spain.</div></div><div><h3>Material and methods</h3><div>Scientific Societies, clinicians, healthcare management and industry stakeholders implemented lean methodology to reorganize and optimize processes and design a practical, individualized approach to improve quality of care for the management of severe asthma patients. This initiative involved four phases: Phase 1 characterized severe asthma management models in six pilot hospitals, identifying improvement areas; Phase 2 validated and prioritized these areas and healthcare quality indicators in a National Workshop; Phase 3 focused on regional meetings to co-create and refine solutions; and Phase 4 is disseminating and implementing results locally by applying a digital tool and organizing tailored workshops.</div></div><div><h3>Results</h3><div>This CARABELA initiative identified 87 improvement areas, mainly in diagnosis and care coordination, and developed solutions emphasizing awareness, nursing roles, patient education, and communication. National and regional meetings produced 112 cocreated solutions and established healthcare quality indicators. Thirty-six hospitals are now implementing tailored improvement plans.</div></div><div><h3>Conclusions</h3><div>The CARABELA-SA initiative revealed variability in severe asthma management across Spain, underscoring the need for standardized healthcare quality indicators. By engaging nearly 200 professionals, the initiative fostered collaboration and innovation and established a framework for ongoing improvement in managing severe asthma and other chronic diseases. The CARABELA initiative promotes patient-centered care and interdisciplinary collaboration with the objective of enhancing patient outcomes and healthcare efficiency.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 1","pages":"Article 100378"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11663956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142882903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Dario Alexander Cruz-Chamorro , Oswaldo Antonio Caguana-Velez , Raquel Martínez-Tomás
{"title":"Endoscopic Diagnosis and Medical Resolution of a Tuberculous Bronchomediastinal Fistula: Non-invasive Treatment","authors":"Dario Alexander Cruz-Chamorro , Oswaldo Antonio Caguana-Velez , Raquel Martínez-Tomás","doi":"10.1016/j.opresp.2024.100388","DOIUrl":"10.1016/j.opresp.2024.100388","url":null,"abstract":"","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"7 1","pages":"Article 100388"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11721243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fernando Ascanio, Joel Rosado, Leire Sánchez Corujo
{"title":"Trasplante pulmonar robótico: un nuevo horizonte en la cirugía torácica","authors":"Fernando Ascanio, Joel Rosado, Leire Sánchez Corujo","doi":"10.1016/j.opresp.2024.100391","DOIUrl":"10.1016/j.opresp.2024.100391","url":null,"abstract":"","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"6 ","pages":"Article 100391"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11696838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Jara Chinarro , Laura Pazos Rodriguez , Miguel Cuchí Alfaro , Ainhoa Izquierdo Pérez , Silvia Aguado Ibañez , María Churruca Arrospide , Marta Soler Vigil , Cristina Moral , Carlos Almonacid
{"title":"Innovations and Challenges in Intermediate Respiratory Care Units: Toward Effective Integration into the Hospital System","authors":"Beatriz Jara Chinarro , Laura Pazos Rodriguez , Miguel Cuchí Alfaro , Ainhoa Izquierdo Pérez , Silvia Aguado Ibañez , María Churruca Arrospide , Marta Soler Vigil , Cristina Moral , Carlos Almonacid","doi":"10.1016/j.opresp.2024.100396","DOIUrl":"10.1016/j.opresp.2024.100396","url":null,"abstract":"<div><div>This review gives a comprehensive and nuanced appraisal of the current state of Intermediate Respiratory Care Units (IRCUs). It aims to evaluate the distribution of IRCUs in Spain, identify challenges and gaps in the current system and analyze the impact of IRCUs during the COVID-19 pandemic.</div><div>A review of the evolution and current state of IRCUs was conducted. A search was performed on PubMed. Original articles were selected for analysis. Additionally, recommendation documents on IRCUs from SEPAR and other Scientific Societies were reviewed. The review analyzes the history and evolution of the IRCUs, their role and function, IRCU models, the evolution of admission criteria, and their efficacy and efficiency.</div><div>IRCUs offer significant benefits by improving patient outcomes through accurate categorization and specialized treatment of severe pulmonary diseases, ensuring high-quality care. They reduce ICU admission rates, resulting in substantial cost savings for hospitals.</div><div>Our analysis indicates that while IRCUs contribute positively to patient outcomes and resource optimization in Spain, there are significant challenges related to heterogeneity in unit structures, staffing, and resource allocation. Standardizing definitions and models may enhance the effectiveness and comparability of IRCUs across the healthcare system.</div></div>","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"6 ","pages":"Article 100396"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143231347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Combinación de técnicas de simulación y navegación electromagnética endoscópica","authors":"David Rincón García , Andrés Giménez Velando","doi":"10.1016/j.opresp.2024.100381","DOIUrl":"10.1016/j.opresp.2024.100381","url":null,"abstract":"","PeriodicalId":34317,"journal":{"name":"Open Respiratory Archives","volume":"6 ","pages":"Article 100381"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}