Igiene e sanita pubblica最新文献_第7页

[Fragility in a Public Health perspective: principles and tools for a "life course" approach prevention- oriented]. 公共卫生视角下的脆弱性:“生命历程”的原则和工具;方法以预防为导向]。

Igiene e sanita pubblica Pub Date : 2021-01-01

G Damiani, D Pascucci, G Sessa, M Morini, M P Fantini, A Buja, F Lonati, K Y C Adja

引用次数: 0

[A Public Health topic: the health (di/smis) information]. [A公共卫生专题:健康信息]。

Igiene e sanita pubblica Pub Date : 2021-01-01

Armando Muzzi, Augusto Panà

引用次数: 0

[An integrated approach for better contamination control in hospital settings]. [在医院环境中更好地控制污染的综合方法]。

Igiene e sanita pubblica Pub Date : 2021-01-01

R Bosco, S Gambelli, V Urbano, G Cevenini, G Messina

{"title":"[An integrated approach for better contamination control in hospital settings].","authors":"R Bosco, S Gambelli, V Urbano, G Cevenini, G Messina","doi":"","DOIUrl":"","url":null,"abstract":"Disinfection of hospital environments is a cornerstone of intervention strategies to reduce the risk of hospital-associated infections. Many studies show that standard cleaning procedures are not sufficient for proper disinfection of hospital environments and that the addition of no-touch technologies, such us ultraviolet light, can provide deeper sanitisation. This study aims to test whether the application of ultraviolet light after standard procedures improves hygiene levels in the shortest possible time and shows the degree of contamination before and after irradiation. A cross-sectional study was conducted in a real clinical setting in rehabilitation rooms of a contracted clinic \"Rugani Hospital\" in Monteriggioni (SI), Italy, between December 2019 and August 2020.the study was carried out according to the following protocol: i) quantization of contamination of 12 selected target points in room; ii) attribution to the points of a probability of contamination risk; iii) sampling of a subset of 6 points with probabilistic assignment; iv) evaluation of the pre-post disinfection environmental hygiene using a UV-C system. For the pre-post statistical analysis the non-parametric Wilcoxon test was used; the multivariate MANOVA was used to verify the role of different confounders, with post hoc Bonferroni test. Probabilistic calculations minimised the samplings required to conclude that the application of the ultraviolet light device reduced the level of contamination in a statistically significant manner (p < 0.01) when comparing pre- and post-exposure, with less irradiation time than indicated by the manufacturer.","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"77 1","pages":"404-413"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38903466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The full risk based thinking management approach in Italian Healthcare Organizations 20 years after the publication of the book "To err is human"]. [在《人无完人》一书出版20年后，意大利医疗机构的全面基于风险的思维管理方法]。

Igiene e sanita pubblica Pub Date : 2020-11-01

E Burato, S Amato

引用次数: 0

Quali sono le ragioni delle Missed Care? Risultato di uno studio bilaterale. Ragioni delle Missed Care. 错过护理的原因是什么?双边研究的结果。失宠的原因。

Igiene e sanita pubblica Pub Date : 2020-11-01

I Blackman, A Palese, M Danielis, S Vryonides, J Henderson, E Willis, E Papastavrou

{"title":"Quali sono le ragioni delle Missed Care? Risultato di uno studio bilaterale. Ragioni delle Missed Care.","authors":"I Blackman, A Palese, M Danielis, S Vryonides, J Henderson, E Willis, E Papastavrou","doi":"","DOIUrl":"","url":null,"abstract":"Background: Evidence of missed nursing care in clinical practice has been well documented; however, fewer studies highlighting why care is missed have been conducted and this prevents effective interventions aimed at minimizing the missed care.Methods: A secondary analysis of two cross-sectional study designs was performed to capture the direction and strength of 1,114 Italian and Australian nurses' perceptions about why care was missed in their hospitals. The MISSCARE survey was used to collect data and the specific section aimed at estimating the reasons for missed nursing care was used. Data were analysed using structural equation modelling.Results: Six significant variables emerged as predictors of why care is missed, and these were: workplace miscommunication; increased work intensity; inadequate physical and human resources for care work; nurses' age; and years of clinical experience.Conclusions: Australian and Italian findings contribute to growing international studies as to why nursing care is missed and provides a framework for understanding precipitating factors, such as incomplete workplace communication, unpredictable workflows, staffing and material resources issues might contribute to why care is missed and must thus be addressed/improved.","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"76 6","pages":"355-369"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25531042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Organization and management of clinical-care pathways at the Regina Margherita Hospital in Turin during Covid-19 emergency]. [都灵里贾纳玛格丽塔医院在Covid-19紧急情况下的临床护理途径的组织和管理]。

Igiene e sanita pubblica Pub Date : 2020-11-01

E Boietti, F Bert, D Corsi, S Barbaro, G Greco, F Fagioli, R Siliquini

引用次数: 0

[Public Health commitment to the protection of health at the time of the pandemic]. [公共卫生部门在大流行病期间保护健康的承诺]。

Igiene e sanita pubblica Pub Date : 2020-11-01

Armando Muzzi, Augusto Panà

引用次数: 0

[The IRCCS San Raffaele Hospital organizational model to assess the clinical documentation completeness and the appropriateness of hospitalization: the SVAD experience and the results of the three-year period 2018-2020.] [IRCCS圣拉斐尔医院评估临床文件完整性和住院适宜性的组织模型:2018-2020三年期SVAD经验和结果]

Igiene e sanita pubblica Pub Date : 2020-09-01

Davide Di Napoli, Eleonora Bossi, Giovanni Gaetti, Paola Congiu, Marco Secchi, Susanna Berzaghini, Giuseppina Fiorella, Adriana Stella, Ewa Wysocka, Giulia Villa, Alberto Ambrosio

{"title":"[The IRCCS San Raffaele Hospital organizational model to assess the clinical documentation completeness and the appropriateness of hospitalization: the SVAD experience and the results of the three-year period 2018-2020.]","authors":"Davide Di Napoli, Eleonora Bossi, Giovanni Gaetti, Paola Congiu, Marco Secchi, Susanna Berzaghini, Giuseppina Fiorella, Adriana Stella, Ewa Wysocka, Giulia Villa, Alberto Ambrosio","doi":"","DOIUrl":"","url":null,"abstract":"According to the progressive increase in the number of medical records checked by the Agenzia di Tutela della Salute (ATS) of the Metropolitan City of Milan, the San Raffaele Hospital established a Unit supporting healthcare personnel in clinical documentation management. Therefore, in 2003 the Servizio Valutazione Appropriatezza della Documentazione clinica (SVAD), consisting of a nursing staff highly qualified in checking the appropriateness of clinical pathways, completeness and correctness of the clinical documentation and appropriate coding in the hospital discharge cards, was set up in the Health Directorate. Since 2018, the Service has seen an increase in resources, a re-organization and integration with the Operating Units. The aim of the article is to describe the introduction of a new organizational model and the results obtained, with reference to the quality self-control carried out for the ATS. In order to conduct a descriptive analysis of the trend, the sample data, required by the ATS in the three-year period 2018-2020, stratified by outcome and consequent percentage of reduction on the reimbursement of hospitalization, were considered. We observe an overall percentage increase in medical records without any reduction from 2018 to 2020, going from 84% to 94% (+ 10%); at the same time, there is a constant trend of medical records with complete curtailment between 2018 and 2019, while there is a reduction between 2019 and 2020, going from 4% to 2% (-2%). The positive results demonstrate the essential role of SVAD and consolidate an alternative career for nursing staff.","PeriodicalId":73329,"journal":{"name":"Igiene e sanita pubblica","volume":"76 5","pages":"296-307"},"PeriodicalIF":0.0,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25493125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Telemedicine: a Proxemics tool of Primary Care?] 远程医疗:初级保健的近体学工具?］

Igiene e sanita pubblica Pub Date : 2020-09-01

Simona Amato, D Sgroi, Claudio Di Giovanni, G Poliandri, A Cioffi, Martino Politi

引用次数: 0

“Da dove veniamo e dove andiamo?” Ministero degli Interni. Modulo di autodichiarazione per gli spostamenti (Ultimo aggiornamento: 24 Ottobre 2020) La normazione, lo strumento cardine di Sanità pubblica. The legislation primary public health instrument. “我们从哪里来，我们要去哪里?”内政部。交通自主报告表格(最新更新:2020年10月24日)初级公共卫生立法。

Igiene e sanita pubblica Pub Date : 2020-09-01

Armando Muzzi, Augusto Panà

引用次数: 0