About: The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway

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An Entity of Type : schema:ScholarlyArticle, within Data Space : wasabi.inria.fr associated with source document(s)

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type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway
Creator	Marchetti, Paolo Napoli, Christian Orsi, Giovanni Rocco, Monica Aceti, Antonio Alfonsi, Valeria Anibaldi, Paolo Bonfini, Rita Borro, Marina Capalbo, Carlo Marcolongo, Adriano Preissner, Robert Ricci, Alberto Rocco, Matteo Santino, Iolanda Simmaco, Maurizio Teggi, Antonella
source	Medline; PMC
abstract	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.
has issue date	2020-05-27(xsd:dateTime)
bibo:doi	10.3390/ijerph17113792
bibo:pmid	32471066
has license	cc-by
sha1sum (hex)	a4ed1d2742c2b2498d95e049cfedc06dc81ab5db
schema:url	https://doi.org/10.3390/ijerph17113792
resource representing a document's title	The Exponential Phase of the Covid-19 Pandemic in Central Italy: An Integrated Care Pathway
has PubMed Central identifier	PMC7312393
has PubMed identifier	32471066
schema:publication	Int J Environ Res Public Health
resource representing a document's body	covid:a4ed1d2742c2b2498d95e049cfedc06dc81ab5db#body_text
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