Implementazione e impatto del Fast-track in un Pronto Soccorso: studio pre-post

Carlo Alboreo; Roberta Di Matteo; Gianluigi Piazzolla; Lucia Di Nardo; Giuseppe Dipaola; Enkeleda Gjini; Emanuele Tatò; Alessandro Scelzi; Antonio Maconi; Tatiana Bolgeo; Federico Ruta

doi:10.4081/wpph.2024.9877

Authors

Carlo Alboreo Servizio 118 ASL Barletta-Andria-Trani (BAT), Italy. https://orcid.org/0000-0002-4026-9587
Roberta Di Matteo
rdimatteo@ospedale.al.it
SC Infrastructure Research Training Innovation, Department of Integrated Activities Research Innovation, Azienda Ospedaliero-Universitaria SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. https://orcid.org/0000-0001-8249-8284
Gianluigi Piazzolla Acceptance and Emergency Medicine and Surgery, Mons. Dimiccoli Hospital Barletta, Italy.
Lucia Di Nardo Acceptance and Emergency Medicine and Surgery, Mons. Dimiccoli Hospital Barletta, Italy. https://orcid.org/0009-0002-7904-1595
Giuseppe Dipaola Director of Emergency Department ASL Barletta-Andria-Trani (BAT), Italy.
Enkeleda Gjini Department of Biomedical Sciences, Faculty of Medicine, Catholic University “Our Lady of Food Consel”, Tiranë, Albania.
Emanuele Tatò Acceptance and Emergency Medicine and Surgery, Mons. Dimiccoli Hospital Barletta, Italy.
Alessandro Scelzi Medical Direction, ASL BT, Andria, Italy.
Antonio Maconi SC Infrastructure Research Training Innovation, Department of Integrated Activities Research Innovation, Azienda Ospedaliero-Universitaria SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Tatiana Bolgeo SC Infrastructure Research Training Innovation, Department of Integrated Activities Research Innovation, Azienda Ospedaliero-Universitaria SS Antonio e Biagio e Cesare Arrigo, Alessandria, Italy. https://orcid.org/0000-0002-7322-7009
Federico Ruta Director of Nursing Professions, ASL BT, Andria, Italy. https://orcid.org/0000-0002-3849-0098

Background: overcrowding and long waiting times are major problems in Emergency Departments (EDs). Fast-Track (FT) is a process developed to more effectively manage patients admitted to EDs with non-urgent conditions. The aim of the study was to evaluate the impact of the FT method regarding access in an ED. Materials and Methods: pre-post implementation study of the FT method. All patients attending the emergency department of the ASL of Barletta presenting minor emergencies with problems in the obstetric/gynaecological, ophthalmological, paediatric, otorhinolaryngological and orthopaedic areas were included. Results: of the 38,024 services performed in the ED, 1606 (4.22 %) were FT accesses. Analysing the data from the period May 2017 (pre) and calculating in minutes the waiting time from triage to discharge is 55 minutes; instead in the period May 2022 (post) it is 20 minutes. Conclusions: the FT method seems to be a useful and safe strategy to improve the management of patients admitted to emergency rooms with minor disorders.

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Alboreo, C., Di Matteo, R., Piazzolla, G., Di Nardo, L., Dipaola, G., Gjini, E., Tatò, E., Scelzi, A., Maconi, A., Bolgeo, T., & Ruta, F. (2024). Implementation and impact of Fast-track in an Emergency Room: pre-post study. Working Paper of Public Health, 12(1). https://doi.org/10.4081/wpph.2024.9877

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Copyright (c) 2024 Carlo Alboreo, Roberta Di Matteo, Gianluigi Piazzolla, Lucia Di Nardo, Giuseppe Dipaola, Enkeleda Gjini, Emanuele Tatò, Alessandro Scelzi, Antonio Maconi, Tatiana Bolgeo, Federico Ruta