Impact evaluation of a Critical Pathway for patients with Clostridium difficile infection: A pre-post analysis in a Third Level Referral Center

Autor: Antonio Giulio de Belvis, Andrea Barbara, Gabriele Giubbini, Serena Traglia, Carmen Angioletti, Gianluca Ianiro, Luca Masucci, Maurizio Sanguinetti, Patrizia Laurenti, Andrea Cambieri, Antonio Gasbarrini, Walter Ricciardi, Giovanni Cammarota
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: International Journal of Infectious Diseases, Vol 80, Iss , Pp 105-110 (2019)
Druh dokumentu: article
ISSN: 1201-9712
DOI: 10.1016/j.ijid.2019.01.025
Popis: Background: Clostridium Difficile Infections (CDIs) have been increasing both in incidence and in severity, representing a big public health concern. Aim: The aim of this study was to evaluate the impact of a recently implemented Critical Pathway (CP) focused on patients with CDI in an Italian Teaching Hospital. Methods: The CP implementation consisted of intervention aimed to faster diagnosis and appropriateness in admission and discharge point of care; activation of a multidisciplinary team; staff training; information to patients and caregivers.In a pre-post retrospective observational study, volume, process and outcome indicators were analyzed. Findings: A total of 228 patients (128 in 2013 and 100 in 2016) were included. A decrease in the absolute number of access to the Emergency Department (p = 0.02) and an increase in hospitalization in more appropriate ward (ie gastroenterology ward, p
Databáze: Directory of Open Access Journals