[Diagnostic-therapeutic pathways as instruments of clinical management: experience at the S. Maria Hospital in Terni].
Diagnostic-therapeutic itineraries and treatment profiles are instruments of clinical management. The authors report on their experience with the experimental creation of such itineraries in thyroid nodular pathology. These are the fruit of collaboration between the management team, endocrinological surgeons, and the hospital computer staff. The drawing-up of guidelines in the hospital setting allows the systematic organisation of clinical activities to be accomplished in the health-care facility, quantifying costs for all diseases in order to be able to plan and implement changes in resources and staff utilisation. Application of the method, in addition, helps to develop a common language among hospital doctors and nurses, facilitates proper communication with patients, and ensures adequate patient information regarding the clinical itinerary the patient will have to take for his or her condition.
Lucchini
Roberta
R
SC di Chirurgia Endocrina del Collo e Tessuti Molli, AO S. Maria, Terni.
Donetti
Daniela
D
D'Ajello
Michele
M
Calzolari
Filippo
F
Pacchiarini
Diamante
D
Bolli
Lorenzina
L
Sanguinetti
Alessandro
A
Puxeddu
Efisio
E
Monacelli
Massimo
M
Misso
Claudia
C
Gianmartino
Camillo
C
Macchitell
Luigi
L
Avenia
Nicola
N
D019091:Critical Pathways; D003663:Decision Trees; D006751:Hospital Information Systems / Q000592:standards; D006801:Humans; D007558:Italy; D017410:Practice Guidelines as Topic / Q000592:standards; D011787:Quality of Health Care; D013959:Thyroid Diseases / Q000175:diagnosis* / Q000628:therapy*