ABSTRACT Introduction: Overcrowding and long waiting times are among the problems that chronically afflict the Emergency Departments. Overcrowding is defined as an imbalance between the demand for assistance and the real availability of available logistical, instrumental and professional resources. This phenomenon has negative consequences not only for patients, but also for operators and the healthcare system. Objective: to highlight the characteristics of the See and Treat model and evaluate how much it reduces the waiting time in the emergency room. Materials and Methods: A literature review was carried out using the MEDLINE (Pubmed), cochrane, elsielver, CHINAL and Google databases. Studies were selected from 2003 to 2023. Results: From the review of the literature the overcrowding of ED determined by the minor codes can be reduced by adopting management strategies that accelerate the therapeutic diagnostic paths without penalizing the quality of care, such trials have been referred to as See and Treat. Conclusion: The model See and Treat and Nurses adequately trained and specialized (NP) contribute significantly to the management of minor emergencies of the Emergency Department, reducing the waiting time at triage and the overcrowding of the Emergency Departments, resulting in benefits for both professionals and users. Keywords: See and Treat, emergency room, minor injuries, emergency nurse practicationer, emergency departments, emergency overcrowding.
ABSTRACT Introduzione: Il sovraffollamento e i lunghi tempi di attesa sono tra i problemi che affliggono cronicamente i Dipartimenti di Emergenza. Il sovraffollamento viene definito come uno squilibrio tra la richiesta di assistenza e la reale disponibilità di risorse logistiche, strumentali e professionali disponibili. Tale fenomeno genera conseguenze negative non solo per i pazienti, ma anche per gli operatori e per il sistema sanitario. Obiettivo: evidenziare quali sono le caratteristiche del modello See and Treat e valutare quanto riduce il tempo di attesa nel pronto soccorso. Materiali e Metodi: è stata effettuata una revisione della letteratura usando le banche dati MEDLINE (Pubmed), cochrane, elsielver, CHINAL e Google. Sono stati selezionati studi dal 2003 al 2023. Risultati: Dalla revisione della letteratura il sovraffollamento dei Pronto Soccorsi determinato dai codici minori può essere ridotto adottando strategie di gestione che accelerino i percorsi diagnostici terapeutici senza penalizzare la qualità dell’assistenza, tali sperimentazioni sono state denominate con il termine See and Treat. Conclusione: Il modello See and Treat ed Infermieri adeguatamente formati e specializzati (NP) contribuiscono in maniera significativa alla gestione delle urgenze minori del Pronto Soccorso, riducendo così i tempi di attesa al triage ed il sovraffollamento dei Dipartimenti di Emergenza, determinando benefici sia per i professionisti che per gli utenti. Parole chiave: See and Treat, emergency room, minor injuries, emergency nurse pratictioner, emergency departments, emergency overcrowding.
See and Treat in pronto soccorso: l’infermiere nella riduzione dell’overcrowding.
PALMUCCI, ELENA
2022/2023
Abstract
ABSTRACT Introduction: Overcrowding and long waiting times are among the problems that chronically afflict the Emergency Departments. Overcrowding is defined as an imbalance between the demand for assistance and the real availability of available logistical, instrumental and professional resources. This phenomenon has negative consequences not only for patients, but also for operators and the healthcare system. Objective: to highlight the characteristics of the See and Treat model and evaluate how much it reduces the waiting time in the emergency room. Materials and Methods: A literature review was carried out using the MEDLINE (Pubmed), cochrane, elsielver, CHINAL and Google databases. Studies were selected from 2003 to 2023. Results: From the review of the literature the overcrowding of ED determined by the minor codes can be reduced by adopting management strategies that accelerate the therapeutic diagnostic paths without penalizing the quality of care, such trials have been referred to as See and Treat. Conclusion: The model See and Treat and Nurses adequately trained and specialized (NP) contribute significantly to the management of minor emergencies of the Emergency Department, reducing the waiting time at triage and the overcrowding of the Emergency Departments, resulting in benefits for both professionals and users. Keywords: See and Treat, emergency room, minor injuries, emergency nurse practicationer, emergency departments, emergency overcrowding.| File | Dimensione | Formato | |
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TESI ELENA PALMUCCI 4 PDFA.pdf
embargo fino al 24/05/2025
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1.44 MB
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1.44 MB | Adobe PDF |
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https://hdl.handle.net/20.500.12075/15762