Organizzazione della Struttura Complessa di Medicina interna per intensità di cure: l’Area critica di Medicina interna
Journal title MECOSAN
Author/s Francesco Ventrella, Francesca Fortunato
Publishing Year 2020 Issue 2019/112
Language Italian Pages 33 P. 7-39 File size 550 KB
DOI 10.3280/MESA2019-112002
DOI is like a bar code for intellectual property: to have more infomation
click here
Below, you can see the article first page
If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits
FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.
In hospitals with traditional organization, i.e. based on specialist departments not organized by intensity of care, patients who are too ill for a general ward, yet do not require intensive care, are sometimes hospitalized in intensive care units, where they receive over-assistance with waste of resources. Otherwise these patients are hospitalized in general wards, where they create distortive effects, attracting most of the health care resources and subtracting assistance to the other patients, while receiving less assistance than needs. To avoid these distortions it is appropriate to create areas of semi-intensive assistance, such as the Critical Area of Internal Medicine. The authors, after review of the literature on the organization of hospital based on intensity of care, underline the advantages of applying these principles not to the entire hospital, but within the Departments or wards of Internal Medicine. Starting from some experiences already carried out spontaneously in some departments with the activation of some monitored beds of semi-intensive therapy, they propose a structured application project for the creation of the critical area of Internal Medicine, by the use of some project management tools (WBS, OBS, Gantt diagram, responsibility matrix, and SWOT analysis).
Keywords: Critical area, Internal medicine, High Dependency Unit (HDU), intermediate care units, critical patients intensity of care, appropriateness of care
- Intermediate care units in internal medicine: the case of Apulia Francesco Ventrella, Anna Belfiore, Antonio Greco, Franco Mastroianni, Salvatore Lenti, Domenico Ruggiero, Michele Cannone, Vincenzo Ostilio Palmieri, Massimo Errico, in Italian Journal of Medicine /2025
DOI: 10.4081/itjm.2025.1960
Francesco Ventrella, Francesca Fortunato, Organizzazione della Struttura Complessa di Medicina interna per intensità di cure: l’Area critica di Medicina interna in "MECOSAN" 112/2019, pp 7-39, DOI: 10.3280/MESA2019-112002