Nuovi codici numerici per la definizione delle priorità e nuovi standard per l’Osservazione breve intensiva e azioni per ridurre il sovraffollamento tra cui il blocco dei ricoveri programmati e l’implementazione del bed management. Sono queste le direttrici su cui si muovono le nuove linee guida elaborate dal Tavolo di lavoro istituito presso il Ministero della Salute ed inviate alle Regioni. Nel modello proposto dal Ministero si adotta un sistema di codifica a 5 codici numerici di priorità, con codice da 1 a 5. “La nuova codifica – sottolinea il Ministero – consente di focalizzare l’attenzione sulle condizioni cliniche che rientrano nell’ambito dell’urgenza differibile, individuando l’ambito delle patologie da definire come urgenza minore”. L’implementazione della codifica a 5 codici numerici di priorità e il conseguente superamento della codifica con i codici colore dovrà avvenire progressivamente entro 18 mesi dalla pubblicazione del documento. Le linee guida precisano poi che la “suddivisione in 5 codici di priorità, allo scopo di meglio ridistribuire la popolazione che si presenta in PS. Infatti, il “codice verde”, essendo di gran lunga il più attribuito, non consente di differenziare adeguatamente i pazienti meritevoli di maggior impegno assistenziale da quelli a minore carico gestionale, esponendoli al rischio di eventi sfavorevoli o di sottovalutazione”. Per una corretta gestione del percorso diagnostico-terapeutico dei pazienti che accedono al P.S. si raccomanda un tempo ottimale di 6 ore e comunque non superiore alle 8 ore dall’arrivo, anche nel caso di presentazioni cliniche complesse, in aderenza a quanto evidenziato nella letteratura internazionale.
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