The Region is seeking to address the chaos in Sardinia's emergency rooms. "Establishment of a regional coordination body to develop a regional plan for managing overcrowding and hospitalization flows" is the subject of the decree signed by Alessandra Todde in her capacity as regional health councilor.
This "urgent" measure aims to identify strategies to address "the persistent critical issues related to the current epidemiological situation, characterized by an increase in cases of influenza and respiratory complications, impacting emergency rooms and hospital wards." The plan therefore needs to be drawn up, but the key players and lines of intervention are already in writing.
The starting point is this: "The phenomenon of clinically dischargeable patients whose hospital stay is prolonged for non-clinical reasons contributes to prolonged hospital stays and bed saturation." Therefore, the more they are sent home, the better.
The task of drawing up the plan is entrusted to the Director General of Health (or his delegate) with coordination functions, to the Director of the Promotion and Governance of Care Networks service and to the directors of the Brotzu emergency rooms, Fabrizio Polo, his colleague from the AOU of Sassari, Paolo Pinna Parpaglia, the manager of Ares and the member of reference for socio-health issues in the territory, Maria Piera Ruggiu.
The establishment of "company crisis units (UCA), coordinated by the health management, with the participation of the bed manager and a small number of professionals representing the emergency room operational units (UO) is envisaged. At the territorial company level, general practitioners and pediatricians are involved."
The coordination will appoint a "company manager for managing the flow of emergency room patients and hospitalizations" in each local health authority. Company procedures must also be adopted for: timely consultations, temporary reinforcement of emergency room staff, and the care and monitoring of patients awaiting admission/transfer. (subject to update based on clinical developments)." The decree also provides for the activation in hospitals of "multi-specialty temporary inpatient areas for clinically stable patients awaiting admission/diagnostics/short-term therapy/discharge" and in compliance with safety requirements."
