Aspectos metodológicos de los procesos asistenciales integrados (PAI)

Gomis, Roberto Ferrándiz; Mata-Cases, Manel; Mauricio, Dı́dac; Menéndez, Sara Artola; Muñoz, Javier Ena; Bravo, José Javier Mediavilla; Fernández-Santos, Carlos Miranda; Orozco-Beltrán, Domingo; Rodríguez‐Mañas, Leocadio; Villalba, Cynthia; Martínez, J. Alfredo

doi:10.1016/j.cali.2016.12.003

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…Consequently, for the objective of the change to be feasible, it must be appropriate to the resources, it must identify and address a need, and the results must be measurable. The key elements of the care process to be transformed are those that determine scientific evidence and consensus, which are highlighted in the care protocol as key indicators of the process [ 58 , 59 ].…”

Section: Conference Sectionsmentioning

confidence: 99%

Smartfeeding: A Dynamic Strategy to Increase Nutritional Efficiency in Critically Ill Patients—Positioning Document of the Metabolism and Nutrition Working Group and the Early Mobilization Working Group of the Catalan Society of Intensive and Critical Care Medicine (SOCMiC)

Yébenes,

Bordeje-Laguna,

Lopez-Delgado

et al. 2024

Nutrients

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Adequate medical nutrition therapy for critically ill patients has an impact on their prognoses. However, it requires an individualized approach that takes into account the activity (phases of metabolic stress) and particularity of these patients. We propose a comprehensive strategy considering the patients’ nutritional status and the set of modifiable circumstances in these patients, in order to optimize/support nutritional efficiency: (1) A detailed anamnesis and an adequate initial nutritional assessment must be performed in order to implement medical nutrition therapy that is in line with the needs and characteristics of each patient. Furthermore, risks associated with refeeding syndrome, nutritrauma or gastrointestinal dysfunction must be considered and prevented. (2) A safe transition between nutrition therapy routes and between health care units will greatly contribute to recovery. The main objective is to preserve lean mass in critically ill patients, considering metabolic factors, adequate protein intake and muscle stimulation. (3) Continuous monitoring is required for the successful implementation of any health strategy. We lack precise tools for calculating nutritional efficiency in critically ill patients, therefore thorough monitoring of the process is essential. (4) The medical nutrition approach in critically ill patients is multidisciplinary and requires the participation of the entire team involved. A comprehensive strategy such as this can make a significant difference in the functional recovery of critically ill patients, but leaders must be identified to promote training, evaluation, analysis and feedback as essential components of its implementation, and to coordinate this process with the recognition of hospital management.

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Section: Conference Sectionsmentioning

confidence: 99%

Smartfeeding: A Dynamic Strategy to Increase Nutritional Efficiency in Critically Ill Patients—Positioning Document of the Metabolism and Nutrition Working Group and the Early Mobilization Working Group of the Catalan Society of Intensive and Critical Care Medicine (SOCMiC)

Yébenes,

Bordeje-Laguna,

Lopez-Delgado

et al. 2024

Nutrients

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“…[ 3 ] This strategy includes the procesos asistenciales integrados for its acronym in Spanish (PAI) protocols, which describe the itinerary of patients and the set of actions, decisions and sequential activities that must be carried out when dealing with a specific healthcare problem keeping the highest possible quality. [ 4 ] The clinical laboratory PAI protocol coordinates the interaction between professionals and levels of care and sets the tasks that must be performed starting with the requested laboratory test and until the applicant receives the results report. Minimum criteria are also included for each phase of the process, which try to guarantee that all tasks are carried out in the best way and in the most coordinated way possible, with the ultimate intention of the process to achieve quality results that satisfy the needs and demands of users.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Compliance with the clinical laboratory quality protocol in public primary healthcare centres

et al. 2022

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The clinical and economic relevance of the clinical laboratories procedures in Andalusia (Spain) have led the Regional Department of Health to focus attention on their improvement. A unified laboratory protocol was implemented that consisted of the unification of criteria in the handling and processing of samples, and report of results.The objective of this study is to describe the degree of compliance with the clinical laboratory protocol in the preanalytical phase, which includes the analytical request and up to the delivery in the laboratory, as well as the influencing factors.Cross-sectional descriptive study with a sample of 214 healthcare professionals involved in the preanalytical phase of laboratory procedures in primary care. A self-reported questionnaire with 11 items was used for data collection. Each item was assessed separately with a scale from 0 to 10. A 5 points score was considered as the cutoff point. Descriptive analysis was conducted and Mann-Whitney U test was used to determine differences between subgroups. Internal consistency of the questionnaire was considered.The best rated item was verifying the correspondence between the request form and identity of the patient. Each item scored from 3 to 10, and the mean for each item ranged from 6.40 (standard deviation = 3.06) to 8.57 (standard deviation = 2.00). Values above or equal to 8 were obtained, for 63.6% of them. Statistically significant differences between accredited and nonaccredited centres were found. Differences were not noteworthy regarding centres with a teaching activity or those without it. All the items were measured separately. The compliance with the protocol was adequate among primary healthcare professionals, who have a strategic position in the sample collection and its transport during the preanalytical phase. Being so, standardisation should be a priority to reduce errors and improve clinical safety and results. Abbreviations: ACSA = agencia de calidad sanitaria de Andalucía -Andalusian health quality agency, PAI = procesos asistenciales integrados -integrated care processes, PC = primary care, SD = standard deviation.

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Estrategias para la prevención y tratamiento no farmacológico de la diabetes. Modelos de atención

Botana López

2024

Atención Primaria

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Aspectos metodológicos de los procesos asistenciales integrados (PAI)

Cited by 8 publications

References 6 publications

Smartfeeding: A Dynamic Strategy to Increase Nutritional Efficiency in Critically Ill Patients—Positioning Document of the Metabolism and Nutrition Working Group and the Early Mobilization Working Group of the Catalan Society of Intensive and Critical Care Medicine (SOCMiC)

Smartfeeding: A Dynamic Strategy to Increase Nutritional Efficiency in Critically Ill Patients—Positioning Document of the Metabolism and Nutrition Working Group and the Early Mobilization Working Group of the Catalan Society of Intensive and Critical Care Medicine (SOCMiC)

Compliance with the clinical laboratory quality protocol in public primary healthcare centres

Estrategias para la prevención y tratamiento no farmacológico de la diabetes. Modelos de atención

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