ORAL COMMUNICATION | Implementation of high care in internal medicine: impact of advanced multiparametric monitoring and the nurse specialist's role in managing clinical complexity
Observational study evaluates the impact of high care implementation on patient outcomes in internal medicine, suggesting enhanced safety and quality of care.
Key Points
This study aims to assess the effects of high-intensity care and the nurse specialist's role on managing complex clinical situations.
8-month observational study conducted in Internal Medicine ward at L. Bonomo Hospital, including 149 patients.
Four multiparametric devices monitored patients for an average of 91 hours and 33 minutes, with varying utilization rates.
Nursing staff implemented clinical governance strategies and provided on-field training for quality improvement.
Improvements in early warning system scores: Padua Score decreased from 4.9 to 2.2, qSOFA from 3.3 to 1.1, and NEWS2 from 4.8 to 2.4.
Reduced mortality in levels 2A-2, with increased SDO complexity index and improved length of stay.
Patient and staff perceived quality of care rated above 80%.