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Decreto 2886 del 24-3-2010

La lettera dI dimissioni dalla cardiologia per acuti e dalla cardiologia riabilitativa: cosa vuole sapere il MMG? A. Filippi. Decreto 2886 del 24-3-2010. Percorsi e continuità assistenziale nel paziente con scompenso cardiaco dopo evento acuto

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Decreto 2886 del 24-3-2010

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  1. La lettera dI dimissioni dalla cardiologia per acuti e dallacardiologia riabilitativa: cosa vuole sapere il MMG?A. Filippi

  2. Decreto 2886 del 24-3-2010 Percorsi e continuità assistenziale nel paziente con scompenso cardiaco dopo evento acuto • …lettera di dimissione strutturata, con gli indicatori riportati nel documento di consenso.... come strumento fondamentale di continuità assistenziale tra ospedale e territorio

  3. The SIGN dischargedocument -2012- • Essential information about the patient’s stay in hospital that allows the GP to continue the patient’s care and management following their discharge from hospital is sent by the hospital to the patient’s GP in the form of a Discharge Document (DD). • There are currently two forms of DD in use: the Immediate Discharge Document (IDD), which should be sent to the GP on the day of discharge, and a discharge summary or letter, which contains more detailed information about the patient’s stay in hospital and is sent out, ideally, within a week of the patient’s discharge date.

  4. Contact and communication

  5. Diagnosis

  6. Procedures – Clinical progress

  7. Medicinesreconciliation at discharge • The accurate recording of medicines is an essential component as it has a direct impact on patient care and management and is an important factor in improving patient safety. • Medicines reconciliation comprises the accurate recording and comparison of all medicines a patient was taking on admission to hospital with those they are taking at the time of discharge from hospital, documenting all changes that have taken place. • Changes can include the prescription of new medicines, changes to existing medicines (such as changes to dose or frequency) and the stopping of medicines that the patient was taking at the time of admission to hospital.

  8. Follow-up

  9. Aspetti specifici per pazienti CV • Stratificazione prognostica • Metodologia e terminologia condivisa • Necessità di esami strumentali nel medio periodo • Tipo • Motivazione • Esenzioni • Eventuali limitazioni lavorative (se pertinente) • Materiale educazionale utilizzato

  10. Conclusioni • La LD è strumento indispensabile per la continuità assistenziale, quindi per la salute del paziente e per l’utilizzo razionale delle risorse • E’ un compito impegnativo, che richiede adeguato supporto e riconoscimento • Vi sono molti aspetti che possono e devono essere migliorati

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