Migliorare la sicurezza in cardiologia interventistica: mappatura multicentrica regionale e progettazione di una checklist specifica per il miglioramento della qualità

Alessandro Faraci; Giovanni Coppola; Selenia Principato; Alessandro Scarantino; Antonino Scardamaglia; Giuseppina Ruggieri

doi:10.54103/dn/29713

Autori/Autrici

Alessandro Faraci Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone" di Palermo - Università Degli Studi di Palermo, Palermo, Italy https://orcid.org/0009-0009-7779-6354
Giovanni Coppola ASP di Siracusa, Presidio Ospedaliero “Umberto I” Siracusa, Siracusa, Italy
Selenia Principato ASP Agrigento, Ospedale San Giovanni di Dio Agrigento, Agrigento Italy
Alessandro Scarantino - ASP Caltanissetta, Presidio Ospedaliero “S. Elia” di Caltanissetta, Caltanissetta, Italy
Antonino Scardamaglia Azienda Ospedaliera Ospedali Riuniti Villa Sofia – Cervello, Palermo, Italy - Università Degli Studi di Palermo, Palermo, Italy https://orcid.org/0009-0009-9508-6866
Giuseppina Ruggieri Azienda Ospedaliera Ospedali Riuniti Villa Sofia – Cervello, Palermo, Italy - Università Degli Studi di Palermo, Palermo, Italy

DOI:

https://doi.org/10.54103/dn/29713

Parole chiave:

Checklist, Cardiologia Interventistica, Sicurezza delle Cure, Sicurezza del Paziente, Infermieri, Infermieristica

Abstract

INTRODUZIONE: La sicurezza nei laboratori di cardiologia interventistica (Cath Lab) è condizionata da un’elevata complessità procedurale. In Italia mancano strumenti standardizzati e validati per il contesto nazionale, rendendo difficoltosa l’adozione di modelli esteri a causa di divergenze organizzative e normative. Si rende pertanto necessario un intervento metodologico volto a colmare questo gap operativo.

OBIETTIVO: Analizzare l’adozione delle pratiche di sicurezza nei 22 Cath Lab della Regione Sicilia e progettare una checklist standardizzata regionale per promuovere l’uniformità delle cure e il miglioramento dei processi assistenziali.

MATERIALI E METODI: La mappatura regionale è stata condotta tramite survey, come parte di un progetto di miglioramento della qualità. La definizione delle criticità e la progettazione della checklist sono state guidate dal ciclo PDSA e da un’analisi SWOT. L’analisi dei dati è stata descrittiva, focalizzata sulle fasi di Plan e Do.

RISULTATI: Il 91% dei centri (20/22) utilizza una checklist, con marcata eterogeneità: il 68% adotta strumenti personalizzati non standardizzati e il 27% opera senza validazione istituzionale interna. È emerso un consenso unanime (100%) sull’adozione di uno strumento unico. Sulla base di questi risultati e dei principi guida dell’OMS e del Ministero della Salute, è stata progettata una checklist di 17 item, articolata nelle fasi di Sign-in, Time-out e Sign-out, adattata alle caratteristiche organizzative dei Cath Lab.

CONCLUSIONI: La mappatura regionale conferma la necessità di superare la frammentazione procedurale. La checklist sviluppata potrà essere proposta al DASOE per l’istituzionalizzazione regionale e offrirà supporto per sicurezza, appropriatezza clinica, audit, classificazione DRG e Piano Annuale Controlli Analitici (PACA).

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