A5002844762- Cardiac, Anesthesia and Surgical Outcomes
- Clinical practice guidelines implementation
- Telemedicine and Telehealth Implementation
- Enhanced Recovery After Surgery
- COVID-19 Clinical Research Studies
- Health Systems, Economic Evaluations, Quality of Life
- Hemodynamic Monitoring and Therapy
- Stroke Rehabilitation and Recovery
- Radiation Dose and Imaging
- Medical Imaging and Analysis
- Cardiac Health and Mental Health
- COVID-19 and healthcare impacts
- Advanced Radiotherapy Techniques
- Advanced X-ray and CT Imaging
- Healthcare cost, quality, practices
- Disaster Response and Management
- Nausea and vomiting management
- Breast Cancer Treatment Studies
- Pressure Ulcer Prevention and Management
- Frailty in Older Adults
- Quality and Supply Management
- Bariatric Surgery and Outcomes
- COVID-19 diagnosis using AI
- Stoma care and complications
- Healthcare Quality and Management
IRCCS Humanitas Research Hospital
2021-2025
Humanitas University
2018-2021
Istituti di Ricovero e Cura a Carattere Scientifico
2020
Fondazione Humanitas per la Ricerca
2018
Bariatric surgery is the most effective treatment for patients affected by morbid obesity. The Enhanced Recovery After Surgery (ERAS) protocol increases clinical outcomes, but recent literature shows incomplete patients' adherence. This study aims to demonstrate feasibility of applying a Value-Based Healthcare (VBHC) strategy associated with ERAS increase engagement and outcomes.A multiprofessional team redesigned process considering recommendations feedbacks. Outcomes that matter were...
Background Preoperative assessment is crucial to prevent the risk of complications surgical operations and usually focused on functional capacity. The increasing availability wearable devices (smartwatches, trackers, rings, etc) can provide less intrusive methods, reduce costs, improve accuracy. Objective aim this study was present evaluate possibility using commercial smartwatch data, such as those retrieved from Fitbit Inspire 2 device, assess capacity before elective surgery correlate...
Abstract Background Value-based healthcare (VBHC) is an approach that focuses on delivering the highest possible value for patients while driving cost efficiency in health services. It emphasizes improving patient outcomes and experiences optimizing use of resources, shifting system’s focus from volume services to delivered. Our study assessed effectiveness implementing a VBHC-principled, tailored preoperative evaluation enhancing care outcomes, as well reducing costs. Methods We employed...
Abstract Background Despite guideline recommendations, few institutions have implemented clinical pathways that incorporate frailty into routine decision‐making for patients undergoing radical cystectomy (RC). This paper presents an integrated pathway designed to address the needs of frail RC. The purpose study is determine whether a multifaceted prevention programme tailors interventions syndromic components can improve postoperative morbidity and recovery time patients. New insights will...
Background and purposeRadiotherapy plans with excessive complexity exhibit higher uncertainties worse patient-specific quality assurance (PSQA) results, while the workload of measurement-based PSQA can impact efficiency radiotherapy workflow. Machine Learning (ML) Lean Six Sigma, a process optimization method, were implemented to adopt targeted approach, aiming reduce workload, risk failures, monitor complexity.Materials methodsLean Sigma was applied using DMAIC (define, measure, analyze,...
Despite the adoption of enhanced recovery programs, reported postoperative length stay after robotic surgery is 4 days even in highly specialized centers. We report preliminary results a pilot study for new protocol early discharge (on day 2) with telehealth home monitoring lobectomy lung cancer. All patients caregiver were discharged on 2 telemonitoring device if they satisfied specific criteria. Teleconsultations scheduled once afternoon post-operative 2, twice 3, and then until chest tube...
Purpose: A routine preoperative assessment is considered both ineffective and inefficient. Despite the widespread application of lean thinking in healthcare, there little evidence successful experiences admissions order to reduce "No value added" activities. conceptual framework reporting drivers (clinic, tools, innovation, organization, governance) impacts (patient, efficiency, sustainability, time, learning growth) was developed. Methodology: Drawing on experience an Italian high...
The Lean method entails a set of standardized processes intending to optimize resources, reduce waste, and improve results. has been proposed as an operative model for the COVID-19 outbreak. Herein, we summarized data resulted from adoption in Emergency Department Lombardy region, Italian epicenter pandemic, critically appraise its effectiveness feasibility. algorithm was applied Humanitas Clinical Research Hospital, Milan, north Italy. At admission, patients underwent outdoor pre-triage...
The region of Lombardy was the epicenter COVID-19 outbreak in Italy. Emergency Hospital 19 (EH19) built Milan metropolitan area during pandemic’s second wave as a facility Humanitas Clinical and Research Center (HCRC). present study aimed to assess whether implementation EH19 effective improving quality care patients compared with first one. demographics, mortality rate, in-hospital length stay (LOS) two groups were compared: group involved admitted at HCRC managed pandemic wave, while...
S1189ESTRO 37orientations respectively (fig.1).Even though most sources may be considered symmetrical, there were cases a clear asymmetry was evident (TB6).The source shape reproduced Gaussian profile with RMSE of 2.9-7.7% in the 100 -10 % fluence region, while systematic deviations lower tail region. ConclusionThe reconstructed X-ray for six Varian TBs are symmetrical FWHM values between 1.0 and 1.5 mm.The common approximation profile, used by beam models, might not adequate region.Further...
Abstract Background: Value-based healthcare (VBHC) aims to improve by increasing value outcomes. Our study evaluated whether personalised preoperative evaluation based on VBHC principles improves care and outcomes, thus reducing costs. Methods: We conducted a quality improvement before-and-after determine the impact of clinics in Humanitas Research Hospital. The intervention was implementation VBHC-tailored risk matrix during postintervention phase (year 2021), results were compared with...
Introduction: Recently, the adoption of telemedicine has become increasingly relevant and necessary during Coronavirus 2019 (COVID-19) pandemic both in medical surgical community. Perioperative telemonitoring is currently still rarely used clinical practice, no applications are described major thoracic surgery neither ERAS protocols. We believe that integration mini-invasive enhanced recovery programs can represent a useful tool to reduce LOS. Enhanced based on more recent innovations...
<sec> <title>BACKGROUND</title> Preoperative assessment is crucial to prevent the risk of complications surgical operations and usually focused on functional capacity. The increasing availability wearable devices (smartwatches, trackers, rings, etc) can provide less intrusive methods, reduce costs, improve accuracy. </sec> <title>OBJECTIVE</title> aim this study was present evaluate possibility using commercial smartwatch data, such as those retrieved from Fitbit Inspire 2 device, assess...