Recenti progressi in medicina
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This article describes the adaptation and implementation of the Program to Enhance Relational and Communication Skills (PERCS) in Italy. PERCS was originally developed at Children's Hospital Boston and aims to enhance clinicians' preparedness to engage in difficult conversations with patients/families. ⋯ Implementing PERCS in Italy has demonstrated that it is possible to culturally adapt learning opportunities that embrace the relational and ethical experience of learners. The positive response of participants affirms that relational learning is meaningful and needed.
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Observation Unit is an extention of Emergency Department for evaluation and stabilization of patients beyond the traditional 2- to 3-hour limit. A benefit of this continued patient management is better definition of the patient's problem, with resulting reduction in costs and inappropriate dispositions. The ultimate goal is to improve the quality of medical care for patients through extended evaluation and treatment while reducing inappropriate admissions and health care costs.