Alessandro Scardoni

San Raffaele Scientific Institute | OSR · School of Public Health

(1) Background: Patent foramen ovale (PFO) is a congenital abnormality present in up to 25% of the general population, and it is a relevant cause of cryptogenic stroke. We applied the hospital-based HTA model (AdHopHTA) to conduct a multidimensional assessment of NobleStitch EL, an innovative suture-mediated PFO closure device. We compared it to Am...

After SARS-CoV-2 vaccines development came at an unprecedented speed, ensuring safe and efficient mass immunization, vaccine delivery became the major public health mandate. Although mass-vaccination sites have been identified as essential to curb COVID-19, their organization and functioning is challenging. In this paper we present the planning, im...

Issue National and international health authorities have described Narrative-based medicine (NBM) in clinical practice as a fundamental tool for acquiring, understanding and integrating the different points of view of those involved in the disease and its treatment, promoting more effective and appropriate care. Description of the problem The use...

Issue San Raffaele Hospital (OSR) is part of a European alliance of 9 University Hospitals (EUHA) which promotes comparison and excellence in the clinical, research and training strategies. Description of the Problem The development of Value-Based (VB) strategies has been active in OSR since March 2019, with multidisciplinary healthcare pathways a...

Telemedicine is the practice of medicine from distance using information technology and include mainly teleconsultation via video and/or chat, teleexpertise to request the opinion of a specialist, and remote patient monitoring to improve the follow-up of patients. The use of telemedicine in mental health and most specially psychiatry has been one o...

As smartphone usage is more and more ubiquitous, the app market is flourishing in all fields, including health. Indeed, the availability and use of smartphone apps (SAs) in health has exponentially grown in recent years. It has been estimated that in 2018 there were over 97,000 health apps available and that, 15% and 8% of US phone users aged 18-29...

Issue Filling out medical records properly in Emergency Departments (ED) can be challenging, due to the high number of daily admissions and the variety of involved health care professionals (HCP). Description of the Problem The ED of IRCCS San Raffaele Hospital (OSR), with a mean of 198 admissions per day in 2019, suffers of frequent overcrowding;...

Background Healthcare-associated infections (HAIs) are the most frequent adverse events in healthcare and a global public health concern. Surveillance is the foundation for effective HAIs prevention and control. Manual surveillance is labor intensive, costly and lacks standardization. Artificial Intelligence (AI) and machine learning (ML) might sup...

Objectives: Effective professional communication and accurate transfer of relevant clinical information are crucial components of healthcare delivery. National and international health authorities strongly recommend the adoption of effective handover practice. Still, scant evidence is available on the impact of different multiprofessional handover...

Clinical audit of an emergency unit

Introduzione L’IRCCS Ospedale San Raffaele (OSR) è parte di un’alleanza europea di ospedali universitari (EUHA) che promuove politiche di Value-Based Healthcare (VBHC) con l’obiettivo tra gli altri di promuovere percorsi sanitari multidisciplinari e strategie di patient engagement. Materiali e metodi Il progetto VBHC OSR prevede l’implementazione p...

Background Advances in the field of Information and Communication Technology (ICT) are revolutionizing healthcare, while massive migration flows and cross-border populations’ transit impose the planning, implementation, and evaluation of new integrated healthcare services and programmes. Nevertheless, no conclusive evidence exists on the vast poten...

Background Control of Healthcare associated infections (HAI) is a key public health concern in Europe. Current HAI surveillance systems are based on manual medical records review, vulnerable to misclassification and expensive. Artificial intelligence (AI) offers great potential to public health action and, specifically, to HAI control. Still, scant...

Background Control of Healthcare associated infections (HAI) is a key public health concern in Europe. Current HAI surveillance systems are based on manual medical records review, vulnerable to misclassification & expensive. Artificial intelligence (AI), as a digital tool, offers great potential to HAI control. Still, scant evidence is available on...

Handover is a critical part of the communication of the patient's clinical situation, particularly between different health professionals. We conducted a survey to know the methods in use for handover in different wards and different hospitals, intending to highlight the main critical conditions and to show existing good practices and standardized...

L’Audit rappresenta un fondamentale strumento di Clinical Governance e Risk Management finalizzato al miglioramento continuo della qualità. Le attività di formazione degli auditor, i report e i feed-back successivi alle osservazioni, hanno permesso di strutturare un percorso virtuoso, che ha favorito negli operatori sanitari una maggiore consapevol...

IRCCS Ospedale San Raffaele (OSR) fa parte della European University Hospital Alliance (EUHA), che promuove strategie di Value Based Health Care ed ha avviato un progetto strategico di riorganizzazione dei percorsi clinici in questa ottica. Gli obiettivi del progetto VB OSR sono stati: incentivare misurazione e raccolta strutturata di outcomes (Cli...

The world is moving towards a patient-centred and value-based medicine. In San Raffaele Hospital, a major University and Research Hospital, we decided to promote the use of Value Based Healthcare (VBHC) methods and tools in clinical pathways, through the re-organization of the Prostate Cancer pathway. The main issues were the redesigning of the pat...

INTRODUZIONE L'Italia riconosce e garantisce come diritto l'assistenza sanitaria agli stranieri richiedenti protezione internazionale (RPI), al pari dei cittadini italiani. Tuttavia, ogni Regione ha la propria autonomia nell'applicazione dei protocolli sanitari nazionali, sia per quanto riguarda la programmazione (policy), sia per quanto riguarda l...

Background: The purpose of this study was to assess the efficacy of intraoperative nerve integrity monitoring (NIM) to prevent marginal mandibular nerve injuries during neck dissection. Methods: This prospective study compared 36 patients undergoing NIM-assisted neck dissection from July 2014 to March 2015 to a cohort of 35 patients subjected to...