The innovation of IRCCS Galeazzi-Sant’Ambrogio Hospital

The digital it is part of our lives, but it is also one of the fundamental elements that allowed us to design the new IRCCS Galeazzi-Sant’Ambrogio Hospital as the hospital of the future. A reality that is increasingly aimed at digitization for improving the relationship with the patient and for improving the quality and outcome of care through 3 types of approaches: personalized medicine, predictive medicine and preventive medicine.

This is also due to its use big data, which represents a turning point in qualitative and quantitative management in the health sector and translates into greater optimization of the patient’s therapeutic care pathway: computer data collected in a quantitative way (e.g. medical records) and information that, analyzed with the new Artificial Intelligence systems, are able to connect different events and find solutions that satisfy the needs of the individual in 360°.

Personalized, preventive and predictive medicine

As mentioned, big data they represent one of the cornerstones of the innovation process that encompasses our structure. But what is it about? Big data are large amounts of information that are usually available: today, with the support of new information systems, it is possible to classify and analyze them with the aim of improving knowledge and achieving what can be defined as personalized medicine. This approach is gaining more and more attention of the characteristics of the individual patient in order to determine for him the better course of treatment, with a holistic approach and with a lower examination frame (diagnostic efficiency)so a completely therapeutic approach”Made to measure“, i.e. adapted to the patient’s needs and requirements.

Another of the fundamental pillars in the field of care is the preventive medicine which represents a real bet on the future. Faced with the extension of life, in order to ensure good quality, it is necessary to be prepared on all fronts: adapted physical activity, nutrition, reduction of risk factors (eg alcohol, smoking), elements that somehow must to be introduced programs ad hoc and in perfect connection with each other for the treatment of acute pathologies.

The third pillar is the predictive medicine which, for the purpose of so-called secondary prevention, aims toearly detection of genetic predisposition to certain diseases in order to intervene before these occur. All this, always through studies that demonstrate the presence of risk factors, patient characteristics and the use of big data.

Password: innovation

Innovation means innovation, progress therefore something that represents both technological progress and in terms of helping and caring for patients. In the health sector, innovation is an important issue because it brings with it several kinds of benefits:

  • healthbecause it allows us to provide better care to our patients.
  • economicbecause it is possible to treat patients by optimizing available resources in order to treat more of them.
  • organizationalbecause it allows reducing times and improving processes.

How are these aspects integrated into the practice and reality of the facility? From a technological point of view, the IRCCS Galeazzi-Sant’Ambrogio Hospital has invested a lot in new technologies, because innovation in this field means investing in instruments and equipment that perform more and more and that allow you to always get better diagnoses.

This is expressed in many aspects. For example, in the radiodiagnostic field, an aspect that we have paid a lot of attention to, are certain devices such as:

  • there 3 Tesla magnetic resonance;
  • LARGE’robotic angiographer for hybrid room.

3 Tesla magnetic resonance

In the structure there will be 3 examples of RM including, in fact, one with 3 Tesla, ie with very high magnetic field which allows you to:

  • perform a much more thorough analysisespecially in relation to the musculoskeletal system, the study of cartilage and the neurological field.
  • also research further organ functionality.

In addition, there is also another aspect: when it comes to radiology, or imaginginnovation also means having one more and more diagnostic ability, but using less and less radiation. This aspect is very important as everyone knows how radiation is useful for diagnosis but harmful for the patient, that is why we chose the new structure to rely on last generation machines that allow us to they perform analyzes even at the molecular levelby measuring the individual atoms inside the patient’s body and of course with the help of a very low dose of radiation.

This therefore allows us to further improve our diagnostic capabilities and at the same time “protect” the patient from radiation, thus improving the patient care pathway.

Robotic angiographer for hybrid room

The hybrid robotic room angiographer is aequipment in which the use of robots is linked to traditional angiography. This means that, alongside a traditional operator, some diagnostic and therapeutic maneuvers can be performed by a robot. This, already known in the surgical field, offers the possibility, in the field of cardiovascular intervention, to rely on robotics to perform treatments with very high precision, further reducing the error rate and thus supporting the operator to be more and more precise.

Individualized and targeted care programs

From an organizational point of view, it is clear that the improvement of processes in the new hospital allows, in some ways, the development of more fluid pathways and therefore the possibility of creating more personalized and targeted pathways, allowing us to plan the patient’s course precisely to their specific needs and not insert it into more general protocols as has always been done until now. The patient will be able to choose more specific paths, making use of the best treatments with a reduction in waiting times, early discharge and therefore a reduction in hospitalization.

The future is Artificial Intelligence

Another important topic is represented by Artificial Intelligence (AI), an application that has been much discussed in recent years and that we are all perfectly capable of experimenting with in our daily lives (just think of cell phones that recognize our face for to unlock the screen or speech systems that recognize our words).

Artificial Intelligence is one method by which we try to ensure this one machine or computer mimics the cognitive abilities of the human braina machine that can somehow learn autonomously even relatively complex tasks in an always standardized way and this obviously with huge advantages such as the possibility of not making mistakes in execution, unlike what could happen to an operator .

Although these aspects are still in the research phase in the diagnostic field, there is already a AI Research Center which develops a series of algorithms which, in the future, will probably be able to be introduced into clinical practice in order to improving our diagnostic skills. Some machines purchased for the new Galeazzi hospital are equipped with Artificial Intelligence systems which, as mentioned, are able to:

  • reduction of radiation doses to the patient;, to
  • reduce exam time; and angel
  • help professionals improve the way the exam is conducted: (eg there are systems capable of positioning the patient perfectly on the resonance bed in order to optimize the time and the perfect success and accuracy of the examination itself) but not only.

But not only that: Artificial Intelligence will also be a valid ally organizational field.: b Just think:

  • an AI system that is capable analyze a patient’s past medical data and recommend an operatorwhen booking, whether or not that patient can perform a certain type of test: for example, (eg patients with pacemakers, a limiting condition for performing this test;) or
  • Machine Learning systems capable diagnosis by analysis of radiographic images.

This is only one aspect, but it is desirable that in the future it can be extended to other areas of medicine. We just have to find out.

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