Traumatic Frail Patient Area

The Traumatic Frail Patient Area at Vall d’Hebron University Hospital is dedicated to comprehensive care for patients with hip, vertebral, ankle, and other fractures. The interdisciplinary team includes trauma surgery, internal medicine, anesthesia, rehabilitation, physiotherapy, occupational therapy, nutrition, social work, bedside nursing, and advanced practice nursing, aiming to restore patient autonomy safely and efficiently. The area provides care from emergency admission through hospital discharge, ensuring optimal coordination and personalized follow-up.

Working within areas of expertise allows for standardized protocols and the identification of key roles for each professional, improving efficiency, quality of care, and patient safety. Notable initiatives include the implementation of clinical ultrasound to assess bladder volume and determine the need for catheterization, avoiding unnecessary procedures and reducing the risk of urinary infections. This initiative, actively led by nursing staff, strengthens professional empowerment and consolidates the use of ultrasound as a key tool in hospital care, while optimizing patient recovery and reintegration into their environment.

Mental Health Area

The Mental Health Area at Vall d’Hebron University Hospital provides comprehensive care across all stages of life, from childhood to adulthood. It includes inpatient units for children, adolescents, and adults, as well as collaboration with Sant Rafael Hospital within the Integrated Psychiatry Unit. The area also offers hospital consultations, outpatient clinics, day hospitals, home care programs, and an addictions section with a specialized community center, ensuring continuity of care and personalized attention.

The area is committed to innovation and digitalization through the integration of new technologies and the parametrization of healthcare data to improve communication, safety, and patient follow-up. Notably, the project for parametrizing clinical scales in psychotic disorders, bipolar disorder, personality disorders, and ADHD is underway, with plans to expand to other conditions. This model strengthens team flexibility, enhances the role of nursing, and promotes patient-centered care focused on individual well-being.

Pediatric Solid Organ Transplant Area

The Pediatric Solid Organ Transplant Knowledge Area of Vall d’Hebron University Hospital includes heart, lung, kidney, and liver transplant programs, providing comprehensive care to patients and their families from pre-transplant through post-transplant follow-up and transition to adult care. Activities are carried out in inpatient units, dialysis and peritoneal dialysis units, the Multipurpose Day Hospital, and outpatient clinics, with a multidisciplinary team of clinicians, surgeons, nurses, auxiliaries, social workers, psychologists, and orderlies working in coordination.

Notable projects include the integration of an advanced practice nurse for each transplant program, providing expert support to patients and families and facilitating complex decision-making. Other significant initiatives include the pediatric transplant training program, which provides health education and follow-up through to adult care, and a blood draw schedule from 7 to 8 a.m. to ensure reliable laboratory results in immunocompromised patients. Altogether, these efforts reinforce the area’s commitment to excellence and the humanization of care.

Neonatal Area

The Neonatal Knowledge Area of Vall d’Hebron University Hospital is made up of a multidisciplinary team of more than 270 professionals, including nursing staff, TCAI, lactation support, home care, physicians, and speech therapists. This team works in coordination with organizations and associations to provide high-quality care to families, ensuring support for every newborn from birth until discharge at home. The area is a reference center for full-term newborns with complex pathologies and for very premature infants. Home care is integrated as a key element, ensuring continuous, newborn-centered care.

The care model places the newborn and the family at the center of the process, promoting parental involvement as primary caregivers. Notable initiatives include the humanization project of the new family room “With You at Home”, which supports the newborn’s neurodevelopment, facilitates breastfeeding, and provides a welcoming and supportive environment. Other significant initiatives include the family school and the project to improve initial care for very premature newborns, reinforcing comprehensive, personalized care that is sensitive to the needs of each infant and their family.

Postoperative Pediatric Care Area

Vall d’Hebron University Hospital is the reference center for high-complexity pediatric surgery in Catalonia. The Postoperative Care Area is responsible for the comprehensive care of patients across all surgical specialties, with a multidisciplinary team that includes specialist physicians, pediatric nurses, physiotherapists, speech therapists, and social workers. The area includes inpatient units, a pre-admission unit, and outpatient clinics with advanced practice nursing.

This approach ensures personalized and coordinated care, centered on the child and their family. Current innovative projects include a humanization program using virtual reality glasses to reduce preoperative anxiety, a tailored communication plan for children with communication difficulties, and the Pediatric Enhanced Recovery program to optimize perioperative care. With this approach, the area combines the highest level of specialization with humanization and continuous improvement in pediatric surgical care.

Infection, Tumors, and Reconstruction Area

The Infection, Tumors, and Reconstruction Area of Vall d’Hebron University Hospital, located on the second floor of the Traumatology Hospital, is a national reference center within the CSUR Program for the treatment of complex osteoarticular infections, such as prosthetic infections, osteomyelitis, or massive bone reconstructions. Managing these cases requires close collaboration among specialists in infectious diseases, microbiology, reconstructive plastic surgery, pharmacy, and nursing, who work together within the Osteoarticular Infections Committee.

Organizing care by knowledge areas has allowed the consolidation of an expert team in complex care, improved multidisciplinary communication, and ensured comprehensive and continuous care. Initiatives such as discharge recommendation sheets, a direct patient follow-up line, training sessions, and postoperative care protocols have been implemented. With this approach, the area combines research, innovation, and humanization to provide high-quality care focused on patient safety, comfort, and well-being.

Postoperative Woman Care Area

The Postoperative Care Area of the Women’s Hospital provides comprehensive care in oncologic gynecology, breast pathology, pelvic floor disorders, benign gynecology, and endoscopy. It includes hospitalization units, pre-admission, outpatient clinics, ambulatory care, and community-based services. Since 2014, it has implemented the Enhanced Recovery After Surgery (ERAS) protocol, accredited by the Spanish Group for Multimodal Rehabilitation and internationally recognized by the Era Society.

The multidisciplinary team coordinates gynecology, anesthesiology, nursing, rehabilitation, psychology, social work, and other specialties, ensuring safe, coordinated, and high-quality care. The ERAS model reduces hospital stays, reoperations, and readmissions, promoting recovery and return to daily life. Patient and caregiver empowerment is central, and the collaborative approach ensures the application of standardized protocols and care focused on the well-being and safety of patients.

Digestive Diseases Area

The Digestive Diseases Area of Vall d’Hebron University Hospital provides inpatient care, outpatient services, and 24-hour emergency coverage. In addition, the staff actively participates in teaching and both clinical and basic research, contributing to professional training and scientific knowledge.

This model promotes continuous improvement and professional development in care, teaching, research, and innovation, ensuring comprehensive, patient-centered care. Notable projects include the Strategic Plan with multidisciplinary groups and the creation of the intermediate care unit, which provides specialized care for patients with severe complications such as digestive hemorrhages, pancreatitis, or postoperative conditions.

Surgical Area

The Surgical Area of Vall d’Hebron University Hospital consists of three distinct blocks: the General Hospital, Traumatology, Rehabilitation and Burn Unit, and the Children’s Hospital, with more than 20 high-complexity operating rooms. The General Block features hybrid operating rooms for endovascular and neurosurgery procedures, as well as three Da Vinci robotic operating rooms, enabling minimally invasive surgeries with maximum precision and safety. The multidisciplinary team includes nursing, anesthesia, critical care professionals, perfusionists, and other technical staff, with active participation in transplant programs.

The Children’s Block is adapted to the needs of pediatric patients, providing both technical and emotional care that prioritizes trust and well-being. Advanced technologies used in adult surgery have also been implemented in the pediatric setting, enhancing surgical quality. The area promotes humanization projects, such as family accompaniment to the operating room, music therapy during procedures, and the Bona Nit Vall d’Hebron program for improved postoperative rest. With this comprehensive and innovative approach, the Surgical Area ensures excellent, patient-centered care.

Neurosciences Area

The Neurosciences Knowledge Area of Vall d’Hebron University Hospital is transversal and present at the Hospital of Traumatology and Rehabilitation, the General Hospital, and the Maternal and Child Hospital. It also includes the Multiple Sclerosis Center of Catalonia (CEMCAT) and research groups from VHIR and VHIO. The area brings together services and units with teams composed of physicians, nurses, auxiliaries, and radiology technicians.

The area’s strategic plan has driven structural changes to optimize access to diagnostic tests and rehabilitation during hospitalization. Notable initiatives include the creation of roles such as advanced practice nurses and the incorporation of neuropsychology, particularly for neurodegenerative diseases. The area is a reference center for rare diseases, with five accredited CSURs and six CSURs plus five XUECs that promote high-impact research projects. Last year, more than 400 scientific articles were published, with 60 % in the first quartile and half in the first decile, reflecting the leadership and research commitment of the area’s professionals.

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