Acute medical assessment units: An efficient alternative to in-hospital acute medical care

Hdl Handle:
http://hdl.handle.net/10147/127209
Title:
Acute medical assessment units: An efficient alternative to in-hospital acute medical care
Authors:
Watts, M; Powys, L; Hora, S
Publisher:
Irish Medical Journal
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/127209
Item Type:
Article
Language:
en
Description:
Acute Medical Assessment Units (AMAUs) are being proposed as an alternative to congested Emergency Departments (EDs) for the assessment of patients with a range of acute medical problems. We retrospectively reviewed the discharge destination of patients referred to a newly established AMAU during a six-month period. During the same period we contrasted activity in the ED for a similar group of patients. 1,562 patients were assessed in the AMAU. 196 (12.5%) were admitted to an in-patient bed and 1,148 (73.5%) were entered into specific diagnosis-driven out-patient pathways. 1,465 patients attended the ED and 635 (43.3%) were admitted. Out-patient alternatives to expensive in-patient care need to be provided at the coal face of acute referral. The AMAU provides this, and as a consequence admission rates are relatively low. This is achieved by directly communicating with GPs, accessing senior clinical decision makers, and providing immediate access to diagnostically driven outpatient pathways.
Keywords:
EMERGENCY MANAGEMENT; EMERGENCY PLANNING
Local subject classification:
CARE PLANNING; CARE PATHWAY

Full metadata record

DC FieldValue Language
dc.contributor.authorWatts, Men
dc.contributor.authorPowys, Len
dc.contributor.authorHora, Sen
dc.date.accessioned2011-04-05T14:44:15Z-
dc.date.available2011-04-05T14:44:15Z-
dc.date.issued2011-02-
dc.identifier.urihttp://hdl.handle.net/10147/127209-
dc.descriptionAcute Medical Assessment Units (AMAUs) are being proposed as an alternative to congested Emergency Departments (EDs) for the assessment of patients with a range of acute medical problems. We retrospectively reviewed the discharge destination of patients referred to a newly established AMAU during a six-month period. During the same period we contrasted activity in the ED for a similar group of patients. 1,562 patients were assessed in the AMAU. 196 (12.5%) were admitted to an in-patient bed and 1,148 (73.5%) were entered into specific diagnosis-driven out-patient pathways. 1,465 patients attended the ED and 635 (43.3%) were admitted. Out-patient alternatives to expensive in-patient care need to be provided at the coal face of acute referral. The AMAU provides this, and as a consequence admission rates are relatively low. This is achieved by directly communicating with GPs, accessing senior clinical decision makers, and providing immediate access to diagnostically driven outpatient pathways.en
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.subjectEMERGENCY MANAGEMENTen
dc.subjectEMERGENCY PLANNINGen
dc.subject.otherCARE PLANNINGen
dc.subject.otherCARE PATHWAYen
dc.titleAcute medical assessment units: An efficient alternative to in-hospital acute medical careen
dc.typeArticleen
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