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

Hdl Handle:
http://hdl.handle.net/10147/132012
Title:
Acute medical assessment units: an efficient alternative to in-hospital acute medical care.
Authors:
Watts, M; Powys, L; Hora, C O; Kinsella, S; Saunders, J; Reid, L; Finucane, P
Affiliation:
Department of Medicine, Mid-Western Regional Hospital, Dooradoyle, Limerick. michael.watts@hse.ie
Citation:
Acute medical assessment units: an efficient alternative to in-hospital acute medical care. 2011, 104 (2):47-9 Ir Med J
Publisher:
Irish Medical Journal
Journal:
Irish medical journal
Issue Date:
Feb-2011
URI:
http://hdl.handle.net/10147/132012
PubMed ID:
21465875
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/21465875
Abstract:
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.
Item Type:
Article
Language:
en
MeSH:
Emergency Service, Hospital; Hospital Units; Humans; Ireland; Models, Organizational; Triage
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorWatts, Men
dc.contributor.authorPowys, Len
dc.contributor.authorHora, C Oen
dc.contributor.authorKinsella, Sen
dc.contributor.authorSaunders, Jen
dc.contributor.authorReid, Len
dc.contributor.authorFinucane, Pen
dc.date.accessioned2011-05-25T13:22:06Z-
dc.date.available2011-05-25T13:22:06Z-
dc.date.issued2011-02-
dc.identifier.citationAcute medical assessment units: an efficient alternative to in-hospital acute medical care. 2011, 104 (2):47-9 Ir Med Jen
dc.identifier.issn0332-3102-
dc.identifier.pmid21465875-
dc.identifier.urihttp://hdl.handle.net/10147/132012-
dc.description.abstractAcute 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.-
dc.language.isoenen
dc.publisherIrish Medical Journalen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/21465875en
dc.subject.meshEmergency Service, Hospital-
dc.subject.meshHospital Units-
dc.subject.meshHumans-
dc.subject.meshIreland-
dc.subject.meshModels, Organizational-
dc.subject.meshTriage-
dc.titleAcute medical assessment units: an efficient alternative to in-hospital acute medical care.en
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, Mid-Western Regional Hospital, Dooradoyle, Limerick. michael.watts@hse.ieen
dc.identifier.journalIrish medical journalen
dc.description.provinceMunster-

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