Hospital medicine (Part 2): what would improve acute hospital care?

Hdl Handle:
http://hdl.handle.net/10147/205012
Title:
Hospital medicine (Part 2): what would improve acute hospital care?
Authors:
Kellett, John
Affiliation:
Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. jgkellett@eircom.net
Citation:
Hospital medicine (Part 2): what would improve acute hospital care? 2009, 20 (5):465-9 Eur. J. Intern. Med.
Journal:
European journal of internal medicine
Issue Date:
Sep-2009
URI:
http://hdl.handle.net/10147/205012
DOI:
10.1016/j.ejim.2008.12.015
PubMed ID:
19712845
Additional Links:
http://www.sciencedirect.com/science/article/pii/S095362050800349X
Abstract:
There are so many obvious delays and inefficiencies in our traditional system of acute hospital care; it is clear that if outcomes are to be improved prompt accurate assessment immediately followed by competent and efficient treatment is essential. Early warning scores (EWS) help detect acutely ill patients who are seriously ill and likely to deteriorate. However, it is not known if any EWS has universal applicability to all patient populations. The benefit of Rapid Response Systems (RRS) such as Medical Emergency Teams has yet to be proven, possibly because doctors and nurses are reluctant to call the RRS for help. Reconfiguration of care delivery in an Acute Medical Assessment Unit has been suggested as a "proactive" alternative to the "reactive" approach of RRS. This method ensures every patient is in an appropriate and safe environment from the moment of first contact with the hospital. Further research is needed into what interventions are most effective in preventing the deterioration and/or resuscitating seriously ill patients. Although physicians expert in hospital care decrease the cost and length of hospitalization without compromising outcomes hospital care will continue to be both expensive and potentially dangerous.
Item Type:
Article
Language:
en
MeSH:
Emergency Service, Hospital; Hospital Mortality; Hospital Rapid Response Team; Hospitalization; Humans; Outcome and Process Assessment (Health Care); Triage
ISSN:
1879-0828

Full metadata record

DC FieldValue Language
dc.contributor.authorKellett, Johnen
dc.date.accessioned2012-01-26T11:25:00Z-
dc.date.available2012-01-26T11:25:00Z-
dc.date.issued2009-09-
dc.identifier.citationHospital medicine (Part 2): what would improve acute hospital care? 2009, 20 (5):465-9 Eur. J. Intern. Med.en
dc.identifier.issn1879-0828-
dc.identifier.pmid19712845-
dc.identifier.doi10.1016/j.ejim.2008.12.015-
dc.identifier.urihttp://hdl.handle.net/10147/205012-
dc.description.abstractThere are so many obvious delays and inefficiencies in our traditional system of acute hospital care; it is clear that if outcomes are to be improved prompt accurate assessment immediately followed by competent and efficient treatment is essential. Early warning scores (EWS) help detect acutely ill patients who are seriously ill and likely to deteriorate. However, it is not known if any EWS has universal applicability to all patient populations. The benefit of Rapid Response Systems (RRS) such as Medical Emergency Teams has yet to be proven, possibly because doctors and nurses are reluctant to call the RRS for help. Reconfiguration of care delivery in an Acute Medical Assessment Unit has been suggested as a "proactive" alternative to the "reactive" approach of RRS. This method ensures every patient is in an appropriate and safe environment from the moment of first contact with the hospital. Further research is needed into what interventions are most effective in preventing the deterioration and/or resuscitating seriously ill patients. Although physicians expert in hospital care decrease the cost and length of hospitalization without compromising outcomes hospital care will continue to be both expensive and potentially dangerous.-
dc.language.isoenen
dc.relation.urlhttp://www.sciencedirect.com/science/article/pii/S095362050800349Xen
dc.subject.meshEmergency Service, Hospital-
dc.subject.meshHospital Mortality-
dc.subject.meshHospital Rapid Response Team-
dc.subject.meshHospitalization-
dc.subject.meshHumans-
dc.subject.meshOutcome and Process Assessment (Health Care)-
dc.subject.meshTriage-
dc.titleHospital medicine (Part 2): what would improve acute hospital care?en
dc.typeArticleen
dc.contributor.departmentDepartment of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. jgkellett@eircom.neten
dc.identifier.journalEuropean journal of internal medicineen
dc.description.provinceMunster-

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