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

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    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
    Issue Date
    2011-02
    MeSH
    Emergency Service, Hospital
    Hospital Units
    Humans
    Ireland
    Models, Organizational
    Triage
    
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    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
    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
    ISSN
    0332-3102
    Collections
    University Hospitals Limerick

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