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

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    Authors
    Kellett, John
    Affiliation
    Department of Medicine, Nenagh Hospital, Nenagh, County Tipperary, Ireland. jgkellett@eircom.net
    Issue Date
    2009-09
    MeSH
    Emergency Service, Hospital
    Hospital Mortality
    Hospital Rapid Response Team
    Hospitalization
    Humans
    Outcome and Process Assessment (Health Care)
    Triage
    
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    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
    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
    ISSN
    1879-0828
    ae974a485f413a2113503eed53cd6c53
    10.1016/j.ejim.2008.12.015
    Scopus Count
    Collections
    Nenagh General Hospital

    entitlement

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