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dc.date.accessioned2022-09-22T14:37:33Z
dc.date.available2022-09-22T14:37:33Z
dc.date.issued2021-09-30
dc.identifier.citationÁvila, J.M.M., Ryan, J., O’Sullivan, H., Bennett, S., Murphy, A., Martin, C. (2021) 'Using the AMAU pathway as an alternative to the “admission-to-investigate” pathway', Mercy University Hospital Clinical Audit and Quality Improvement Day 2021. Cork, Mercy University Hospital, 30 September 2021.en_US
dc.identifier.urihttp://hdl.handle.net/10147/634286
dc.description.abstractBackground / Problem Identified: Acute Medical Assessment Units (AMAU) were created with the main goal of providing medical patients with prompt, consultant-led decision making. According to the 2010 HSE National Acute Medicine Programme, a decision should be made regarding admission or discharge for AMAU patients (time to decision) in less than 6 hours. The aim of our Acute Medical Assessment Unit is to provide a service that enables early patient assessment and prioritisation of investigations leading to a reduced patient experience time (PET) on the emergency department floor. The AMAU will also provide an alternative pathway for follow-up in patients not requiring acute admission – with scheduled follow up of planned investigations in the AMAU clinic or Virtual Ward. Complementary investigations play a key role in decision making. Prioritisation of urgent investigations to determine acute management (Priority 2 e.g. CTPA for a suspected PE with a high Wells’ score) and less urgent investigations (Priority 3 e.g. endoscopy for gastritis) can be decided and followed-up via the AMAU. Lack of timely access to these investigations can lead to an undue delay in patient flow and obstruct potentially safe patient discharges. The Mercy AMAU was restructured in July 2020. This resulted in the addition of a fixed medical SHO, CNM2, and clerical officer; along with 2 Consultants who supervise the unit. There is additional support provided with an SHO and Medical Registrar from another team. A GP referral pathway was introduced to further expedite patient assessment in November 2020. This AMAU Audit aims to ascertain to what extent the AMAU activity reduces the number of hospital admissions that are required to facilitate access to timely investigations.en_US
dc.language.isoenen_US
dc.relation.ispartofMercy University Hospital Clinical Audit and Quality Improvement Day 2021en_US
dc.relation.ispartofseriesBest Clinical Audit Award, 2021en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectACUTE MEDICAL CAREen_US
dc.subjectHOSPITAL ADMISSIONSen_US
dc.titleUsing the AMAU pathway as an alternative to the “admission-to-investigate” pathwayen_US
dc.typePosteren_US
dc.contributor.departmentJosé María Martínez Ávila, James Ryan, Hannah O’Sullivan, Síofra Bennett, Abbey Murphy, Conor Martin, Acute Medical Assessment Unit, Mercy University Hospital, Grenville Place, Cork, Irelanden_US
dc.description.provinceMunsteren_US
dc.description.peer-reviewnon-peer-reviewen_US
refterms.dateFOA2022-09-22T14:37:35Z


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