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Following National Guidelines in Acute Care can improve emergency access and patient flow.
MedLine Citation:
PMID:  21597591     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This paper describes how a Foundation Trust was able to meet emergency access targets. The Acute Medical Unit (AMU) was expanded from 29 to 81 beds and patients with expected length of stay (LOS( of less than 5 days were managed by the acute medical team only. Acute physicians provided twice-daily ward rounds on the expanded facility, including weekends, supported by specialist teams, allied healthcare professionals and investigation facilities. Within three weeks, the admission process had improved dramatically. Average LOS had decreased by 1.3 days and bed-occupancy was reduced from 98% to 91%. Having failed to achieve the 98% target for 4 consecutive months prior to these changes, the target was subsequently attained consistently. Re-admission rates, percentage mortality rate and numbers of complaints were unaffected.
Authors:
Syed V Ahmed; Chaminda Jayawarna; Deborah Atkinson; Ann Rippon
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acute medicine     Volume:  9     ISSN:  1747-4892     ISO Abbreviation:  Acute Med     Publication Date:  2010  
Date Detail:
Created Date:  2011-05-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101553725     Medline TA:  Acute Med     Country:  England    
Other Details:
Languages:  eng     Pagination:  114-7     Citation Subset:  -    
Affiliation:
Lead Consultant Acute Medicine, Stepping Hill Hospital, Stockport SK7 2AF.
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