scholarly journals 31 * DEMENTIA CQUIN COMPLIANCE IN THE ACUTE MEDICAL UNIT: COMPLETED AUDIT CYCLE IN A LONDON TEACHING HOSPITAL

2015 ◽  
Vol 44 (suppl 1) ◽  
pp. i7-i7
Author(s):  
R. Keynejad ◽  
A. Hawksley ◽  
J. Harrison ◽  
A. Skinner ◽  
E. Asgari
Keyword(s):  
Teaching Hospital ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Audit Cycle

scholarly journals Investigating for pulmonary embolism in pregnancy: Five year retrospective review of referrals to the acute medical unit of a large teaching hospital

2016 ◽  
Vol 15 (2) ◽  
pp. 58-62
Author(s):  
Elizabeth Janette Hamilton ◽  
Alistair Quentin Green ◽  
Jennifer Ann Cook ◽  
Henry Nash ◽  
◽  
...  
Keyword(s):  
Pulmonary Embolism ◽  
Teaching Hospital ◽  
Retrospective Review ◽  
Suspected Pulmonary Embolism ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Large Teaching Hospital ◽  
Half Dose ◽  
In Pregnancy

This was a retrospective review of five years’ data relating to patients referred to the Acute Medical Unit (AMU) of a large teaching hospital with suspected Pulmonary Embolism (PE) during pregnancy or 6 weeks postpartum. During this period, 210 patients in this group underwent half-dose perfusion scanning as investigation for possible PE and were managed via our ambulatory pathway. Pulmonary embolism was diagnosed in 5.2% of patients compared to 18% of non-pregnant patients identified in a previous audit. Half-dose Q scanning enabled exclusion of PE in almost 90% of patients without the need for further imaging. A new local pathway for the investigation and management of PE during pregnancy has now been developed.

PO005 Improving lumbar puncture practice on the acute medical unit in a major teaching hospital

2017 ◽  
Vol 88 (Suppl 1) ◽  
pp. A14.1-A14
Author(s):  
Aravindhan Baheerathan ◽  
Jonathan Barnes ◽  
Sharmila Walters ◽  
Andrew Ward ◽  
Philip Gothard
Keyword(s):  
Lumbar Puncture ◽  
Teaching Hospital ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Major Teaching Hospital ◽  
Major Teaching

scholarly journals Undergraduate exposure to patient presentations on the acute medical placement: a prospective study in a London teaching hospital

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040575
Author(s):  
Chee Yeen Fung ◽  
Zhin Ming Tan ◽  
Adam Savage ◽  
Mahdi Rahim ◽  
Fatima Osman ◽  
...  
Keyword(s):  
Prospective Study ◽  
Teaching Hospital ◽  
School Curriculum ◽  
Learning Opportunities ◽  
Out Of Hours ◽  
Clinical Placements ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Clinical Presentations ◽  
A Prospective Study

ObjectivesTo identify the availability and variability of learning opportunities through patient presentations on an acute medical placement at a teaching hospital.DesignA prospective study evaluating all acute admissions to the Acute Medical Unit over 14 days (336 hours). Clinical presentations and the day and time of admission were recorded and compared with the learning outcomes specified in the medical school curriculum.SettingAn Acute Medical Unit at a London teaching hospital.Outcomes(1) Number of clinical presentations to the Acute Medical Unit over 14 days and (2) differences between the availability and variation of admissions and presentations between in-hours and out-of-hours.ResultsThere were 359 admissions, representing 1318 presentations. Of those presentations, 76.6% were admitted out-of-hours and 23.4% in-hours. Gastrointestinal bleeding, tachycardia, oedema and raised inflammatory markers were over three times more common per hour out-of-hours than in-hours. Hypoxia was only seen out-of-hours. Important clinical presentations in the curriculum such as chest pain and hemiparesis were not commonly seen.ConclusionsThere is greater availability of presentations seen out-of-hours and a changing landscape of presentations seen in-hours. The out-of-hours presentation profile may be due to expanded community and specialist services. Medical schools need to carefully consider the timing and location of their clinical placements to maximise undergraduate learning opportunities.

scholarly journals Acute medical unit clinical skills lab

2019 ◽  
Vol 6 (Suppl 1) ◽  
pp. 140-140
Author(s):  
Sarb Clare ◽  
Joe Wheeler
Keyword(s):  
Clinical Skills ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Skills Lab

scholarly journals Causes of discharge delays from the acute medical unit (AMU) in a tertiary level teaching hospital, Brunei Darussalam

2021 ◽  
pp. 201010582110061
Author(s):  
Dayang Nur Hilmiyah binti Awang Husaini ◽  
Justin Fook Siong Keasberry ◽  
Khadizah Haji Abdul Mumin ◽  
Hanif Abdul Rahman
Keyword(s):  
Observational Study ◽  
Discharge Planning ◽  
Patient Factors ◽  
Medical Unit ◽  
Prolonged Length ◽  
Acute Medical Unit ◽  
Brunei Darussalam ◽  
Medical Issues ◽  
Hospital Factors ◽  
Prolonged Hospital

Background: Many patients admitted to the acute medical unit experience a prolonged length of stay in hospital due to discharge delays. Consequently, this may impact the patients, healthcare institution and national economy in terms of patient safety, decreased hospital capacity, lost patient workdays and financial performance. Objectives: The main aim of this observational study was to identify the causes of discharge delays among acute medical unit patients admitted in the Raja Isteri Pengiran Anak Saleha Hospital, Brunei. Methods: A retrospective observational study, with data of patients admitted to the acute medical unit collected from Brunei Health Information Systems between September and December 2018. Statistical analyses were performed to obtain relevant results and any statistically significant associations. Results: A total of 357 patients were admitted to the acute medical unit over the 4-month period; 218 patients (61.1%) experienced discharge delays. Of these 218 patients, 158 patients (72.5%) encountered discharge delays mainly due to intrinsic patient factors, while the discharge delays in 88 patients (40.4%) were attributed to hospital factors. The main reason for discharge delays for patient factors was slow recovery among 67 patients (30.7%), whereas for hospital factors it was the weekend limitation of services available in 23 patients (10.6%). Conclusions: There were various causes of discharge delays identified among the 218 acute medical unit patients who experienced discharge delays. Older patients with frailty, polypharmacy and complex medical issues were more likely to have a prolonged hospital stay in the acute medical unit. Stringent inclusion criteria, increasing discharge planning as well as an effective multidisciplinary approach will aid in reducing discharge delays from the acute medical unit.

Prevalence of signs of dysphagia and associated risk factors in geriatric patients admitted to an acute medical unit

2021 ◽  
Vol 41 ◽  
pp. 208-216 ◽  
Author(s):  
Maria Dissing Olesen ◽  
Robert Mariusz Modlinski ◽  
Simon Hosbond Poulsen ◽  
Pernille Mølgaard Rosenvinge ◽  
Henrik Højgaard Rasmussen ◽  
...  
Keyword(s):  
Risk Factors ◽  
Geriatric Patients ◽  
Medical Unit ◽  
Acute Medical Unit ◽  
Associated Risk Factors

scholarly journals Acute medical unit staffing mismatch

2019 ◽  
Vol 6 (Suppl 1) ◽  
pp. 44-44
Author(s):  
Dominic Reynish
Keyword(s):  
Medical Unit ◽  
Acute Medical Unit
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