The Evolving Role of the Acute Assessment Unit – from inpatient to outpatient care

Acute Assessment Units (AAUs) have been developed to meet the demand for emergency care. Traditionally, AAUs have been an admission route to secondary care but the role is now evolving to assessment. AAUs are complex and have many interactions both in hospitals and the community. The effective functioning of an AAU requires excellent clinical leadership, appropriate facilities, timely access to diagnostics and input from the multi-disciplinary team. Increasingly, AAUs will have to develop services which are not dependent on using hospital beds. A variety of emergency medical presentations can, with the appropriate resources, be delivered in an out-patient setting.

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The role of the specialist physiotherapist in ambulatory emergency care; leading on developing the frailty pathway in the ambulatory assessment unit at the John Radcliffe Hospital, Oxford

Future Healthcare Journal ◽

10.7861/futurehealth.6-2-s41 ◽

2019 ◽

Vol 6 (Suppl 2) ◽

pp. 41-41

Author(s):

Beverley Greensitt ◽

Jordan Bowen ◽

Sudhir Singh ◽

Leila Vaziri ◽

Anuja Bambarvajane ◽

...

Keyword(s):

Emergency Care ◽

Ambulatory Assessment ◽

Assessment Unit ◽

John Radcliffe Hospital

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Rationalisation of non-sterile latex disposable gloves in clinical settings – a brief study using the purchase of expertise consultancy model

British Journal of Infection Control ◽

10.1177/175717740300400105 ◽

2003 ◽

Vol 4 (1) ◽

pp. 10-19

Author(s):

Duncanson V

Keyword(s):

Secondary Care ◽

Cost Benefit Analysis ◽

Cost Benefit ◽

Clinical Nurse Specialist ◽

Small Study ◽

Clinical Settings ◽

Nurse Specialist ◽

Benefit Analysis ◽

Clinical Nurse

T his article describes a small study aimed at making a purchasing recommendation to the purchasing manager, providing a cost-benefit analysis of the most commonly used brands of non-sterile latex examination gloves. One of the nine makes of glove tested remained consistent with the agreed criteria for assessment and, if introduced as the only option available, would result in a saving of $15,150 per annum on Site A of a recently merged secondary care Trust. Also, the importance of the consultancy role of the clinical nurse specialist in improving practice was demonstrated.

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Enabling professional development in mental health nursing: the role of clinical leadership

Journal of Psychiatric and Mental Health Nursing ◽

10.1111/jpm.12221 ◽

2015 ◽

Vol 22 (8) ◽

pp. 616-622 ◽

Cited By ~ 6

Author(s):

G. Ennis ◽

B. Happell ◽

K. Reid-Searl

Keyword(s):

Mental Health ◽

Professional Development ◽

Mental Health Nursing ◽

Clinical Leadership ◽

Health Nursing

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Guidelines for Pediatric Emergency Care Facilities

PEDIATRICS ◽

10.1542/peds.96.3.526 ◽

1995 ◽

Vol 96 (3) ◽

pp. 526-537

Author(s):

Keyword(s):

Health Care ◽

Emergency Medical Services ◽

Emergency Care ◽

Pediatric Emergency ◽

Medical Services ◽

Emergency Medical ◽

Care Facilities ◽

Trained Personnel ◽

Pediatric Emergency Care

Emergency care for life-threatening pediatric illness and injury requires specialized resources including equipment, drugs, trained personnel, and facilities. The American Medical Association Commission on Emergency Medical Services has provided guidelines for the categorization of hospital pediatric emergency facilities that have been endorsed by the American Academy of Pediatrics (AAP).1 This document was used as the basis for these revised guidelines, which define: 1. The desirable characteristics of a system of Emergency Medical Services for Children (EMSC) that may help achieve a reduction in mortality and morbidity, including long-term disability. 2. The role of health care facilities in identifying and organizing the resources necessary to provide the best possible pediatric emergency care within a region. 3. An integrated system of facilities that provides timely access and appropriate levels of care for all critically ill or injured children. 4. The responsibility of the health cane facility for support of medical control of pre-hospital activities and the pediatric emergency care and education of pre-hospital providers, nurses, and physicians. 5. The role of pediatric centers in providing outreach education and consultation to community facilities. 6. The role of health cane facilities for maintaining communication with the medical home of the patient. Children have their emergency care needs met in a variety of settings, from small community hospitals to large medical centers. Resources available to these health care sites vary, and they may not always have the necessary equipment, supplies, and trained personnel required to meet the special needs of pediatric patients during emergency situations.

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The role of law enforcement agencies in out-of-hospital emergency care

Resuscitation ◽

10.1016/j.resuscitation.2006.07.021 ◽

2007 ◽

Vol 72 (3) ◽

pp. 386-393 ◽

Cited By ~ 15

Author(s):

Seth C. Hawkins ◽

Alan H. Shapiro ◽

Adrianne E. Sever ◽

Theodore R. Delbridge ◽

Vincent N. Mosesso

Keyword(s):

Law Enforcement ◽

Emergency Care ◽

Hospital Emergency ◽

Law Enforcement Agencies

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P23 Implementing a daily virtual COVID-19 multi-disciplinary team meeting in secondary care

10.1136/thorax-2021-btsabstracts.133 ◽

2021 ◽

Author(s):

JA Wingfield Digby ◽

H Petty ◽

S Brij ◽

J Bright ◽

K Irion ◽

...

Keyword(s):

Secondary Care ◽

Team Meeting ◽

Multi Disciplinary Team

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Family Centeredness as Resource and Complication in Outpatient Care with Weak Adherence, Using Adolescent Diabetes Care as a Case in Point

What About the Family? ◽

10.1093/med/9780190624880.003.0011 ◽

2019 ◽

pp. 137-146 ◽

Cited By ~ 1

Author(s):

Anders Herlitz ◽

Christian Munthe

Keyword(s):

Family Member ◽

Care Provider ◽

Diabetes Care ◽

Outpatient Care ◽

Family Members ◽

Self Care ◽

Family Centeredness

This case study illustrates how family members can assist in the care of teenagers with diabetes but that there are also serious risks actualized by such involvement. In particular, it highlights ethical complications that arise when the role of a family member is changed from ‘parent’ to ‘care provider’. The ‘counseling, self-care, adherence’ (CSA) approach offers a look at the role that family can play to improve these types of care.

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Document Management Mechanism for Holistic Emergency Healthcare

International Journal of Healthcare Information Systems and Informatics ◽

10.4018/ijhisi.2014040101 ◽

2014 ◽

Vol 9 (2) ◽

pp. 1-15 ◽

Cited By ~ 1

Author(s):

M. Poulymenopoulou ◽

F. Malamateniou ◽

G. Vassilacopoulos

Keyword(s):

Patient Information ◽

Emergency Care ◽

Point Of Care ◽

Document Management ◽

Management Mechanism ◽

Emergency Case ◽

Holistic View ◽

Unscheduled Care ◽

Care Processes ◽

Timely Access

A number of recent studies have showed that early and specialized pre-hospital patient management contributes significantly to emergency case survival. Along with the deployment and availability of appropriate emergency care resources, this also requires the availability of timely and relevant patient information to emergency medical service professionals. However, current healthcare information systems are characterized by heterogeneity and fragmentation, hindering emergency care professionals to have access to holistic or integrated patient information from the various organizations that participate in emergency care processes where and when needed. At the same time, many e-health programs have been undertaken worldwide in the area of emergency and unscheduled care with the objective to facilitate sharing of electronic patient information that may be considered important for the delivery of high quality emergency care and, hence, need to be readily available. In this vein, this paper takes a holistic view of the information needed in emergency healthcare and focuses on developing an appropriate tool for providing timely access to holistic care information by authorized users while retaining existing investments. Thus, a special purpose document management mechanism (DMM) is proposed that facilitates creating standardized XML documents from existing healthcare systems and that enables access to such documents at the point of care. For illustrative purposes, the mechanism has been incorporated into a prototype, cloud-based holistic EMS system.

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Introducing physician associates

InnovAiT Education and inspiration for general practice ◽

10.1177/1755738017731589 ◽

2017 ◽

Vol 10 (12) ◽

pp. 746-753

Author(s):

Susan Denton ◽

Krishni Manorajan ◽

Pahim Miah

Keyword(s):

Medical Profession ◽

Healthcare Delivery ◽

Health Needs ◽

Delivery Of Healthcare ◽

The Public ◽

Health Delivery ◽

Care Models ◽

The Uk ◽

Multi Disciplinary Team

Physician associate (PA) is a new profession that has the potential to change healthcare delivery in the UK. However, it is poorly understood by both the medical profession and the public. Evolving health needs, patient expectations, treatment and delivery of healthcare have led to proposed new care models that require a different skill mix to underpin health delivery. We explore the role of PAs, who as part of a multi-disciplinary team while being supervised by doctors, can help support a sustainable future for primary care.

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