Relevant bibliographies by topics / Acute medical admissions ; Patient journey ; Patient discharge

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  1. Journal articles
  2. Dissertations / Theses

Academic literature on the topic 'Acute medical admissions ; Patient journey ; Patient discharge'

Author: Grafiati
Published: 4 June 2021
Last updated: 14 February 2022

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Journal articles on the topic "Acute medical admissions ; Patient journey ; Patient discharge"

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Pinkney, Jonathan, Susanna Rance, Jonathan Benger, et al. "How can frontline expertise and new models of care best contribute to safely reducing avoidable acute admissions? A mixed-methods study of four acute hospitals." Health Services and Delivery Research 4, no. 3 (2016): 1–202. http://dx.doi.org/10.3310/hsdr04030.

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BackgroundHospital emergency admissions have risen annually, exacerbating pressures on emergency departments (EDs) and acute medical units. These pressures have an adverse impact on patient experience and potentially lead to suboptimal clinical decision-making. In response, a variety of innovations have been developed, but whether or not these reduce inappropriate admissions or improve patient and clinician experience is largely unknown.AimsTo investigate the interplay of service factors influencing decision-making about emergency admissions, and to understand how the medical assessment proces
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Rycroft, W., and B. Madi. "41 A New Ambulatory Frailty Pathway at Barnsley Hospital." Age and Ageing 50, Supplement_1 (2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.02.

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Abstract Topic At Barnsley Hospital we targeted an improvement in the care of frail patients. The first objective was to improve the patient journey by reducing the amount of time that frail patients spend in busy acute environments. The second objective was to deliver more effective Comprehensive Geriatric Assessment which is recognised as gold standard management (Ellis, G. BMJ 2011;343:d6553). Intervention A new frailty chaired area was opened in July 2018 with capacity to receive up to 6 patients per day from acute admission areas and aim for same day discharge. We developed our own bespok
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Saxton, N., and D. Mayne. "43 Renewing the Frailty Experience: Bringing CGA Into the Emergency Department." Age and Ageing 50, Supplement_1 (2021): i12—i42. http://dx.doi.org/10.1093/ageing/afab030.04.

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Abstract Topic Early recognition and multidisciplinary management of frail patients in acute care is a national priority. This is reflected in the NHS 10 year plan, NHS Improvement (NHSI) and Getting It Right First Time (GIRFT) ambitions for acute care. The Sunderland Royal Hospital acute frailty service currently reviews frail patients on the Medical Admissions Unit (MAU) each morning. Analysis of our emergency department (ED) data demonstrates that most frail patients arrive to the ED between 12 pm and 18 pm leading to a cohort of frail patients who are not receiving comprehensive geriatric
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Wu, Jane, Olivia Misa, Christine T. Shiner, and Steven G. Faux. "Targeted rehabilitation may improve patient flow and outcomes: development and implementation of a novel Proactive Rehabilitation Screening (PReS) service." BMJ Open Quality 10, no. 1 (2021): e001267. http://dx.doi.org/10.1136/bmjoq-2020-001267.

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Rehabilitation programmes can be delivered to patients receiving acute care (‘in-reach rehabilitation’) and/or those who have completed acute care but experience ongoing functional impairments (‘subacute rehabilitation’). Access to these programmes depends on a rehabilitation assessment, but there are concerns that referrals for this assessment are often triggered too late in the acute care journey. We describe a Proactive Rehabilitation Screening (PReS) process designed to systematically screen patients during an acute hospital admission, and identify early those who are likely to require spe
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Oates, A. "524 QUALITY IMPROVEMENT PROJECT: INCORPORATING COMPREHENSIVE GERIATRIC ASSESSMENT INTO COMMUNITY HOSPITAL CLERKING." Age and Ageing 50, Supplement_2 (2021): ii8—ii13. http://dx.doi.org/10.1093/ageing/afab116.14.

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Abstract Elderly patients transferred to community hospitals often have complex medical, social, psychological, functional and pharmacological backgrounds that require careful assessment in order to create and deliver a high quality, patient-centred care plan. Unfortunately, time pressures experienced by staff in acute hospitals can make Comprehensive Geriatric Assessment (CGA) unfeasible for every patient. Moreover, junior members of the medical team may be unsure as to which aspects of a patient’s background and presentation constitute important elements of a CGA. Failure to recognise and do
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Lovell, Ben, and Timothy Cooksley. "Editorial Volume 17 Issue 4 – Assessing, treating and prognosticating from the front door." Acute Medicine Journal 17, no. 4 (2018): 174–76. http://dx.doi.org/10.52964/amja.0727.

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In our daily working lives, acute physicians strive to provide the best holistic care to our patients from the moment they arrive in hospital. Experienced healthcare professionals develop a gut feeling (generally recognised as the nagging internal voice of professional experience) about patients who may be more unwell than appearances suggest, or who may deteriorate despite showing signs of physiologically compensating quite well. The papers in this issue challenge us to examine how we prioritise, prognosticate and risk-stratify the patients we treat in acute medicine, how we remain cognisant
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Prato, Laura, Lyndsay Lindley, Miriam Boyles, Louise Robinson, and Clare Abley. "Empowerment, environment and person-centred care: A qualitative study exploring the hospital experience for adults with cognitive impairment." Dementia 18, no. 7-8 (2018): 2710–30. http://dx.doi.org/10.1177/1471301218755878.

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It is acknowledged that there are many challenges to ensuring a positive hospital experience for patients with cognitive impairment. The study (‘Improving hospital care for adults with cognitive impairment’) aimed to explore the positive and negative experiences of older adults with cognitive impairment (dementia and delirium) and their relatives and/or carers, during an acute hospital stay, from admission to discharge, using a qualitative, case study methodology. Six participants with cognitive impairment, eight relatives and 59 members of the health care team were recruited. Data was collect
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Zingela, Zukiswa, Louise Stroud, Johan Cronje, Max Fink, and Stephanus van Wyk. "Protocol for a prospective descriptive prevalence study of catatonia in an acute mental health unit in urban South Africa." BMJ Open 10, no. 11 (2020): e040176. http://dx.doi.org/10.1136/bmjopen-2020-040176.

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IntroductionCatatonia arises from serious mental, medical, neurological or toxic conditions. The prevalence range depends on the setting and the range is anything from 7% to 63% in other countries. South African prevalence rates are currently unknown. The proposed study is a quantitative descriptive study using the Bush Francis Catatonia Screening Instrument as a screening tool with a data capturing information sheet to extract clinical information from patient folders. The study will investigate: (1) prevalence of catatonia, (2) clinical and demographic correlates associated with catatonia, (
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Ribbink, Marthe E., Janet L. Macneil-Vroomen, Rosanne van Seben, Irène Oudejans, and Bianca M. Buurman. "Investigating the effectiveness of care delivery at an acute geriatric community hospital for older adults in the Netherlands: a protocol for a prospective controlled observational study." BMJ Open 10, no. 3 (2020): e033802. http://dx.doi.org/10.1136/bmjopen-2019-033802.

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IntroductionHospital admission in older adults with multiple chronic conditions is associated with unwanted outcomes like readmission, institutionalisation, functional decline and mortality. Providing acute care in the community and integrating effective components of care models might lead to a reduction in negative outcomes. Recently, the first geriatrician-led Acute Geriatric Community Hospital (AGCH) was introduced in the Netherlands. Care at the AGCH is focused on the treatment of acute diseases, comprehensive geriatric assessment, setting patient-led goals, early rehabilitation and strea
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O’Dell, Thomas, Anjali Zalin, and Louella Vaughan. "The Challenges of Conducting Research on the Acute Medical Unit." Acute Medicine Journal 15, no. 4 (2016): 212–14. http://dx.doi.org/10.52964/amja.0639.

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Conducting research on the Acute Medical Unit (AMU) poses unique challenges; the environment is one that sees a diverse range of patient groups and pathologies and holds the potential for easy patient recruitment to research studies, however is geared towards a specific set of triage and discharge goals. We conducted a study into Stress Hyperglycaemia (SH) on a busy AMU, which involved profiling glycaemic changes using specialist equipment and interventions in patients with unscheduled medical admissions, and experienced a number of challenges. This article discusses these challenges and propo
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Dissertations / Theses on the topic "Acute medical admissions ; Patient journey ; Patient discharge"

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Griffiths, Pauline. "Nursing patients in transition : an ethnography of the role of the nurse on an Acute Medical Admissions Unit." Thesis, Swansea University, 2007. https://cronfa.swan.ac.uk/Record/cronfa42820.

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This thesis explores the role of the nurse on an Acute Medical Admissions Unit (AMAU). AMAUs provide a dedicated area for the assessment, treatment, and subsequent transfer or discharge of patients who are medical emergencies. Despite increasing numbers of AMAUs across the UK they are an under researched area and, in particular, there is limited research that has explored the role of the nurse in the AMAU setting. Data were generated through the use of ethnography that entailed participant observation over an eighteen-month period, semi-structured interviews with a purposive sample of doctors,
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Journal articles
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