Acute Medicine: Triage, timing and teaching in the context of medical emergency admissions

European Journal of Internal Medicine

Volumn 22, Issue 4, 2011, Pages 339-343

  Subbe, C P ^a   Bottle, R A ^b   Bell, D ^c  

^a BANGOR UNIVERSITY   (United Kingdom)

^b IMPERIAL COLLEGE LONDON   (United Kingdom)

^c CHELSEA AND WESTMINSTER HOSPITAL   (United Kingdom)

Author keywords

Emergency; Internal Medicine; Length of stay; Mortality; Triage

Indexed keywords

ACUTE DISEASE; ACUTE MEDICINE; AMBULATORY CARE; CLINICAL PRACTICE; HEALTH CARE DELIVERY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL CARE; HOSPITALIZATION; HUMAN; INTERNAL MEDICINE; MEDICAL RESEARCH; MEDICAL SPECIALIST; PATIENT SAFETY; RAPID RESPONSE TEAM; REVIEW; UNITED KINGDOM;

EID: 79960563248     PISSN: 09536205     EISSN: 18790828     Source Type: Journal    
DOI: 10.1016/j.ejim.2011.05.015     Document Type: Short Survey

References (41)

1. C.P. Subbe, M. Kruger, P. Rutherford, and L. Gemmell Patients at risk: validation of a modified early warning score in medical admissions Q J Med 94 2001 521 526 (Pubitemid 32998342)
2. Royal College of Physicians Future patterns of care by general and specialist physicians Meeting the needs of adult patients in the UK September 1996 RCP London
3. Federation of Medical Royal Colleges Acute medicine: the physician's role. Proposals for the future A working party report of the Federation of Medical Royal Colleges 2000 Royal College of Physicians London
4. Royal College of Physicians The interface of accident and emergency and acute medicine Report of a working party 2002 RCP London
5. Royal College of Physicians The interface between acute general medicine and critical care Report of a working party 2002 RCP London
6. Royal College of Physicians Acute medicine: making it work for patients A blueprint for organisation and training. Report of a working party 2004 RCP London
7. P. Wanklyn, H. Hosker, S. Pearson, and P. Belfield Slowing the rate of acute medical admissions J R Coll Physicians London 31 1997 173 176
8. E.H. McLaren, L.E. Summerhill, W.J. Miller, M.L. McMurdo, and C.M. Robb Re-organising emergency medical admitting: the Stobhill experience, 1992-1997 Health Bull (Edinb) 57 1999 108 117
9. M. Armitage, and T. Raza A consultant physician in acute medicine: the Bournemouth model for managing increasing numbers of medical emergency admissions Clin Med 2 2002 331 333
10. E.D. Moloney, D. Smith, K. Bennett, D. O'riordan, and B. Silke Impact of an acute medical admission unit on length of hospital stay and emergency department 'wait times' Q J Med 98 2005 283 289
11. V.J. St Noble, G. Davies, and D. Bell Improving continuity of care in an acute medical unit: initial outcomes Q J Med 101 2008 529 533 (Pubitemid 351911995)
12. http://www.acutemedicine.org.uk/; 2010
13. The Society for Acute Medicine (UK) Recommendations for medical assessment (admission) units 2003 SAM (UK) Edinburgh
14. The Society for Acute Medicine (UK) Recommendations for nurse staffing on acute medicine/medical assessment units 2004 SAM(UK) Edinburgh
15. Acute medical care: the right person, in the right setting - first time Report of the acute medicine task force October 2007
16. How to implement ambulatory emergency care (emergency day care) 2010 NHS Institute for Innovation and Improvement
17. Delivering quality and value Directory of ambulatory emergency care for adults 2010 NHS Institute for Innovation and Improvement
18. M.W. Cooke, and S. Jinks Does the Manchester triage system detect the critically ill? J Accid Emerg Med 16 1999 179 181 (Pubitemid 29195607)
19. S.R. Bruijns, L.A. Wallis, and V.C. Burch A prospective evaluation of the Cape triage score in the emergency department of an urban public hospital in South Africa Emerg Med J 25 Jul. 2008 398 402 (Pubitemid 351998327)
20. C. Subbe, J. Falcus, P. Rutherford, and L. Gemmell Capacity planning. Knowing the score Health Serv J 113 Mar. 20 2003 32 33
21. B. Silke, J. Kellett, T. Rooney, K. Bennett, and D. O'Riordan An improved medical admissions risk system using multivariable fractional polynomial logistic regression modelling QJM 103 Jan. 2010 23 32
22. Acutely ill patients in hospital (CG50) Recognition of and response to acute illness in adults in hospital 2007 National Institute for Health & Clinical Excellence
23. D.R. Prytherch, G.P. Smith, P.E. Schmidt, and P.I. Featherstone ViEWS - towards a National Early Warning Score for detecting adult inpatient deterioration Resuscitation 81 2010 932 937
24. H. Gao, D.A. Harrison, G.J. Parry, K. Daly, C.P. Subbe, and K. Rowan The impact of the introduction of critical care outreach services in England: a multicentre interrupted time-series analysis Crit Care 11 2007 R113
25. P.B. Berger, D.R. Holmes Jr., A.L. Stebbins, E.R. Bates, R.M. Califf, and E.J. Topol Impact of an aggressive invasive catheterization and revascularization strategy on mortality in patients with cardiogenic shock in the Global Utilization of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries (GUSTO-I) trial. An observational study Circulation 96 Jul. 1 1997 122 127 (Pubitemid 27298413)
26. C.P. Cannon, E.M. Antman, R. Walls, and E. Braunwald Time as an adjunctive agent to thrombolytic therapy J Thromb Thrombolysis 1 1994 27 34
27. P.D. Schellinger, M. Kaste, and W. Hacke An update on thrombolytic therapy for acute stroke Curr Opin Neurol 17 Feb. 2004 69 77 (Pubitemid 38316782)
28. E. Rivers, B. Nguyen, S. Havstad, J. Ressler, A. Muzzin, and B. Knoblich Early goal-directed therapy collaborative group. Early goal-directed therapy in the treatment of severe sepsis and septic shock N Engl J Med 345 2001 1368 1377
29. P. Plant, J. Owen, and M. Elliott Early use of non-invasive ventilation for acute exacerbations of chronic obstructive pulmonary disease on general respiratory wards: a multicentre randomised controlled trial Lancet 355 2000 1931 1935 (Pubitemid 30326096)
30. G.B. Smith, and N. Poplett Knowledge of aspects of acute care in trainee doctors Postgrad Med J 78 2002 335 338 (Pubitemid 34638887)
31. S. Baudouin, and T. Evans Improving outcomes for severely ill medical patients Clin Med 2 2002 92 94
32. F. Andrew, H. Hodgson, and N. Newbery Impact of EWTD on patient:doctor ratios and working practices for junior doctors in England and Wales 2009 Clin Med 10 2010 330 335
33. http://www.jrcptb.org.uk/assessment/Pages/Workplace-Based-Assessment. aspx; 2010
34. A. Gries, A. Seekamp, and T. Welte Notfallbehandlung: zentral und interdisziplinär Dtsch Ärztebl 107 2010 268 269
35. T. Bonzel Interdisziplinäre Notaufnahmen: Sicherung der Behandlungsqualität und Effizienz durch einen integrativen Behandlungsansatz Med Klin 105 2010 404 408
36. W.A. Knaus, E.A. Draper, D.P. Wagner, and J.E. Zimmerman APACHE II: a severity of disease classification system Crit Care Med 13 Oct. 1985 818 829 (Pubitemid 15250137)
37. J.R. Le Gall, A. Neumann, F. Hemery, J.P. Bleriot, J.P. Fulgencio, and B. Garrigues Mortality prediction using SAPS II: an update for French intensive care units Crit Care 9 2005 R645 R652
38. G.P. Copeland, D. Jones, and M. Walters POSSUM: a scoring system for surgical audit Br J Surg 78 1991 356 360
39. F. Roques, S.A. Nashef, P. Michel, E. Gauducheau, C. de Vincentiis, and E. Baudet Risk factors and outcome in European cardiac surgery: analysis of the Euro-SCORE multinational database of 19 030 patients Eur J Cardiothorac Surg 15 1999 816 822
40. J. Kellett, and B. Deane The Simple Clinical Score predicts mortality for 30 days after admission to an acute medical unit Q J Med 99 2006 771 781 (Pubitemid 44688411)
41. C.P. Subbe, W. Gauntlett, and J.G. Kellett Collaborative Audit of Risk Evaluation in Medical Emergency Treatment (CARE-MET I) - an international pilot Eur J Intern Med 21 2010 222 225