Results on patient flow of implementing an Acute Medical Unit.

Autor:	Rombach SM; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Balke- Budai G; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., van Galen J; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Bekker R; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Smit-Bruineberg SE; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Biesheuvel TH; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Kramer M; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands., Nanayakkara P; VU University Medical Center, De Boelelaan 1117, 1081 HV Amsterdam, Netherlands.
Jazyk:	angličtina
Zdroj:	Acute medicine [Acute Med] 2018; Vol. 17 (2), pp. 62-67.
Abstrakt:	Background: There is an increased influx of patients needing admission. Introducing an acute medical unit (AMU) may increase the admission capacity without increasing the total number of beds. Methods: Data collected during the first four years after implementation of an AMU in an academic tertiary care center in Amsterdam were analyzed. Results: A 24 bed unit was realized. The total number of admissions increased in the first year with 977 (16%), with an additional 4.1% increase after 2 years with stabilization thereafter. The length of stay decreased, the absolute number of refusals declined, the number of readmissions remained unchanged. Conclusion: Introduction of AMUs in overcrowded services could be beneficial in improving the strain on the acute healthcare systems.
Databáze:	MEDLINE
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