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Acute medical units, definitely the way to go

Published:December 26, 2016DOI:https://doi.org/10.1016/j.ejim.2016.12.013
      We thank van Galen et al. for their review of acute medical units (AMUs) [
      • van Galen L.S.
      • et al.
      Acute medical units: the way to go? A literature review.
      ]. The evidence presented matches our tacit experience, namely a successful model of care when measured against hard outcomes, such as length of stay, readmission rates, mortality rates and satisfaction. We agree that the best AMU solution is not yet clear. In our experience, the heterogeneity in AMUs has arisen for a multitude of reasons, often based on local service requirements and resources. Although there is variation in the implementation of AMUs in clinical practice, we strongly recommend the Royal College of Physicians of London report, ‘The right person, in the right setting — first time’, as a basic template for those wishing to develop their acute medicine service [
      • Royal College of Physicians
      Acute medical care. The right person, in the right setting — first time.
      ]. In 2013 the College again acknowledged the importance of acute medical services in its publication the ‘Future Hospital Commission’, which described all facets of an acute medical service as the ‘acute care hub’ [
      Future hospital: Caring for medical patients.
      ].

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      References

        • van Galen L.S.
        • et al.
        Acute medical units: the way to go? A literature review.
        Eur J Intern Med. 2017; 39: 24-31
        • Royal College of Physicians
        Acute medical care. The right person, in the right setting — first time.
        in: Report of the Acute Medicine Task Force. RCP, London2007
      1. Future hospital: Caring for medical patients.
        in: A report from the future hospital commission to the Royal College of Physicians. Royal College of Physicians, London2013
        • Taylor J.K.
        • Gaillemin O.S.
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        • Fox J.
        Embedding comprehensive geriatric assessment in the emergency assessment unit: the impact of the COPE zone.
        Clin Med. 2016; 16: 19-24
        • Society for Acute Medicine
        SAMBA2016 the Society for Acute Medicine annual report.
        SAM, Edinburgh2016 ([http://www.acutemedicine.org.uk/resources/document-library/sam-benchmarking-audit-annual-report-2016/, Accessed 24-11-16])
        • West Midlands Quality Review Service and the Society for Acute Medicine
        Quality standards for acute medical units (AMUs) version 2.
        in: Quality standards in acute medical units. 2012 ([http://www.acutemedicine.org.uk/resources/quality-standards/, Accessed 24-11-16])

      Linked Article

      • Acute medical units: The way to go? A literature review
        European Journal of Internal MedicineVol. 39
        • Preview
          Acute healthcare chains in the Netherlands are increasingly under pressure because of rising emergency department (ED) admissions, relative bed shortages and government policy changes. In order to improve acute patient flow and quality of care through hospitals, an acute medical unit (AMU) might be a solution, as demonstrated in the UK. However, limited information is available concerning AMUs in the Netherlands. Therefore, the aims of this study were to
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