ArticleClinical medicine (London, England)2015
Relationship between input and output in acute medicine - secondary analysis of the Society for Acute Medicine's benchmarking audit 2013 (SAMBA '13).
Article in Clinical medicine (London, England), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Acute frailty services: results of a national day of care survey.BMC geriatrics · 2024Article
- Scoring the Clinical Frailty Scale in the Emergency Department: The Home FIRsT Experience.Journal of frailty, sarcopenia and falls · 2022Article
- Association between clinical frailty, illness severity and post-discharge survival: a prospective cohort study of older medical inpatients in Norway.European geriatric medicine · 2022Article
- Clinical frailty scale as a point of care prognostic indicator of mortality in COVID-19: a systematic review and meta-analysis.EClinicalMedicine · 2021Article
- What do we know about frailty in the acute care setting? A scoping review.BMC geriatrics · 2018Article
- Impact of consultant specialty on discharge decisions in patients admitted as medical emergencies to hospitals in the United Kingdom.QJM : monthly journal of the Association of Physicians · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
The performance of acute medical units (AMUs) against published quality indicators is variable. We aimed to identify the impact of case-mix and unit resources on timely assessment and discharge of patients admitted to 43 AMUs on a single day in June 2013, as part of the Society for Acute Medicine's benchmarking audit 2013. Performance against quality indicators was at its worst in the early evening hours. Units admitting fewer than 40 patients performed better. Patients who were more frail, as measured by the Clinical Frailty Scale, were also more likely to have significant physiological abnormalities and a higher risk of death, as measured by the National Early Warning Score. Our analysis suggests that resource allocation at the front door is related to quality indicators. Teams will need strengthening in the evening hours and if looking after higher numbers of frail patients.
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