Evidence map›Paper›PMID 41438169›Full record

ArticleFuture healthcare journal2025

Restoring the core acute medical unit (AMU) function - a quality improvement initiative from a district general hospital.

Anika Wijewardane, Philip Dyer

Abstract read
In one paragraph

Article in Future healthcare journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Anika WijewardaneAcute Medicine Department, Frimley Park Hospital, Frimley Health Foundation Trust, Surrey, UK.
Philip DyerDiabetes and Endocrinology Department, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The acute medical unit (AMU) is a specialist area, focused on delivering timely, effective acute care for adults with acute medical illness. AMUs were first established to provide timely physician review, risk stratification and multidisciplinary management in the first 72 h. They are designed to improve patient care, prevent unnecessary admissions and reduce morbidity and mortality. However, national benchmarking and local audit data showed that core acute medicine processes at Frimley Park Hospital's AMU had drifted from these standards. A structured quality improvement programme was therefore implemented to restore AMU function and align operational processes and workforce to national guidance and national Getting it Right First Time (GIRFT) principles. Real-time oversight, standardised multidisciplinary team board rounds and rota alignment to peak demand, halved AMU length of stay, doubled daily discharges and increased emergency department-to-AMU transfers. These improvements were associated with enhanced hospital-wide throughput and more effective early acute care.

Indexed as

Acute Medical UnitFlowGIRFT

Identifiers

PMID41438169
PMCPMC12720070

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.