Optimizing care for acute medical patients: The Australasian Medical Assessment Unit Survey

McNeill, G. B. S., Brand, C., Clark, K., Jenkins, G., Scott, I., Thompson, C. and Jenkins, P. (2011) Optimizing care for acute medical patients: The Australasian Medical Assessment Unit Survey. Internal Medicine Journal, 41 1A: 19-26. doi:10.1111/j.1445-5994.2010.02359.x

Author McNeill, G. B. S.
Brand, C.
Clark, K.
Jenkins, G.
Scott, I.
Thompson, C.
Jenkins, P.
Title Optimizing care for acute medical patients: The Australasian Medical Assessment Unit Survey
Journal name Internal Medicine Journal   Check publisher's open access policy
ISSN 1444-0903
Publication date 2011-01-01
Year available 2011
Sub-type Article (original research)
DOI 10.1111/j.1445-5994.2010.02359.x
Open Access Status Not Open Access
Volume 41
Issue 1A
Start page 19
End page 26
Total pages 8
Place of publication Richmond VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Language eng
Formatted abstract
Aim:  To ascertain the design and operational characteristics of acute Medical Assessment Units (MAU) located within Australasian hospitals, and to compare these with formal standards promulgated by the Internal Medicine Society of Australia and New Zealand (IMSANZ).

Method:  Descriptive study based on responses to questionnaires mailed to clinical and nursing leads of MAU in March 2009 with follow-up reminders over 3 months. Hospitals that had an MAU that met predefined criteria were identified from an IMSANZ directory of sites based on recent contact with IMSANZ members and health department personnel and interrogation of hospital websites and attendance lists at recent MAU workshops.

Results:  Questionnaires were returned from 32 of 50 hospitals (response rate 64%). Most MAU (15/22; 68%) were less than 2 years old. MAU were smaller than recommended by IMSANZ. Sixty-eight per cent were located over a 5-min walk from the emergency department (ED). Delay in transfer of patients from the ED to the MAU was common. The medical service to the majority of MAU was provided by General Medicine physicians and cover was reduced at weekends. In the majority of MAU the emphasis on function was facilitating discharge of patients rather than managing patients with high acuity of illness.

Our survey suggests that despite some variation in staffing and procedures, MAU seem to be well established and a promising means of decreasing ED access block. Future comparative study is required to evaluate further the effect of MAU on ED access block and ED length of stay.
Keyword Acute
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Article first published online: 25 JAN 2011

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2012 Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 13 times in Thomson Reuters Web of Science Article | Citations
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Created: Sun, 13 Feb 2011, 10:03:16 EST