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Acute Medical Assessment Units: a Literature Review
Acute Medical Assessment Units: A Literature Review 2013 1 This report was prepared by Dr Elyce McGovern SpR in Public Health Medicine on behalf of The National Acute Medicine Programme 2013. 2 Table of Contents List of Tables 5 List of Figures 6 Acknowledgements 7 Abbreviations 8 Chapter 1 Introduction 9 Background 10 History of Acute Medicine in Ireland 11 History of Acute Medicine Internationally 12 Rationale for the Acute Medicine Programme in Ireland 13 Aims and Objectives 18 Chapter 2 Methodology 20 Search Strategy 23 Search Results 26 Critical appraisal Techniques 29 Chapter 3 Results 32 Critical Appraisal of studies which examined AMAU Outcomes 35 Critical Appraisal of studies which examined AMAU Processes 39 Critical Appraisal of studies which examined AMAU Structure 42 Critical Appraisal of studies which examined AMAU Alternatives 45 Critical Appraisal of additional AMAU Studies 49 Country of Origin of Research 51 Impact of Medical Assessment Unit on Length of stay 52 Impact of Medical Assessment Unit on Readmission Rates 55 Impact of Medical Assessment Unit on Trolley Time 57 Impact of Medical Assessment Unit on Mortality 58 Impact of Medical Assessment Unit on Hospital Beds 60 Impact of Medical Assessment Unit on Waiting Times for 61 Unit Diagnostics and Procedures Impact of Medical Assessment Unit on seeing a Doctor Soon 63 Impact of Medical Assessment Unit on Disposition Decision 64 within Six Hours Patient Satisfaction Surveys regarding Acute Patient Assessments 65 3 in an Acute Hospital Assessment Evidence for proposed -
Cwm Taf Morgannwg University Health Board Job Description
CWM TAF MORGANNWG UNIVERSITY HEALTH BOARD JOB DESCRIPTION POST: Consultant Physician in Geriatric & General Medicine SALARY: £72,927 - £94,679 per annum DIRECTORATE: Medicine and A&E BASE: Royal Glamorgan Hospital The post holder will also be required to provide services at other hospital sites. Introduction This is a new post, which is being created to develop and improve the Geriatric Medicine services in Cwm Taf Morgannwg University Health Board. The post will be subject to the terms and conditions of service governing the appointment of Medical and Dental Staff in Wales, and to the Health Board's terms and conditions as appropriate. The candidate to be appointed will be required to be fully registered with the General Medical Council, to hold, or to be within 6 months of gaining, a Certificate of Completion of Training in both Geriatric Medicine and General Internal Medicine, and to be on the Specialist Register. The post holder will be joining a dynamic, forward looking and innovative Geriatric Medicine team. The post holder will be based at Royal Glamorgan Hospital in Llantrisant, where the Health Board has acute hospital beds covering a range of medical and surgical specialities. The post holder will be expected to help and develop Geriatric Medicine services provided by the Health Board at the Royal Glamorgan Hospital and in the community setting. A sub-speciality interest will be encouraged but there is flexibility to support personal development in this regard. Key to the development of services will be to develop clinical relationships with the colleagues in the Directorate and Local Health Board as well as strengthening working relationships with Primary Care colleagues in order to develop services locally. -
The Acute Medical Unit Model: a Characterisation Based Upon the National Health Service Scotland
REID, L.E.M., PRETSCH, U., JONES, M.C., LONE, N.I., WEIR, C.J. and MORRISON, Z. 2018. The acute medical unit model: a characterisation based upon the National Health Service Scotland. PLoS ONE [online], 13(10), article ID e0204010. Available from: https://doi.org/10.1371/journal.pone.0204010. The acute medical unit model: a characterisation based upon the National Health Service Scotland. REID, L.E.M., PRETSCH, U., JONES, M.C., LONE, N.I., WEIR, C.J. and MORRISON, Z. 2018 This document was downloaded from https://openair.rgu.ac.uk RESEARCH ARTICLE The acute medical unit model: A characterisation based upon the National Health Service in Scotland 1,2,3 2 2 3 Lindsay E. M. ReidID *, Ursula Pretsch , Michael C. Jones , Nazir I. Lone , Christopher J. Weir3,4, Zoe Morrison5 1 Development and Delivery Department, Ko Awatea Health Systems Innovation and Improvement, Auckland, New Zealand, 2 Quality, Research and Standards, Royal College of Physicians of Edinburgh, a1111111111 Edinburgh, United Kingdom, 3 Usher Institute of Population Health Sciences and Informatics, University of a1111111111 Edinburgh, Edinburgh, United Kingdom, 4 Edinburgh Clinical Trials Unit; University of Edinburgh, Edinburgh, a1111111111 United Kingdom, 5 Business School, University of Aberdeen, Aberdeen, United Kingdom a1111111111 * [email protected] a1111111111 Abstract OPEN ACCESS Background Citation: Reid LEM, Pretsch U, Jones MC, Lone NI, Weir CJ, Morrison Z (2018) The acute medical unit Acute medical units (AMUs) receive the majority of acute medical patients presenting to model: A characterisation based upon the National hospital as an emergency in the United Kingdom (UK) and in other international settings. -
4-Night Brecon Beacons Family Walking Adventure
4-Night Brecon Beacons Family Walking Adventure Tour Style: Family Walking Holidays Destinations: Brecon Beacons & Wales Trip code: BRFAM-4 1, 2 & 3 HOLIDAY OVERVIEW The Brecon Beacons National Park protects an upland area of moorland, waterfalls and lakes and is designated an International Dark Sky Reserve. The area has a wonderful selection of walking options from level walks on high ridges to more challenging walks ascending the ‘Fans’ (peaks). There are gushing waterfalls (one of which you can walk behind!), impressive caves and even fossilised seabed, high in the hills. Walks take place in and around the park, ranging from easy strolls alongside rivers and past cascading waterfalls to more serious treks including to the top of Pen-y-Fan, South Wales’ highest peak. The Brecon Canal is a reminder of the area’s industrial heritage while ruined castles tell of bygone struggles for power. WHAT'S INCLUDED • Full Board en-suite accommodation. • Max guests in house: 57 • Family rooms: 7 • A full programme of walks guided by HF Leaders www.hfholidays.co.uk PAGE 1 [email protected] Tel: +44(0) 20 3974 8865 • All transport to and from the walks • Free Wi-Fi TRIP SUITABILITY This trip is graded Activity Level 1, Level 2 and Level 3. Level 1 - Short walks of 3-4 miles with up to 750 feet of ascent for little legs. Level 3 - Mid-range walks are 6-9 miles with up to 1,800 feet of ascent on undulating terrain. Level 5 - Longest walks are 9-12 miles with up to 3,150 feet of ascent in rugged upland areas for families with active teenagers. -
Coridor-Yr-M4-O-Amgylch-Casnewydd
PROSIECT CORIDOR YR M4 O AMGYLCH CASNEWYDD THE M4 CORRIDOR AROUND NEWPORT PROJECT Malpas Llandifog/ Twneli Caerllion/ Caerleon Llandevaud B Brynglas/ 4 A 2 3 NCN 4 4 Newidiadau Arfaethedig i 6 9 6 Brynglas 44 7 Drefniant Mynediad/ A N tunnels C Proposed Access Changes 48 N Pontymister A 4 (! M4 C25/ J25 6 0m M4 C24/ J24 M4 C26/ J26 2 p h 4 h (! (! p 0 Llanfarthin/ Sir Fynwy/ / 0m 4 u A th 6 70 M4 Llanmartin Monmouthshire ar m Pr sb d ph Ex ese Gorsaf y Ty-Du/ do ifie isti nn ild ss h ng ol i Rogerstone A la p M4 'w A i'w ec 0m to ild Station ol R 7 Sain Silian/ be do nn be Re sba Saint-y-brid/ e to St. Julians cla rth res 4 ss u/ St Brides P M 6 Underwood ifi 9 ed 4 ng 5 Ardal Gadwraeth B M ti 4 Netherwent 4 is 5 x B Llanfihangel Rogiet/ 9 E 7 Tanbont 1 23 Llanfihangel Rogiet B4 'St Brides Road' Tanbont Conservation Area t/ Underbridge en Gwasanaethau 'Rockfield Lane' w ow Gorsaf Casnewydd/ Trosbont -G st Underbridge as p Traffordd/ I G he Newport Station C 4 'Knollbury Lane' o N Motorway T Overbridge N C nol/ C N Services M4 C23/ sen N Cyngor Dinas Casnewydd M48 Pre 4 Llanwern J23/ M48 48 Wilcrick sting M 45 Exi B42 Newport City Council Darperir troedffordd/llwybr beiciau ar hyd Newport Road/ M4 C27/ J27 M4 C23A/ J23A Llanfihangel Casnewydd/ Footpath/ Cycleway Provided Along Newport Road (! Gorsaf Pheilffordd Cyffordd Twnnel Hafren/ A (! 468 Ty-Du/ Parcio a Theithio Arfaethedig Trosbont Rogiet/ Severn Tunnel Junction Railway Station Newport B4245 Grorsaf Llanwern/ Trefesgob/ 'Newport Road' Rogiet Rogerstone 4 Proposed Llanwern Overbridge -
Landscape Character Area 11: EASTERN USK VALLEY LANDSCAPE CHARACTER AREA 11: EASTERN USK VALLEY Broad Landscape Type: SETTLED VALLEYS
Landscape Character Area 11: EASTERN USK VALLEY LANDSCAPE CHARACTER AREA 11: EASTERN USK VALLEY Broad Landscape Type: SETTLED VALLEYS Description Location and Context This linear LCA includes the floor and lower sides of the Usk Valley. It extends from Pencelli to the eastern edge of the National Park near Abergavenny, and includes several settlements including Crickhowell, Talybont and Bwlch. It has nine adjacent LCAs, including the high land of the Central Beacons to the west and the Black Mountains to the east. Summary Description This settled, luxuriant valley contrasts with the surrounding open and craggy hills. Its wide, flat valley floor with its patchwork of fields is an important transport route, containing main roads and the Monmouthshire and Brecon Canal. A fertile, agricultural landscape, the Usk Valley is also strongly influenced by parkland planting and in places is densely wooded. The valley has a long history of settlement, and contains several villages, numerous farms and country houses with their associated grounds. A series of Iron Age hillforts overlook the valley, and the southern part has industrial links with the Clydach Gorge and Blaenavon Industrial Landscape World Heritage Site. The Usk Valley west of Crickhowell Historical Development of the Landscape The development of this landscape reflects its strategic role as a key route and transport corridor over millennia, as well as its long use for traditional agriculture and industry. Iron Age hillforts are prominent on the valley sides, with later defensive features including a series of Medieval mottes and castles such as Tretower. Villages developed at crossing points of the river, with some historic bridges surviving. -
1 a Meeting of the Aneurin Bevan University Health Board Quality and Patient Safety Committee Will Be Held on Thursday 5Th Decem
Agenda A meeting of the Aneurin Bevan University Health Board Quality and Patient Safety Committee will be held on Thursday 5th December 2019, commencing at 09:30am in Conference Rooms 1 & 2, Headquarters, St Cadoc’s Hospital, Caerleon AGENDA Preliminary Matters Attachment 09:30 1.1 Welcome and Introductions Verbal Chair 15 mins 1.2 Apologies for Absence Verbal Chair 1.3 Declarations of Interest Verbal Chair 1.4 Draft Minutes of the Committee Attachment Chair held on 16th October 2019 1.5 Action Sheet of the Committee Attachment Chair held on 16th October 2019 Governance 09:45 2.1 Revised Committee Terms of Attachment Chair 10 Reference mins Presentations 09:55 3.1 Patient Safety - Themes and Presentation Claire Bevan/ 30 Trends to Inform Improvements Dr Brendan Lloyd/ mins and Learning with WAST Darren Panniers, WAST 3.2 Safety and Patient Experience – Presentation Martine Price 20 Winter Plan mins 3.3 Quality & Safety in Presentation Chris Blyth/Jayne 30 Ophthalmology Roberts/Julie Poole mins Break (10 mins) 11.15 For Consideration 11.25 4.1 Quality, Safety and Performance Attachment Dr Paul Buss 15 Overview mins 4.2 Risk Assessment Overview Attachment Chair 10 mins Items for Quality Assurance 11.50 5.1 QPSOG Assurance Update from Verbal Peter Carr 10 Meeting held on 28th November mins 2019 1 Quality & Patient Safety Committee - Thursday 5th December 2019-05/12/19 1 of 259 Agenda 5.2 Clinical Audit Programme Attachment Kate Hooton 10 mins 5.3 Putting Things Right Progress Attachment Rhiannon Jones 10 Against Improvement mins Programme -
A History of Usk the Roman Legionary Fortress of Burrium Was Founded on the Site of Usk in 55 AD
A History of Usk The Roman Legionary Fortress of Burrium was founded on the site of Usk in 55 AD. It was the earliest legionary fortress in Wales. However, by 75AD the Romans had relocated their permanent base to Caerleon, seven miles away. Usk continued to be occupied as a civilian settlement with evidence of iron working. By the twelfth Century the town had been turned into a stronghold with a hilltop castle and a medieval street plan. As well as this, during 1170 a Benedictine priory was founded and the remains of this are still retained in the church of Saint Mary. Richard de Clare the second Earl of Pembroke built Usk Castle as part of their family’s plans to control the areas resources and people. 1402 saw the Welsh revolt during which much of the town was destroyed. Owain Glyndwr burned Usk to the ground in his quest to take control of much of South Wales from the English King Henry IV and his son King Henry V. The battle of Pwll Melyn in 1405 occurred north of Usk Castle, causing a substantial loss of life. After their defeat, 300 welsh prisoners were executed in front of the castle. From 1431, William ap Thomas seized Usk. His son William Herbert carried out improvements at the castle including installing large windows and fireplaces. However, following the death of Herbert during the Battle of Edgecote, the castle began to decline. In 1933, the Humphreys family purchased the castle for the sum of £525.00; with this they received one donkey and one flag. -
Newport Cycle Map Shows the Improving E
E C LAN A4051 RE O PE NT L LE GE A O G VE W L B E N E A 4 K O N 2 O U D R E E 3 B C 6 N L A A To L 4 GL 0 A A D E R N O 5 4 - 0 D US R 1 L K C Cwmbran 4 E D H C I VE 2 F L I A O W R H E R L W T L A R I O D Y E O F A G N C T D R The Newport Cycle Map shows the improving E SO L N S D A G L E T A A D R R LD CL E P BE E FIE IV E RO H O M G R W I L D N O H M E C E network of ‘on’ and ‘off’ road routes for cycling. Be A S N S C T R O V L A ER O T O R E L H L ND SN S E A L C Y A CL D A E C E I L L A C S N W R P L L E O E T K P L R D A N ROO E L Y L A B R E A D N IE C it for getting to work, leisure or as a way to enjoy C L F O K G O N R S ESTFIELD IE H R DO CL G I F A A A HAR W H T L A B R L C R D N R E O IN E Y D DR G C A L F G S I A A R L O O T T AV T H I W E C F N N A L I I H W E D the heritage, attractions, city county or countryside L E L CL A V A A I RI D V D WAY E P A O H E D R H WHITTL E VI E D R L B M P R D C R A I D L S R L BAC D A N O O E IE L N F E N D W M I E of Newport. -
Cwm Taf Morgannwg CHC Visiting Activity Programme April'19-March'20
Cwm Taf Morgannwg CHC visiting activity programme April’19-March’20 Date Time of day Location 04.04.19 Morning Princess of Wales Hospital, Paediatric ward 19.04.19 Afternoon Princess of Wales Hospital, Paediatric ward 25.04.19 Evening Princess of Wales Hospital, Paediatric Ward 15.05.19 Morning Penygraig GP surgery, Penygraig 03.06.19 Morning Prince Charles Hospital, Maternity Wards 10.06.19 Afternoon Royal Glamorgan Hospital, Ward 9 17.06.19 Evening Royal Glamorgan Hospital, Ward 9 21.06.19 Afternoon Prince Charles Hospital, Maternity 26.06.19 Morning Glanrhyd Hospital, Ward 1 1 Date Time of day Location 27.06.19 Afternoon Glanrhyd Hospital, Ward 1 03.07.19 Morning Ysbyty Cwm Rhondda, Ward A1 04.07.19 Afternoon Prince Charles Hospital, Maternity Wards 11.07.19 Morning Royal Glamorgan Hospital, Ward 6 16.07.19 Afternoon Princess of Wales Hospital, Acute Medical Assessment Unit 22.07.19 Morning Princess of Wales Hospital, Acute Medical Assessment Unit 22.07.19 Evening Royal Glamorgan Hospital, Ward 6 24.07.19 Afternoon Ysbyty Cwm Rhondda, Ward A1 05.08.19 Afternoon Prince Charles Hospital, Ward 4 07.08.19 Morning Royal Glamorgan Hospital, Ward 14 14.08.19 Morning Prince Charles Hospital, Ward 4 14.08.19 Afternoon Royal Glamorgan Hospital, Ward 14 19.08.19 Evening Royal Glamorgan Hospital, Ward 14 21.08.19 Evening Prince Charles Hospital, Ward 4 18.09.19 Afternoon Prince Charles Hospital, Maternity Unit 19.09.19 Morning Royal Glamorgan Hospital, Maternity Unit 2 Date Time of day Location 04.12.19 Afternoon Ysbyty Cwm Rhondda, Ward D4 09.12.19 -
Hospital Name Country Location
Hospital Name Country Location 1 Tameside Hospital NHS Foundation Trust England Ashton-under-Lyne 2 Barnsley Hospital NHS Foundation Trust England Barnsley 3 Royal National Hospital for Rheumatic Diseases England Bath 4 Royal United Hospitals Bath NHS Foundation Trust England Bath 5 Bedford Hospital NHS Trust England Bedford 6 South Central Ambulance Service NHS Foundation Trust England Bicester 7 Wirral Community NHS Trust England Birkenhead 8 Birmingham Children's Hospital NHS Foundation Trust England Birmingham 9 Heart Of England NHS Foundation Trust England Birmingham 10 Sandwell and West Birmingham Hospitals NHS Trust England Birmingham 11 University Hospital Birmingham NHS Foundation Trust England Birmingham 12 Birmingham and Solihull Mental Health NHS Foundation Trust England Birmingham 13 Birmingham Community Healthcare NHS Foundation Trust England Birmingham 14 Birmingham Women's NHS Foundation Trust England Birmingham 15 The Royal Orthopaedic Hospital NHS Foundation Trust England Birmingham 16 Blackpool Teaching Hospitals NHS Foundation Trust England Blackpool 17 Bolton NHS Foundation Trust England Bolton 18 The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust England Bournmouth 19 Poole Hospital NHS Foundation Trust England Bournmouth 20 Bradford Teaching Hospitals NHS Foundation Trust England Bradford 21 Bradford District NHS Foundation Trust England Bradford 22 South East Coast Ambulance Service NHS Foundation Trust England Bridgwater 23 Sussex Community NHS Foundation Trust England Brighton 24 Brighton and -
The Future of Stroke Care in Wales Report of the Inquiry Into the Implementation of the Welsh Government’S Stroke Delivery Plan
Cross Party Group on Stroke The Future of Stroke Care in Wales Report of the inquiry into the implementation of the Welsh Government’s Stroke Delivery Plan March 2020 The Cross Party Contents Group on Stroke The following Assembly Members are members of the Cross Party Group Foreword 4 on Stroke: • Dr Dai Lloyd AM (Chair) Executive summary 6 • Neil Hamilton AM • Huw Irranca-Davies AM Background 8 • Adam Price AM • Nick Ramsay AM About the inquiry 9 The Cross Party Group on Stroke is facilitated by the Stroke Association, Preventing stroke 11 which compiled this report. The Cross Party Group on Stroke would like Fast and effective acute care 18 to thank all those individuals and organisations who took part in the inquiry, particularly those who gave Life after stroke 28 either oral or written evidence. A full list of those who provided evidence can be The stroke workforce 37 found in Appendix Two. The Cross Party Group on Stroke The future of the Stroke Delivery Plan 43 can be contacted on [email protected] Appendix one: Full list of recommendations 48 Appendix two: Organisations who provided evidence 50 Foreword My fellow members and I are pleased to present the final report of the Cross A new, strengthened model of delivery and accountability accompanied by the Party Group’s inquiry into the implementation of the Welsh Government’s Stroke highest quality hyperacute stroke units would enable the other challenges set out in Delivery Plan. this report to be overcome, such as attracting the best possible staff to deliver vital rehabilitation and game-changing treatment such as thrombectomy.