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Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21) : assessing national performance of acute medicine services
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Atkin, Catherine, Knight, Thomas, Cooksley, Tim, Holland, Mark, Subbe, Chris, Kennedy, Adrian, Varia, Ragit and Lasserson, Daniel (2022) Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21) : assessing national performance of acute medicine services. Acute Medicine, 21 (1). pp. 19-26. doi:10.52964/AMJA.0888 ISSN 1747-4884.
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Official URL: https://doi.org/10.52964/AMJA.0888
Abstract
Introduction: The Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21) took place on 17th June 2021, providing the first assessment of performance against the Society for Acute Medicine’s Clinical Quality Indicators (CQIs) within acute medical units since the start of the COVID-19 pandemic. Methods: All acute hospitals in the UK were invited to participate. Data were collected on unit structure, and for patients admitted to acute medicine services over a 24-hour period, with follow-up at 7 days. Results: 158 units participated in SAMBA21, from 156 hospitals. 8973 patients were included. The number of admissions per unit had increased compared to SAMBA19 (Sign test p<0.005). An early warning score was recorded within 30 minutes of hospital arrival in 77.4% of patients. 87.4% of unplanned admissions were seen by a tier 1 clinician within 4 hours of arrival. Overall, the medical team performed the initial clinician assessment for 36.4% of unplanned medical admissions. More than a third of medical admissions had their initial assessment in Same Day Emergency Care (SDEC) in 25.4% of hospitals. 62.1% of unplanned admissions were seen by two other clinical decision makers prior to consultant review. Of those unplanned admissions requiring consultant review, 67.8% were seen within the target time. More than a third of unplanned admissions were discharged the same day in 41.8% of units. Conclusion: Performance against the CQIs for acute medicine was maintained in comparison to previous rounds of SAMBA, despite increased admissions. There remains considerable variation in unit structure and performance within acute medical services.
Item Type: | Journal Article | ||||||
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Alternative Title: | |||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Journal or Publication Title: | Acute Medicine | ||||||
Publisher: | Rila Publications Ltd | ||||||
ISSN: | 1747-4884 | ||||||
Official Date: | 28 March 2022 | ||||||
Dates: |
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Volume: | 21 | ||||||
Number: | 1 | ||||||
Page Range: | pp. 19-26 | ||||||
DOI: | 10.52964/AMJA.0888 | ||||||
Status: | Peer Reviewed | ||||||
Publication Status: | Published | ||||||
Access rights to Published version: | Restricted or Subscription Access | ||||||
Date of first compliant deposit: | 19 January 2022 | ||||||
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