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Whole-of-hospital response to admission access block: the need for a clinical revolution

Ian A Scott and John W Henley
Med J Aust 2010; 192 (6): 354-356.
Published online: 15 March 2010

To the Editor: Walters and Dawson1 highlight growing interest in new models of care aimed at ameliorating hospital-bed pressures and access block. They advocate acute medical assessment and admission units (AMAAUs) as a potential solution, and claim, principally based on the United Kingdom’s experience, that these units can significantly improve clinical care and patient outcomes. A recent systematic review confirms that these units (which have attracted several different synonyms) have promise, although controlled trials have yet to be performed, and publication bias remains a potential confounder.2

  • Ian A Scott1
  • John W Henley2

  • 1 Department of Internal Medicine, Princess Alexandra Hospital, Woolloongabba, QLD.
  • 2 Medical Assessment and Planning Unit, Auckland City Hospital, Auckland, NZ.


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