Please use this identifier to cite or link to this item: https://doi.org/10.7861/clinmed.2021-0150
Title: Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses
Authors: Soong, John TY 
La Wong, Audrey 
O'Connor, Imogen
Marinova, Milka
Fisher, Dale 
Bell, Derek
Keywords: Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
AMU
&nbsp
COVID-19
structures
processes
response
VENTILATION
CARE
Issue Date: 1-Sep-2021
Publisher: ROY COLL PHYS LONDON EDITORIAL OFFICE
Citation: Soong, John TY, La Wong, Audrey, O'Connor, Imogen, Marinova, Milka, Fisher, Dale, Bell, Derek (2021-09-01). Acute medical units during the first wave of the COVID-19 pandemic: a cross-national exploratory study of impact and responses. CLINICAL MEDICINE 21 (5) : E462-E469. ScholarBank@NUS Repository. https://doi.org/10.7861/clinmed.2021-0150
Abstract: Background The COVID-19 pandemic represents one of the greatest ever challenges for healthcare. In the UK and beyond, acute medical units (AMUs) are the first point of assessment and care for the majority of medical inpatients. By their design and systems, they inevitably played an important role in the COVID-19 response but to date little has been published on how the COVID-19 pandemic has affected how AMUs have reorganised their resources, processes and structure. Methods This retrospective study in August 2020 of 10 AMUs across Europe and Australasia used a standardised questionnaire to investigate existing practice and structure of AMUs, the national context of local hospital experience, changes to practice during the COVID-19 pandemic and views regarding future practice. Results Changes to AMU structure, process and organisation are described in two contexts: preventing and controlling the spread of COVID-19 and adding value to the patient's acute care journey in the local context. We describe novel practices that have arisen and highlight areas of concern. Conclusions The AMUs were able to adapt to meet the demands of acute care delivery during the first wave of the COVID-19 pandemic. Operational planning and prioritisation of resources must be optimised to ensure sustainability of these services for future waves.
Source Title: CLINICAL MEDICINE
URI: https://scholarbank.nus.edu.sg/handle/10635/214618
ISSN: 14702118
14734893
DOI: 10.7861/clinmed.2021-0150
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