Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21): assessing national performance of acute medicine services.

Q3 Medicine

Acute Medicine Pub Date : 2022-01-01 DOI:10.52964/AMJA.0888

C. Atkin, T. Knight, T. Cooksley, M. Holland, C. Subbe, A. Kennedy, R. Varia, D. Lasserson

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引用次数: 7

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.

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2021年急症医学基准审计学会(SAMBA21):评估急症医学服务的国家绩效。

2021年急性医学学会基准审计(SAMBA21)于2021年6月17日举行，自2019冠状病毒病大流行开始以来，首次根据急性医学学会的临床质量指标(cqi)对急性医疗单位的绩效进行了评估。方法邀请英国所有急症医院参与调查。收集单位结构的数据，并收集24小时内入院的急性医学服务患者的数据，随访7天。结果来自156家医院的158个单位参与了SAMBA21。共纳入8973例患者。与SAMBA19相比，单位入院人数有所增加(符号检验p<0.005)。77.4%的患者在到达医院30分钟内记录了早期预警评分。87.4%的非计划入院患者在到达后4小时内由一级临床医生就诊。总体而言，医疗团队对36.4%的非计划住院患者进行了初步临床医生评估。在25.4%的医院中，超过三分之一的住院患者在当天紧急护理(SDEC)中进行了初步评估。62.1%的非计划入院患者在会诊医师复查前由另外两名临床决策者见过。在那些需要咨询师审核的计划外入院患者中，67.8%的人在目标时间内就诊。超过三分之一的非计划入院患者在41.8%的医院同一天出院。结论:尽管入院人数有所增加，但与前几轮SAMBA相比，cqi在急性医学方面的表现仍保持不变。在急症医务处的单位结构和绩效方面仍然存在相当大的差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine Medicine-Emergency Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： These are usually commissioned by the editorial team in accordance with a cycle running over several years. Authors wishing to submit a review relevant to Acute Medicine are advised to contact the editor before writing this. Unsolicited review articles received for consideration may be included if the subject matter is considered of interest to the readership, provided the topic has not already been covered in a recent edition. Review articles are usually 3000-5000 words and may include tables, pictures and other figures as required for the text. Include 3 or 4 ‘key points’ summarising the main teaching messages.