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

摘要

Although written from a United Kingdom perspective, the recent article by Walters and Dawson1 suggests a change in the clinical culture within hospitals, so that patient care and throughput can be improved. A critical factor in achieving change is the creation of an acute medical assessment and admission unit (AMAAU) within each district hospital. Characteristics of the AMAAU will "depend on local circumstances": there is no one size that fits all.