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National Guideline Centre (UK). Emergency and acute medical care in over 16s: service delivery and organisation. London: National Institute for Health and Care Excellence (NICE); 2018 Mar. (NICE Guideline, No. 94.)
Emergency and acute medical care in over 16s: service delivery and organisation.
Show detailsTable 27Decision rules built into the simulation model
| Blockage | Rule |
|---|---|
| AMU is full | 1. Move the patient that has the least time remaining in the AMU, NEWS<5 and GMW as their next destination to the GMW |
| 2. Look in the queues for rehab or care home if anyone is waiting and holding AMU bed, move them temporarily to a GMW bed | |
| GMW is full | 1. Discharge patient early from GMW who is within 24 hours of discharge, has NEWS <5 and is not being newly discharged to care home |
| 2. Move patient who is between 24-72 hours of their GMW length of stay and has NEWS <5 to medical outlier | |
| 3. Move new incoming patient to medical outlier. | |
| ICU is full | 1. Move patient from ICU to GMW if they are in last 12 hours of ICU stay and are destined to move to GMW or rehab |
| HCU is full | 1. Move patient from HCU to GMW if they are in last 12 hours of HCU stay and are destined to move to GMW or rehab and NEWS <5 |
| 2. New HCU patient can move to ICU but must move on when ‘true ICU’ patient needs bed | |
| Rehab is full | Patient has to wait for a bed to become available. |
| Medical outliers has reached maximum | Queues will build up in ED as the hospital is full. |
- Table 27, Decision rules built into the simulation model - Emergency and acute m...Table 27, Decision rules built into the simulation model - Emergency and acute medical care in over 16s: service delivery and organisation
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