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Annual Report 2010 - St. James's Hospital

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Clinical Directorates I GEMS<br />

GEMS Directorate<br />

Introduction<br />

The GEMS Directorate comprises Gastro-intestinal Medicine<br />

and Surgery, General Medicine including Hepatology, Renal<br />

Medicine, Urology, and General Surgery.<br />

Dr. P.W.N. Keeling<br />

Clinical Director<br />

Ms. Siobhán Donnelly<br />

Nurse Manager (acting)<br />

Mr. Kevin Burke<br />

Business Manager<br />

Acute Medical Admission Unit (AMAU)<br />

The Acute Medical Admission Unit (AMAU is a designated<br />

area which receives acutely ill medical patients 24/7. The<br />

objective of the AMAU is to facilitate a high quality admission<br />

process, it is staffed by a dedicated team who take a<br />

proactive approach to patient management from the point of<br />

entry into clinical care emphasis is on early diagnosis backed<br />

by prompt investigation and treatment, supported by early<br />

discharge planning.<br />

Since its establishment in 2003, there has been a 60%<br />

reduction in the risk of a hospital death associated with an<br />

emergency medical admission. Early readmissions within one<br />

month, another quality marker, have also approximately halved<br />

over the period to <strong>2010</strong>.<br />

55

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