Waiting times are the most widely used indicator of patient flow. This project aims to analyse 24-hour variation in referrals and waiting times for patients referred to the Acute Medical Service (AMS). A retrospective cohort study was conducted at the AMS of Wales’ largest hospital. Collected data included patient characteristics, referral times, waiting times and adherence to Clinical Quality Indicators (CQIs). Peak referral times were found between 11:00-19:00. Peak waiting times occurred between 17:00–01:00, which was longer on weekdays in comparison to weekends. Referrals between 17:00-21:00 had the longest waiting times with &gt; 40% of patients failing both junior and senior CQIs. Mean and median age and NEWS were higher between 17:00-09:00. Weekday evening and nights are problematic for acute medical patient flow. Interventions, including workforce, should be targeted towards these findings.

C H Wood

J Underwood

C Davies

P N Taylor

Acute Medicine Journal

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.

The review articles for the journal 'Acute Medicine' are usually commissioned by the editorial team based on a multi-year cycle. Authors wishing to submit a review relevant to 'Acute Medicine' are advised to contact the editor before writing. Unsolicited review articles may be considered if the subject matter is of interest to the readership and has not been covered in a recent edition. Review articles typically range from 3000 to 5000 words and may include tables, pictures, and other figures as needed. Authors should include 3 to 4 'key points' summarizing the main teaching messages.

《Acute Medicine》期刊的审稿通常由编辑团队根据多年的周期进行委托。希望提交与《Acute Medicine》相关的综述文章的作者，建议在撰写之前先与编辑联系。若收到的非请求性综述文章的主题被认为对读者有兴趣，并且该主题在近期的期刊中尚未被覆盖，则可能会被纳入考虑。综述文章通常为3000-5000字，可能包含表格、图片及其他所需的图形。请包括3到4个‘关键点’，总结主要的教学信息。

Patient Characteristics and Variables Influencing Acute Medical Flow

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