1. Abdulrazak Mohamad

    I am always sceptical of direct admissions, but I am a generalist/Internal Medicine Consultant. My concerns are:
    1. Not all patients will be assessed by the most senior clinician in emergency room.
    2. The direct admission is meant to minimise the risk 0of overburdened ER to be able to rush in more sick patients to ER , so it is a risk mitigation not total risk avoidance.
    3. The accepting team is often also very busy and may not be able to review them timely and here is the risk, if something has been missed by the ER clinician which turns to require the admitting med reg attendance.
    4. I trust that the only safe direct admission is the stepdown patients from other care facilities.


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