Confirming "weekend effect," four-nation study finds mortality higher in patients admitted, getting procedures over weekend.
BMJ Qual Saf. 2015;24:492-504.
The Global Comparators project: international comparison of 30-day in-hospital mortality by day of the week.
Ruiz M, Bottle A, Aylin PP. BMJ Qual Saf. 2015;24:492-504.
The weekend effect of worse patient outcomes when admissions or procedures occurred outside of usual business hours has been documented across multiple care settings. In this analysis of pooled hospital administrative data across four countries, in-hospital mortality within 30 days of admission or surgical procedure was higher for patients admitted from the emergency department or undergoing interventionsduring the weekend, although there were specific differences by country. This consistency suggests that challenges with current weekend structure at hospitals should be examined across a broad range of clinical services and delivery models. An accompanying editorial suggests that the existence of the weekend effect is no longer in dispute and urges efforts toward identifying and addressing its underlying causes.
A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome.
Kreckler S, Catchpole KR, New SJ, Handa A, McCulloch PG. Ann Surg. 2009;250:1035-1040.
Surgical adverse events: a systematic review.
Anderson O, Davis R, Hanna GB, Vincent CA. Am J Surg. 2013;206:253-262.
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Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services.
Westaby S, De Silva R, Petrou M, Bond S, Taggart D. Eur J Cardiothorac Surg. 2015;47:341-345.