Navigation Links
High Hospital House Staff Workload Associated With Worse Patient Outcomes

A heavier workload for hospital residents on patient admission days was associated with increased length of hospital stay, total costs and risk of inpatient death//, according to a report in the issue of the Archives of Internal Medicine.

New duty-hour reduction requirements for house staff—the group of resident physicians at a hospital who are receiving additional training in a specialty under the supervision of an attending specialist—have led to substantial changes in residency team structures, according to background information in the article. Ideally, these changes would improve or have no effect on patient outcomes—such as death, readmission, length of stay and total costs. However, there are few studies that address these topics.

Michael Ong, M.D., Ph.D., of the University of California, Los Angeles, and colleagues conducted a retrospective analysis to determine the association between house staff workload on a patient’s day of admission or on subsequent hospital days and patient outcomes. They analyzed data on 5,742 adults who were admitted to the General Medicine Service at the University of California, San Francisco’s Moffitt-Long Hospital between July 1, 1998, and June 30, 2001.

The authors found that two different measures of the hospital residents’ workload were significantly associated with patient outcomes. Each additional admission by a residency team increased the length of stay, total costs and risk of dying in the hospital for each patient who was admitted on that day—risks that increased even more substantially when the team admitted more than nine patients. “Our findings suggest that higher house staff workload on admitting days—when fewer backup resources are available—increases resource use and may increase inpatient mortality,” they write.

“Conversely, a higher average team census was associated with reduced resource use, perhaps reflecting service-level adaptations to workload,” they continue. Each additional patient that the residency team cared for during a patient’s hospitalization decreased the patient’s length of stay and total costs, with the most marked reductions occurring when the average census was more than 15 patients.

The authors suggest that in an era when hospital organizational structures are in considerable flux, further studies are required to prospectively determine the impact of house staff team workload and organization on patient outcomes.

“Programs seeking to minimize total costs and lengths of stay may want to find ways to reduce team admission loads, while maximizing availability of other resources on non-admitting days,” they write.

“Balancing the clinical and economic outcomes with available resources and the educational impact of changes in the organization of house staff teams will be important tasks for training programs and teaching hospitals in coming years,” they conclude.

Soure-Newswise
SRM
'"/>




Related medicine news :

1. Oracle Corp. to help build worlds first "Digital Hospital"
2. Apollo Hospitals to consider listing on US Bourses in 2003
3. The World Bank funds private Hospital in India
4. Link Between Hyperglycemia & Hospital Mortality
5. Reducing The Rate Of Hospital Acquired Infections
6. Home-based Treatment For Eczema More Effective Compared To Hospital Care
7. Hospital asked to Compensate Victim – Judgment by Delhi High Cour
8. Apollo Hospitals Collaborates With Histostem For Stem Cell Therapy
9. Indian Hospitals – A Destination For Quality Medical Care
10. Blood Goes Down the Drain in Bihar Hospital
11. Myth Of Childhood Vaccinations Linked To Increased Hospitalization Busted
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:4/28/2017)... (PRWEB) , ... April 28, 2017 , ... ... its new partnership with the Home Care Association of America (HCAOA). This agreement ... Private Duty Accreditation services, as well as discounts on Accreditation University (AU) educational ...
(Date:4/28/2017)... ... , ... Beginning in 2017, Ridgecrest Herbals will be phasing out the homeopathic ... Extra Strength formula. To ensure that the effectiveness of Clear Lungs Extra Strength is ... , Removal of the homeopathic element , Adding their patented ...
(Date:4/28/2017)... ... April 28, 2017 , ... GlycoMark, Inc. ... GlycoMark test throughout the Northeast U.S. , GlycoMark is the only clinically ... GlycoMark test provides a clinically proven one- to two-week measure of hyperglycemic excursions, ...
(Date:4/28/2017)... Fairfax, VA (PRWEB) , ... April 28, 2017 , ... ... elected volunteer board members and officers for 2017-2018. The annual board election process has ... serving on a volunteer basis. , Thomas C. Dickerson, Ed.D., FACHE, succeeds Jim Hamilton, ...
(Date:4/28/2017)... ... , ... The Texas Cord Blood Bank (TCBB), a program of nonprofit biomedical ... Women’s Hospital at Renaissance in Edinburg for their outstanding efforts in collecting umbilical cord ... donate. , “Women’s Hospital at Renaissance has been a collection partner for the ...
Breaking Medicine News(10 mins):
(Date:4/19/2017)... 19, 2017 Global Prostate Cancer Therapeutics ... the prostate cancer therapeutics market analyzes the current ... prevalence of prostate cancer, launch of promising emerging ... of new drugs & therapeutic biological products, and ... to lesser side effects are some of the ...
(Date:4/19/2017)... DIEGO , April 19, 2017  Sorrento ... an antibody-centric, clinical-stage biopharmaceutical company developing new treatments ... announced the closing of its previously announced underwritten ... stock at a public offering price of $2.00 ... and estimated offering expenses payable by Sorrento.  The ...
(Date:4/19/2017)... , April 19, 2017  Novartis today announced ... National Heart, Lung, and Blood Institute (NHLBI) of ... 58% of patients with treatment-naïve severe aplastic anemia ... treated with eltrombopag at the initiation of and ... study evaluated three sequential treatment groups, or cohorts. ...
Breaking Medicine Technology: