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.


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:

(Date:11/30/2015)... ... ... It’s inevitable that everyone will experience death in his or her lifetime. ... lives among us. It is your perspective, however, that determines how you view death ... T Sky understands that she may see death more frequently than most. As she ...
(Date:11/30/2015)... ... November 30, 2015 , ... Sikka Software announced today that ... Their Ecosystem empowers dentists to make complex business decisions by providing the tools and ... a free fee survey with 10 procedures customized by zip code. , The ...
(Date:11/30/2015)... ... 30, 2015 , ... Insightra Medical, Inc. and Novus Scientific ... for soft tissue repair in the US via Insightra’s national direct sales channel. ... intended to support and reinforce soft tissue for 6-9 months before absorbing completely ...
(Date:11/30/2015)... Columbia, Maryland (PRWEB) , ... November 30, 2015 ... ... human interactions could be of critical importance to the medical schools of the ... SIMmersion exhibited its healthcare suite at the 2015 ChangeMedEd conference in Chicago, organized ...
(Date:11/30/2015)... ... November 30, 2015 , ... ... a leading provider of enterprise Time and Attendance/Workforce Management cloud-based solutions, announced ... Microsoft Partner Program with competencies in the Application Development, demonstrating a “best-in-class” ...
Breaking Medicine News(10 mins):
(Date:11/30/2015)... Belgium , Nov. 30, 2015   ... focused on developing blood-based diagnostic tests for a broad range ... will present at the LD Micro Conference, which will be ... CA. Attending from VolitionRx will be David ... Powell , Vice President of Investor Relations. ® ...
(Date:11/30/2015)... IRVINE, Calif. and REHOVOT, Israel ... privately held specialty pharmaceutical company focused on acquiring and ... disorders, today announced the appointment of Keith A. ... directors. Gregory J. Flesher , chief executive ... experience in building successful organizations.  As chairman, he will ...
(Date:11/29/2015)... 2015   Royal Philips  (NYSE: PHG, AEX: PHIA) ... the 2015 Radiological Society of North America Annual Meeting ... in Chicago . Visitors to the ... broad portfolio of integrated Diagnostic Imaging, Clinical Informatics, Image ... performance, improve workflow and create a superior patient experience. ...
Breaking Medicine Technology: