The effect of a rotating night-float coverage scheme on preventable and potentially preventable morbidity at a level 1 trauma center
| Autor: | Eric A. Toschlog, Michael F. Rotondo, Susan Cromwell, Michael R. Bard, Paul J. Schenarts, Josie Bowen, Claudia E. Goettler, Scott G. Sagraves |
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| Rok vydání: | 2005 |
| Předmět: |
Male
Night Care medicine.medical_specialty Pediatrics Personnel Staffing and Scheduling Workload Risk Assessment law.invention Trauma Centers law Work Schedule Tolerance Outcome Assessment Health Care Epidemiology North Carolina medicine Humans In patient Hospital Mortality Burnout Professional Risk Management business.industry Trauma center Internship and Residency General Medicine Night float Survival Analysis Intensive care unit Health Care Surveys Mechanism of injury Emergency medicine Workforce Injury Severity Score Female Surgery Emergency Service Hospital Complication business |
| Zdroj: | The American Journal of Surgery. 190:147-152 |
| ISSN: | 0002-9610 |
| DOI: | 10.1016/j.amjsurg.2005.03.026 |
| Popis: | Background The effect of resident work-hour restriction on patient outcome remains controversial. Methods Demographic data, mechanism of injury, length of hospital stay length of intensive care unit (ICU) stay, ventilator days, mortality, and complication data were prospectively collected for 11 months before and 11 months after institution of a rotating night-float system. Seven attending surgeons reviewed all complications and categorized each as preventable, potentially preventable, or nonpreventable. Results Both study periods were comparable with respect to demographic data, mean Injury Severity Score, mechanism of injury, and admissions. Limitation of resident work hours had no effect on length of hospital or ICU stay, ventilator days, or mortality. Work-hour restrictions did not increase or decrease the total number of complications nor did it alter the distribution of those determined to be preventable or potentially preventable. Conclusions Resident work-hour restrictions were not associated with significant improvement or deterioration in patient outcome. |
| Databáze: | OpenAIRE |
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