Higher senior staffing levels at weekends and reduced mortality

BMJ (Online)

Volumn 344, Issue 7848, 2012, Pages

  Goddard, Andrew F ^a   Lees, Peter ^b  

^a ROYAL COLLEGE OF PHYSICIANS   (United Kingdom)

^b Faculty of Medical Leadership and Management   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

COMORBIDITY; CONSULTATION; EARLY INTERVENTION; EDITORIAL; EMERGENCY PHYSICIAN; HEALTH CARE MANAGEMENT; HEALTH CARE PLANNING; HEALTH SERVICE; HOSPITAL ADMISSION; HOSPITAL PERSONNEL MANAGEMENT; HUMAN; MANPOWER PLANNING; MEDICAL PRACTICE; MEDICAL SPECIALIST; MEDICAL STAFF; MORTALITY; PERSONNEL SHORTAGE; PRIORITY JOURNAL; RISK REDUCTION; UNITED KINGDOM; WORKING TIME; HOSPITAL; MANPOWER; PERSONNEL MANAGEMENT;

GREAT BRITAIN; HOSPITAL MORTALITY; HOSPITALS; HUMANS; MEDICAL STAFF, HOSPITAL; PERSONNEL STAFFING AND SCHEDULING;

EID: 84858419776     PISSN: 09598146     EISSN: 17561833     Source Type: Journal    
DOI: 10.1136/bmj.e67     Document Type: Editorial

References (11)

1. Dr Foster Health. Reducing mortality at night and weekends. www.drfosterhealth.co.uk/.
2. Rogot E, Fabsitz R, Feinleib M. Daily variation in USA mortality. Am J Epidemiol 1976;103:198-211.
3. Bell CM, Redelmeier DA. Mortality among patients admitted to hospitals on weekends as compared with weekdays. N Engl J Med 2001;345:663-8.
4. Royal College of Physicians. RCP position statement on the care of medical patients out of hours. 2010. http://old.rcplondon.ac.uk/professional- Issues/Pages/RCP-on-care-ofmedical-patients-out-of-hours.aspx.
5. Goddard AF, Hodgson H, Newbery N. Impact of the EWTD on patient:doctor ratios and working practices for junior doctors England and Wales 2009. Clin Med 2010;10:330-5.
6. Ensminger SA, Morales IJ, Peters SG, Keegan MT, Finkielman JD, Lymp JF, et al. The hospital mortality of patients admitted to the ICU on weekends. Chest 2004;126:1292-8. (Pubitemid 39391263)
7. Mikulich O, Callaly E, Bennett K, O'Riordan D, Silke B. The increased mortality associated with weekend emergency admission is due to increased illness severity and altered case-mix. Acute Med 2011;10:182-7.
8. Kostis WJ, Demissie K, Marcella SW, Shao Y-H, Wilson AC, Moreyra AE; for the MIDAS 10 Study Group. Weekend versus weekday admission and mortality from myocardial infarction. N Engl J Med 2007;356:1099-109.
9. Jairath V, Kahan BC, Logan RF, Hearnshaw SA, Travis SP, Murphy MF, et al. Mortality from acute upper gastrointestinal bleeding in the United Kingdom: does it display a "weekend effect"? Am J Gastroenterol 2011;106:1621-8.
10. Goddard AF. Planning a consultant delivered NHS. BMJ 2010:16;341:c6034.
11. Centre for Workforce Intelligence. Recommendation for medical specialty training 2011. 2011. www.cfwi.org.uk/intelligence/projects/recommendation-for- medical-specialty-training-2011.