Weekend Surgical Care and Postoperative Mortality

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Weekend Surgical Care and Postoperative Mortality

BACKGROUND An association between weekend health care delivery and poor outcomes has become known as the "weekend effect." Evidence for such an association among surgery patients has not previously been synthesized. OBJECTIVE To systematically review associations between weekend surgical care and postoperative mortality. METHODS We searched PubMed, EMBASE, and references of relevant article...

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Improving surgical weekend handover.

Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to...

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Care fragmentation in the postdischarge period: surgical readmissions, distance of travel, and postoperative mortality.

IMPORTANCE Despite policies aimed at incentivizing clinical integration, few data exist on whether fragmentation of care is associated with worse outcomes for elderly patients undergoing major surgery. OBJECTIVE To determine whether postdischarge surgical care fragmentation is associated with worse outcomes and whether distances between hospitals explain differences in patient outcomes. DES...

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Postoperative cardiac surgical care: an alternative approach.

Combined appropriate anaesthetic and surgical techniques have allowed increasing numbers of patients to be successfully managed in a general surgical recovery ward after cardiac surgery rather than in an intensive care unit. From 1983 to 1989, 933 of 1542 patients undergoing open heart surgery were transferred to the general surgical recovery ward in the immediate postoperative period. Of these...

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Neonatal mortality in weekend vs weekday births.

CONTEXT Increases in neonatal mortality for infants born on the weekend were last noted several decades ago. Although the current health care environment has raised concern about the adequacy of weekend care, there have been no contemporary evaluations of daily patterns of births, obstetric intervention, and case mix-adjusted neonatal mortality. OBJECTIVE To compare the neonatal mortality of ...

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ژورنال

عنوان ژورنال: Medical Care

سال: 2018

ISSN: 0025-7079

DOI: 10.1097/mlr.0000000000000860