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Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients

JAMAPublished 6 December 2016
Joshua L. Denson, Ashley Jensen, Harry S. Saag, Binhuan Wang, Yixin Fang, Leora I. Horwitz
Citations62
SJR quartileQ1
SJR score5.35
SNIP10.71

TL;DR

This Retrospective multicenter cohort study of patients admitted to internal medicine services at 10 university-affiliated US Veterans Health Administration hospitals found duty hour changes were associated with greater adjusted hospital mortality for transition patients in the intern-only group and intern’+ resident group than for controls.

Abstract

Among patients admitted to internal medicine services in 10 Veterans Affairs hospitals, end-of-rotation transition in care was associated with significantly higher in-hospital mortality in an unrestricted analysis that included most patients, but not in an alternative restricted analysis. The association was stronger following institution of ACGME duty hour regulations.

Keywords

MedicineEconomics, Econometrics and Finance