Would you worry if your relative got admitted at a weekend?
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Would you worry if your relative got admitted at a weekend?
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Dr Foster has published data saying what many people suspected- if you go into hospital at the weekend you are more likely to get less good care than if you go in on a weekday. 1 in 8 had higher than
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Would you worry if your relative got admitted at a weekend?
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Would you worry if your relative got admitted at a weekend?
posted at 28/11/2011 9:48 AM GMT
on bmj.com
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*Moderator*
Posts: 597
First: 17/11/2008 Last: 18/5/2012 |
Dr Foster has published data saying what many people suspected- if you go into hospital at the weekend you are more likely to get less good care than if you go in on a weekday. 1 in 8 had higher than average expected death rates says Dr Foster (who collectes data from hospitals and publishes them in itsannual hospital guide) - a few had mortality rates that were 20 percent higher. It found a nine percent difference in mortality rates between Trusts with the highest and lowest number of staff on call and found that one third had no consutlants in the hospital at night. http://www.dailymail.co.uk/health/article-2067018/Death-risk-cent-taken-hospital-weekends-emergency-treatment.html#ixzz1ezXA4pqF Would you be anxious if your loved one got admitted as an emrgency over the weekend? |
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Re: Would you worry if your relative got admitted at a weekend?
posted at 28/11/2011 10:35 AM GMT
on bmj.com
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Posts: 851
First: 12/3/2010 Last: 20/5/2012 |
Is there a correlation between publication in the Daily Mail and extreme anxiety? I'm surprised if the Wail hasn't latched onto the other report that was in Lancet?BMJ? about insomnia and infarct. Correlation is not causation, as Mark Porter said about the Dr.Foster report on BBC4 Today this AM. http://news.bbc.co.uk/today/hi/today/newsid_9649000/9649683.stm Good interview, Mark! Well done! John |
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Re: Would you worry if your relative got admitted at a weekend?
posted at 28/11/2011 4:39 PM GMT
on bmj.com
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Posts: 683
First: 19/4/2010 Last: 17/5/2012 |
It's not just the Daily Mail. The Telegraph led with the story too. The ladies at the University Students' Union shop this morning were very concerned about being admitted at the weekend - I told them just to give me a ring, I'll pop in and see them. I *do* think it's an issue getting things done at the weekend, and it drives me potty. In the week I can get a CTPA done the same morning, usually, to avoid having to admit a patient. At the weekend, I have to admit them, and I *might* get it done the next day, probably Monday. And we only this year have an USS list at the weekend, but only for *emergencies*. Whether there's correlation, causation, or cancellation, there's no doubt things happen more slowly at the weekend, compared with the week, and if it were me, I'd rather be in hospital for as short a time as physically possible! It's a 24/7 world - I don't suggest we run a 24/7 service, but *something*/7 would be a start - I can go to TESCO at any time of day or night, after all....
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Re: Would you worry if your relative got admitted at a weekend?
posted at 6/12/2011 11:55 PM GMT
on bmj.com
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Posts: 616
First: 13/1/2009 Last: 17/5/2012 |
I don't worry about the admission during a weekend, but rather the lack of follow-up care and supervision during a weekend... one can have a perfect admission during the week, but if there's an incident during the weekend, it doesn't matter whether the patient was admitted during the week or the weekend... |
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Re: Would you worry if your relative got admitted at a weekend?
posted at 3/2/2012 10:34 AM GMT
on bmj.com
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*Moderator*
Posts: 630
First: 7/4/2011 Last: 18/5/2012 |
It seems that a recent piece of research confirms that patients 16% are more likely to die if they are admitted on a Sunday, compared to a Wednesday. http://www.guardian.co.uk/society/2012/feb/03/hospital-patients-risk-weekends
Should health systems be expected to maintain the highest quality of treatment and care 7 days a week? |
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Re: Would you worry if your relative got admitted at a weekend?
posted at 3/2/2012 12:58 PM GMT
on bmj.com
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Posts: 851
First: 12/3/2010 Last: 20/5/2012 |
Rather more concern than there has been so far should be placed on the National Confidential Enquiry into PeriOperative Death (NCEPOD) 2011 report, "Knowing the risk", that says that the NHS does rather worse for its high risk surgical patients than does the US medical system. I'd copy the chart here, but the report is locked. You can read it online at http://www.ncepod.org.uk/2011report2/downloads/POC_summary.pdf In outline, for patients in different risk groups and right across the range, the mortality after non-cardiac surgery, in comparable hospitals, is several times worse in the UK than the US. Overall, it's 10% v. 2.5%, and for high-risk pts. more than 20% predicted mortality, it is 36% v. 9%. The report does not identify any factor or factors that are deficient, but argues for better identification of high-risk groups, better pre-op. assessment, better intra-op. care, and better post-op. care. Like Motherhood and Apple Pie, it is difficult not to argue in favour of these, but the whole report is worrying. John |
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