‘Hospital-at-Night’ Expedites Review of Trauma Patients without Affecting Outcome from Hip Fracture

Author:

Findlay John1,Boulton Chris2,Forward Daren2,Moran Christopher2

Affiliation:

1. Department of Trauma and Orthopaedics, Royal Berkshire Hospital, Reading

2. Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham

Abstract

The UK Hospital at Night (H@N) programme is hypothesised to improve efficiency of out-of-hours care. No studies have assessed a surgical programme or mechanisms of effect. This prospective study aimed to do so in a trauma and orthopaedic department over 10 weeks. Senior house officers recorded night shift activity. Mean time to attend referrals reduced from 29 to 15 minutes as a result of the programme (p=0.007). Workload and 30 day mortality and morbidity for hip fracture remained unchanged. The mechanisms underlying improvements are unclear, but may represent central organisation of workload.

Publisher

SAGE Publications

Subject

General Medicine

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