Service census caps and unit-based admissions: resident workload, conference attendance, duty hour compliance, and patient safety.

ABSTRACT:

Objective

To examine the effect of census caps and unit-based admissions on resident workload, conference attendance, duty hour compliance, and patient safety.

Participants and methods

We implemented a census cap of 14 patients on 6 Mayo Clinic internal medicine resident hospital services and a unit-based admissions process in which patients and care teams were consolidated within hospital units. All 280 residents and 15,926 patient admissions to resident and nonresident services 1 year before the intervention (September 1, 2006, through August 31, 2007) and 1 year after the intervention (May 1, 2008, through April 30, 2009) were included. Residents' workload, conference attendance, and duty hours were tracked electronically. Patient safety variables including Rapid Response

SUBMITTER: Thanarajasingam U 

PROVIDER: S-EPMC3538463 | biostudies-literature | 2012 Apr

REPOSITORIES: biostudies-literature