Reassessing the July Effect: 30 Years of Evidence Show No Difference in Outcomes.

ABSTRACT:

Objective

The aim of this study was to critically evaluate whether admission at the beginning versus end of the academic year is associated with increased risk of major adverse outcomes.

Summary background data

The hypothesis that the arrival of new residents and fellows is associated with increases in adverse patient outcomes has been the subject of numerous research studies since 1989. Methods: We conducted a systematic review and random-effects meta-analysis of July Effect studies published before December 20, 2019, looking for differences in mortality, major morbidity, and readmission. Given a paucity of studies reporting readmission, we further analyzed 7 years of data from the Nationwide Readmissions Database to assess for differences in 30-day readmission for US patie

SUBMITTER: Zogg CK 

PROVIDER: S-EPMC8384940 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature