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Published 17 February 2009, doi:10.1136/bmj.b644
Cite this as: BMJ 2009;338:b644
| The first 150 words of the full text of this article appear below. |
I was surprised to see the Hospital at Night team nominated for a BMJ award in the category excellence in learning and education.1 I was also interested to see the description of the scheme: "The programme enhances patient safety and outcomes and supports medical training and service delivery."2
The Hospital at Night team recently produced a report that has looked at patient outcomes in more detail than the initial pilot studies.3 The only conclusions relating to outcomes are described as "appearing to show it is as safe as other forms of care" and that it reduces "the number of deaths within two days of admission and the number of deaths within two days of surgery/procedure—the reduction in the sites studied [being] greater than the all England average." The first statement claims Hospital at Night to be the same only in terms of patient safety. The evidence for the second statement
Benjamin Dean, ST21
1 Nuffield Orthopaedic Centre, Oxford OX3 7LD
bendean@doctors.org.uk