Mortality falls if consultants work blocks of days rather than single day rotas, survey finds

BMJ 2012; 344 doi: (Published 02 April 2012) Cite this as: BMJ 2012;344:e2473
  1. Lisa Henderson,
  2. Kalpesh Vaghela
  1. 1BMJ

An analysis of hospital rotas across England has found that having an admitting consultant present in acute medical units for more than one day at a time (in blocks of up to seven days) rather than on single days improves patients’ outcomes.

The survey, by the Royal College of Physicians, also found that mortality and readmissions fell when consultants conducted two or more ward rounds a day and had no other clinical commitments.

In a trust with a throughput of 44 300 acute patients a year, adopting this way of working could result in 100 …

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