Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
Research has clearly demonstrated a correlation between admission to hospitals at weekends and death rates. But the other important inpatient situation is patients who are placed, as a result of bed management, as outliers not in the appropriate specialized ward but in other specialties' wards unrelated to their clinical condition as a result of shortage of beds or mismatch between demand and capacity. This clearly may have a detrimental effect on patient outcome and mortality. Research needs to be conducted in order to provide the evidence of which the outcome is already obvious to us as clinicians.
No competing interests
29 November 2015
Consultant Medical Microbiologist and Director for Infection Prevention and Control ( Former Medical Director 2001-2011)