Journal of the American College of Surgeons
Volume 209, Issue 4 , Pages 434-445.e2 , October 2009

Time-of-Day Effects on Surgical Outcomes in the Private Sector: A Retrospective Cohort Study

  • Rachel R. Kelz, MD, MSCE, FACS

      Affiliations

    • Department of Surgery, Philadelphia VA Medical Center, Philadelphia, PA
    • Department of Surgery, School of Medicine, University of Pennsylvania, Philadelphia, PA
    • Corresponding Author InformationCorrespondence address: Rachel R Kelz, MD, MSCE, FACS, Department of Surgery, University of Pennsylvania School of Medicine, 3400 Spruce St, 4 Silverstein, Philadelphia, PA 19104
    • ,
  • Timothy T. Tran, BA

      Affiliations

    • Department of Surgery, School of Medicine, Washington University in St Louis, St Louis, MO
    • ,
  • Patrick Hosokawa, MS

      Affiliations

    • Health Outcomes Program, University of Colorado, Denver, CO
    • ,
  • William Henderson, PhD

      Affiliations

    • Health Outcomes Program, University of Colorado, Denver, CO
    • ,
  • E. Carter Paulson, MD

      Affiliations

    • Department of Surgery, School of Medicine, University of Pennsylvania, Philadelphia, PA
    • ,
  • Francis Spitz, MD

      Affiliations

    • Department of Surgery, Philadelphia VA Medical Center, Philadelphia, PA
    • Department of Surgery, School of Medicine, University of Pennsylvania, Philadelphia, PA
    • ,
  • Barton H. Hamilton, PhD

      Affiliations

    • Olin Business School, Washington University in St Louis, St Louis, MO
    • ,
  • Bruce L. Hall, MD, PhD, MBA, FACS

      Affiliations

    • Department of Surgery, School of Medicine, Washington University in St Louis, St Louis, MO
    • Olin Business School, Washington University in St Louis, St Louis, MO
    • Department of Surgery, John Cochran Veterans Affairs Medical Center, St Louis, MO
    • Center for Health Policy, Washington University in St Louis, St Louis, MO

Received 8 April 2009 ,Revised 11 May 2009 ,Accepted 12 May 2009.

References 

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  5. Kelz RR, Freeman KM, Hosokawa PW, et al. Time of day is associated with postoperative morbidity: an analysis of the national surgical quality improvement program data. Ann Surg. 2008;247:544–552
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  14. Henderson WG, Khuri SF, Mosca C, et al. Comparison of risk-adjusted 30-day postoperative mortality and morbidity in Department of Veterans Affairs hospitals and selected university medical centers: general surgical operations in men. J Am Coll Surg. 2007;204:1103–1114
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  18. Peberdy MA, Ornato JP, Larkin GL, et al. Survival from in-hospital cardiac arrest during nights and weekends. JAMA. 2008;299:785–792
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 Disclosure Information: Nothing to disclose.

 This study does not represent the views of the ACS or the ACS NSQIP.

 This material is based upon work supported by the Office of Research and Development, competitive pilot project fund, Department of Veterans Affairs 693/11. Dr Hall was supported by the Center for Health Policy under the direction of Dr William Peck, Washington University in St Louis, St Louis, MO. This article is partially derived from the Patient Safety in Surgery Study, and partially supported by the Agency for Healthcare Research and Quality, grant number 5U18HS011913, entitled “Reporting System to Improve Patient Safety in Surgery.”

PII: S1072-7515(09)00507-9

doi: 10.1016/j.jamcollsurg.2009.05.022

Journal of the American College of Surgeons
Volume 209, Issue 4 , Pages 434-445.e2 , October 2009

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