Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

Charlenn Skead; Laura H Thompson; Hanna Kuk; Ariel Hendin; Moosa Yasir Hamood Al Abri; Yasmeen Choudhri; Tim Ramsay; Brent Herritt; Kwadwo Kyeremanteng

Study

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

January 11, 2023

Skead C, Thompson LH, Kuk H, et al. Crit Care Res Pract. 2022;2022:4815734.

View more articles from the same authors.

After-hours and weekend admissions to the hospital and intensive care units (ICU) have been linked to poor outcomes. This retrospective analysis compared outcomes among adult patients with daytime versus nighttime ICU admissions at one large Canadian medical center in between 2011 and 2015. Researchers found that overall mortality, but not ICU mortality, was higher among daytime admissions.

PubMed citation

Free full text

Related Resources From the Same Author(s)

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Care quality, patient safety, and nurse outcomes at hospitals serving economically disadvantaged patients: a case for investment in nursing.

January 19, 2022

The impact of health care strikes on patient mortality: a systematic review and meta-analysis of observational studies.

November 30, 2022

The patient's "story": an examination of patient-reported safety incidents in general practice.

May 4, 2022

Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients.

April 28, 2021

The impact of medication reconciliation and review in patients using oral chemotherapy.

March 1, 2023

Do patient engagement IT functionalities influence patient safety outcomes? A study of US hospitals.

August 10, 2022

Development of the ICU safety reporting system.

May 11, 2005

Using patient safety indicators to estimate the impact of potential adverse events on outcomes.

January 30, 2008

Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study.

February 12, 2020

Assessment of patient retention of inpatient care information post-hospitalization.

February 22, 2023

Improving patient safety in intensive care units in Michigan.

June 25, 2008

Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods.

March 23, 2022

Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study.

January 11, 2023

Harms from discharge to primary care: mixed methods analysis of incident reports.

December 16, 2015

Work environment and operational failures associated with nurse outcomes, patient safety, and patient satisfaction.

January 25, 2023

Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement.

December 7, 2022

Second opinions improve healthcare outcomes and reduce costs.

June 24, 2020

Understanding principles of high reliability organizations through the eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications and reducing polypharmacy.

February 5, 2020

The working hours of hospital staff nurses and patient safety.

January 9, 2005

Obtaining the best possible medication history at hospital admission: description of a pharmacy technician-driven program to identify medication discrepancies.

June 23, 2021

The impact of meaningful use and electronic health records on hospital patient safety.

November 2, 2022

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries.

February 28, 2024

Using text mining techniques to identify health care providers with patient safety problems: exploratory study.

October 13, 2021

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record.

September 7, 2022

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study.

January 11, 2023

Use of heuristics during the clinical decision process from family care physicians in real conditions.

October 6, 2021

Association of diagnostic stewardship for blood cultures in critically ill children with culture rates, antibiotic use, and patient outcomes: results of the Bright STAR Collaborative.

May 18, 2022

Potentially inappropriate medications and their effect on falls during hospital admission.

March 23, 2022

Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed.

August 10, 2022

Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era.

July 22, 2020

Unexpected death within 72 hours of emergency department visit: were those deaths preventable?

May 6, 2015

Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care.

September 21, 2022

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

The impact of electronic health record interoperability on safety and quality of care in high-income countries: systematic review.

October 5, 2022

Chronic hospital nurse understaffing meets COVID-19: an observational study.

September 9, 2020

Longitudinal medication reconciliation at hospital admission, discharge and post-discharge.

August 26, 2020

Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals.

June 2, 2021

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

Sustained improvement in quality of patient handoffs after orthopaedic surgery I-PASS intervention.

September 21, 2022

Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review.

February 22, 2023

Clinical and economic impacts of explicit tools detecting prescribing errors: a systematic review.

May 26, 2021

Assessment of patient-preferred language to achieve goal-aligned deprescribing in older adults.

June 30, 2021

Unintended consequences of patient online access to health records: a qualitative study in UK primary care.

November 16, 2022

Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19.

December 16, 2020

Resident duty hours and resident and patient outcomes: systematic review and meta-analysis.

November 16, 2022

Characteristics and unexpected COVID-19 diagnoses in resuscitation room patients during the COVID-19 outbreak - a retrospective case series.

September 30, 2020

Association between opioid tapering and subsequent health care use, medication adherence, and chronic condition control.

March 1, 2023

Differences in hospitals' workplace violence incident reporting practices: a mixed methods study.

May 18, 2022

Multifactorial interventions to reduce duration and variability in delays to identification of serious injury after falls in hospital inpatients.

April 27, 2022

Discrepancy between emergency department admission diagnosis and hospital discharge diagnosis and its impact on length of stay, up-triage to the intensive care unit, and mortality.

February 16, 2022

Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.

June 22, 2022

Patient safety in inpatient mental health settings: a systematic review.

February 5, 2020

The delivery of safe and effective test result communication, management and follow-up.

September 27, 2023

Medication safety incidents associated with the remote delivery of primary care: a rapid review.

January 18, 2023

Impact of intensive care unit discharge time on patient outcome.

January 17, 2007

Race, ethnicity, and 60-day outcomes after hospitalization with COVID-19.

November 17, 2021

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure.

March 9, 2022

Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review.

December 8, 2021

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

The effect of a transitional pharmaceutical care program on the occurrence of ADEs after discharge from hospital in patients with polypharmacy.

April 27, 2022

The (commercialised) experience of operating: embodied preferences, ambiguous variations and explaining widespread patient harm.

March 8, 2023

A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals.

October 14, 2020

Preventable hospital admissions related to medication (HARM): cost analysis of the HARM study.

March 1, 2011

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission.

February 15, 2023

Psychological intervention to improve communication and patient safety in obstetrics: examination of the health action process approach.

April 13, 2022

Better nurse staffing is associated with survival for Black patients and diminishes racial disparities in survival after in-hospital cardiac arrests.

December 9, 2020

Post-operative mortality, missed care and nurse staffing in nine countries: a cross-sectional study.

September 13, 2017

Acute clinical deterioration and consumer escalation: the understanding and perceptions of hospital staff.

August 31, 2022

Conflict resolution: applying aviation crew resource management in healthcare.

November 10, 2021

Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care.

May 25, 2022

The source of purchased medications and its impact on medication mistakes and hospitalizations.

March 16, 2022

Perceptions of nurses who are second victims in a hospital setting.

December 22, 2021

Patient outcomes after opioid dose reduction among patients with chronic opioid therapy.

January 12, 2022

Checklists to reduce diagnostic error: a systematic review of the literature using a human factors framework.

June 1, 2022

Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis.

March 8, 2023

March 11, 2020

The diagnostic and triage accuracy of digital and online symptom checker tools: a systematic review.

August 31, 2022

Toward safer opioid prescribing in HIV care (TOWER): a mixed-methods, cluster-randomized trial.

June 22, 2022

The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents.

April 21, 2021

The effect of structured medication review followed by face-to-face feedback to prescribers on adverse drug events recognition and prevention in older inpatients - a multicenter interrupted time series study.

August 10, 2022

Finding diagnostic errors in children admitted to the PICU.

February 8, 2017

Using Failure Mode, Effect and Criticality Analysis to improve safety in the cancer treatment prescription and administration process.

March 8, 2023

Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review.

December 1, 2021

Diagnostic errors in pediatric critical care: a systematic review.

April 28, 2021

Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool.

March 18, 2020

Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross-sectional study.

June 22, 2022

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis.

March 29, 2023

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

Hospital quality-review spending and patient safety: a longitudinal analysis using instrumental variables.

July 7, 2021

Healthcare failure mode and effect analysis in the chemotherapy preparation process.

November 17, 2021

Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia.

July 13, 2022

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.

July 29, 2020

Changes made to orders placed by overnight admitting residents on teaching rounds the next day.

January 26, 2022

Patients' experience of patient safety information and participation in care during a hospital stay.

November 16, 2022

Educational levels of hospital nurses and surgical patient mortality.

April 3, 2005

Related Resources

Physician and nurse well-being, patient safety and recommendations for interventions: cross-sectional survey in hospitals in six European countries.

February 28, 2024

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study.

June 14, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Surveys on Patient Safety Culture Nursing Home Survey: 2023 User Database Report.

February 8, 2023

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

A systematic review of nursing practice workarounds.

October 19, 2022

Factors associated with potentially harmful medication prescribing in nursing homes: a scoping review.

September 28, 2022

High-risk medication in home care nursing: a Delphi study.

September 7, 2022

Nurse well-being: a concept analysis.

August 17, 2022

Iatrogenesis in the context of residential dementia care: a concept analysis.

August 3, 2022

Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals.

June 29, 2022

Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes.

June 1, 2022

Human factors analysis of latent safety threats in a pediatric critical care unit.

May 18, 2022

AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report.

May 18, 2022

Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework.

April 27, 2022

We are not there yet: a qualitative system probing study of a hospital rapid response system.

April 20, 2022

Occurrence of no-harm incidents and adverse events in hospitalized patients with ischemic stroke or TIA: a cohort study using trigger tool methodology.

April 20, 2022

Family support role in hospital rapid response teams: a scoping review.

April 13, 2022

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Bias in mental health diagnosis gets in the way of treatment.

March 30, 2022

Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis.

March 16, 2022

Association between handover of anesthesiology care and 1-year mortality among adults undergoing cardiac surgery.

March 2, 2022

Characteristics of registered clinical trials assessing strategies of medication errors prevention- an unusual cross sectional analysis.

February 23, 2022

Coronavirus disease 2019 (COVID-19) pandemic, central-line-associated bloodstream infection (CLABSI), and catheter-associated urinary tract infection (CAUTI): the urgent need to refocus on hardwiring prevention efforts.

February 7, 2022

See More About The Topic

Researchers

Hospitals

Intensive Care Units

Quality and Safety Professionals

Critical Care

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site