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Abelson R. New York Times. May 17, 2007;Business section:1.
This article reports on a Pennsylvania hospital system that offers a flat fee for bypass surgery and a guarantee for follow-up care should complications arise.
Journal Article > Study
Becker DJ. Health Serv Res. 2007;42:1589-1612.
Prior research has demonstrated that patients admitted to the hospital on a weekend have a higher risk of mortality from conditions requiring emergency treatment and may experience a higher rate of preventable complications. These problems have been attributed to lower hospital staffing ratios on weekends. This article specifically evaluated the quality of care provided to patients hospitalized with acute myocardial infarction (AMI) and found that patients admitted on weekends were significantly less likely to undergo invasive treatments (such as cardiac catheterization or bypass surgery) within the first day of admission. This finding corroborates another recent study, which also found a lower rate of invasive procedure use among AMI patients admitted on the weekend, and also demonstrated increased mortality among those patients. Taken together, these results suggest that both increased staffing and incentives to perform weekend procedures may be needed to counteract the "weekend effect."
Carbonara P. Fast Company. October 2008.
This magazine article describes how one health system is using an evidence-based, pay-for-performance program to reduce errors and improve outcomes in coronary-artery bypass graft (CABG) surgery.
Journal Article > Commentary
Cassidy J. BMJ. 2009;339:b2693.
This article examines the impact of whistleblowing on the caregivers involved, using the Bristol incident and other high-profile examples from the United Kingdom.
Gabler E. New York Times. May 31, 2019.
Pediatric cardiac surgery is highly technical and risky. This newspaper article reports on a poorly performing pediatric cardiac surgery program, concerns raised by staff, and insufficient response from organizational leadership. Lack of data transparency, insufficient resources, and limited program capabilities to support a complex program contributed to poor outcomes for pediatric patients.