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Journal Article > Study
Wingo MT, Halvorsen AJ, Beckman TJ, Johnson MG, Reed DA. J Hosp Med. 2016;11:169-173.
The volume–outcome relationship—in which increased patient volume is associated with improved outcomes at the individual clinician and hospital level—has been demonstrated in several classic studies of surgical outcomes. However, this analysis of medical admissions to a teaching hospital found indications of an opposite association. Analyzing admissions over a 6-year period, investigators found that a higher total patient census and a greater number of daily admissions were both associated with an increased frequency of safety events (as measured by the AHRQ Patient Safety Indicators). Greater total census and more admissions were both inversely associated with teaching evaluation scores. Taken together, these results imply that increased workload impairs faculty physicians' ability to supervise and teach residents effectively.
Journal Article > Commentary
Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons from the suicide of a psychiatric patient.
Young JQ, Eisendrath SJ. Acad Psychiatry. 2011;35:54-57.
This commentary identifies the contributing factors in a case of patient suicide during the course of year-end resident turnover.