2020年6月27日 星期六

小兒科醫師顧加護病房16或是24小時班所犯錯誤比較 (ROSTERS Study Group)

Effect on Patient Safety of a Resident Physician Schedule without 24-Hour Shifts
List of authors. (ROSTERS Study Group)

https://www.nejm.org/doi/full/10.1056/NEJMoa1900669?query=pfw&jwd=000012994502&jspc=NEP

令人驚訝的是:16小時一班(intervention group)比24小時一班(control group)所犯錯誤還多!

Resident physicians made more serious errors during the intervention schedules than during the control schedules (97.1 vs. 79.0 per 1000 patient-days; relative risk, 1.53; 95% confidence interval [CI], 1.37 to 1.72; P<0 .001="" p="">
但是要注意是不是intervention group這一組照顧病人數多一點所導致的偏差:
patients per resident physician, was higher during the intervention schedules than during the control schedules (8.8±2.8 vs. 6.7±2.2)

In a secondary analysis that was adjusted for the number of patients per resident physician as a potential confounder, intervention schedules were no longer associated with an increase in errors.