{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T07:08:03Z","timestamp":1749193683288},"reference-count":33,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2016,7,9]],"date-time":"2016-07-09T00:00:00Z","timestamp":1468022400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Med Qual"],"published-print":{"date-parts":[[2017,1]]},"abstract":"<jats:p> This study examines whether implementing a resident shift work schedule (RSWS) alone or combined with a hospitalist-led model system (HMS\/RSWS) affects patient care outcomes or costs at a pediatric tertiary care teaching hospital. A retrospective sample compared pre- and postintervention groups for the most common primary discharge diagnoses, including asthma and cellulitis (RSWS intervention) and inflammatory bowel disease and diabetic ketoacidosis (HMS\/RSWS intervention). Outcome variables included length of stay, number of subspecialty consultations, and hospitalization charges. For the RSWS intervention, the preintervention (n = 107) and postintervention (n = 92) groups showed no difference in any of the outcome variables. For the HMS\/RSWS intervention, the preintervention (n = 98) and postintervention (n = 69) groups did not differ in demographics or length of stay. However, subspecialty consultations increased significantly during postintervention from 0.83 to 1.52 consults\/hospitalization ( P &lt; .01) without significantly increasing hospitalization charges. Neither the RSWS nor HMS\/RSWS intervention affected patient care outcomes at a pediatric tertiary care teaching hospital. <\/jats:p>","DOI":"10.1177\/1062860615613157","type":"journal-article","created":{"date-parts":[[2015,12,4]],"date-time":"2015-12-04T03:09:08Z","timestamp":1449198548000},"page":"27-33","update-policy":"http:\/\/dx.doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["No Variation in Patient Care Outcomes After Implementation of Resident Shift Work Duty Hour Limitations and a Hospitalist Model System"],"prefix":"10.1097","volume":"32","author":[{"given":"John M.","family":"Hollier","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Baylor College of Medicine, Houston, TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen D.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, University of California San Francisco, San Francisco, 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