Imperial College London
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ProfessorPaulAylin

Faculty of Medicine, School of Public Health

Professor of Epidemiology and Public Health
 
 
 
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Contact

 

p.aylin Website

 
 
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Location

 

Reynolds BuildingCharing Cross Campus

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Summary

 

Publications

Citation

BibTex format

@article{Balinskaite:2021:10.1186/s12913-021-06578-y,
author = {Balinskaite, V and Aylin, P and Bottle, R},
doi = {10.1186/s12913-021-06578-y},
journal = {BMC Health Services Research},
pages = {1--7},
title = {Assessing the impact of a shadowing programme on in-hospital mortality following trainee doctors’ changeover},
url = {http://dx.doi.org/10.1186/s12913-021-06578-y},
volume = {21},
year = {2021}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BackgroundTo assess the impact on seven-day in-hospital mortality following the introduction in 2012 of a shadowing programme for new UK medical graduates requiring them to observe the doctor they are replacing for at least 4 days before starting work.MethodsData on emergency admissions were derived from Hospital Episode Statistics between 2003 and 2019. A generalised estimating equation model was used to examine whether the introduction of the programme was associated with a change in mortality.ResultsThere were 644,018 emergency admissions, of which 1.8% (7612) ended in death in hospital within a week following the admission. Throughout the study period, there was an annual increase in the number of emergency admissions during July and August, though in-hospital mortality rates declined. The generalised estimating equation analysis found no significant change in the odds of death within 7 days after admission for patients admitted on the first Wednesday in August compared with patients admitted on the last Wednesday in July (OR = 1.03, 95% CI 0.94–1.13, p = 0.53). Furthermore, there was no significant change observed for any clinical diagnosis category following the introduction of the shadowing programme.ConclusionThere was a rising trend in the number of emergency admissions over the study period, though mortality was decreasing. We found no significant association between the introduction of shadowing programme and in-hospital mortality; however, lack of power means that we cannot rule out a small effect on mortality. There are other outcomes that might have changed but were not examined in this study.
AU  - Balinskaite,V
AU  - Aylin,P
AU  - Bottle,R
DO  - 10.1186/s12913-021-06578-y
EP  - 7
PY  - 2021///
SN  - 1472-6963
SP  - 1
TI  - Assessing the impact of a shadowing programme on in-hospital mortality following trainee doctors’ changeover
T2  - BMC Health Services Research
UR  - http://dx.doi.org/10.1186/s12913-021-06578-y
UR  - https://link.springer.com/article/10.1186/s12913-021-06578-y
UR  - http://hdl.handle.net/10044/1/89848
VL  - 21
ER  -
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