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 Vol. 13 No. 6, June 2005
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AAP Grand Rounds 13:65-66 (2005)
© 2005 American Academy of Pediatrics

HOSPITAL CARE

Hospitalist System versus Housestaff System, And the Winner Is...

Source: Dwight P, MacArthur C, Friedman JN, et al. Evaluation of a staff-only hospitalist system in a tertiary care, academic children’s hospital. Pediatrics. 2004;114:1545–1549.[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.

In 1995, responding to newly limited resident duty hours, the division of pediatrics at The Hospital for Sick Children in Toronto reorganized inpatient pediatric teams to include 2 distinct hospitalist models: a hospitalist/housestaff model (CTU) and hospitalist staff-only model (CPU). Citing a lack of published data assessing the staff-only pediatric hospitalist model, the authors designed a cohort study of 3807 admissions to the general inpatient pediatric unit between July 1, 1996 and June 30, 1997.

Length of stay was the primary outcome measure, and secondary outcome measures included frequency of subspecialty consultation, readmission to the hospital, and death. Consultations were measured as none or ≥1, and readmissions were defined as admission within 7 days of discharge for the same or a related diagnosis. Clinically relevant information collected for each . . . [Full Text of this Article]

Brian M. Pate, MD, FAAP
Hospitalist Services, Children’s Mercy Hospital, Kansas City, MO