ArticleClinical medicine (London, England)2014
Safety in numbers: lack of evidence to indicate the number of physicians needed to provide safe acute medical care.
Article in Clinical medicine (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between multi-disciplinary staffing levels and mortality in acute hospitals: a systematic review.Human resources for health · 2023Pooled it
- The association between physician staff numbers and mortality in English hospitals.EClinicalMedicine · 2021Article
- Scenario-based design for a hospital setting: An exploratory study of opportunities and barriers for personal health records usage.Future healthcare journal · 2020Article
- Impact of consultant specialty on discharge decisions in patients admitted as medical emergencies to hospitals in the United Kingdom.QJM : monthly journal of the Association of Physicians · 2017Article
- 'The time it takes…' How doctors spend their time admitting a patient during the acute medical take.Clinical medicine (London, England) · 2016Observational
- The reconfiguration of hospital services: is there evidence to guide us?Future hospital journal · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Patient safety in hospital is dependent on a multitude of factors. Recent reports into the failings of healthcare organisations in the UK have highlighted low staffing levels as a significant factor. There is research into the impact of nurse-to-patient ratios on patient safety, but our literature search found little published data that would allow healthcare providers to define a minimum number of physician staff and skills mix that would assure safety in the largest hospital specialty: unscheduled (acute) medicine. Future work should focus on the evaluation of existing data on hospital mortality rates and physician staffing levels as well as on empirical time and motion studies to ascertain the resources required to undertake safe medical care at times of peak demand.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.