EHRs Can Help Hospitals Overcome the 'Weekend Effect'

Complete adoption of electronic health records could help hospitals avoid the "weekend effect," according to a study published in the Annals of Surgery, Healthcare Informatics reports (Leventhal, Healthcare Informatics, 10/14).

Study Details

The study defined weekend effect as the observation that patient outcomes are worse during the weekend, compared with weekdays, in part because of differences in staffing and resources that result in changes in care (Kothari et al., Annals of Surgery, October 2015).

For the study, researchers reviewed the records of 126,666 patients at 166 Florida hospitals between 2007 and 2011. Each hospital was participating in a database program sponsored by the Agency for Healthcare Research and Quality. The researchers also linked data to the American Hospital Association Annual Survey database to determine characteristics of individual hospitals.

They sought to determine whether bolstering resources before, during and after surgery could help overcome the weekend effect.

Study Findings

According to the study, 17 hospitals were able to overcome the weekend effect.

After examining 21 hospital resources and controlling for patient characteristics, the researchers identified five resources that helped, including EHRs.

Specifically, the study found hospitals that completely adopted EHRs were 4.74 times more likely to overcome the weekend effect. According to the study:

  • 12.2% of hospitals that persistently experienced the weekend effect had fully adopted EHRs; and
  • 40% of hospitals that overcame the effect had fully adopted EHRs.

The other resources that helped hospitals overcome the weekend effect included:

  • Home health programs;
  • Increased nurse-to-bed ratios;
  • Pain management programs; and
  • Physical rehabilitation (Healthcare Informatics, 10/14).
Source: iHealthBeat, Thursday, October 15, 2015