Can the Impact of Change of Surgical Teams in Cardiovascular Surgery Be Measured by Operative Mortality or Morbidity? A Propensity Adjusted Cohort Comparison

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In recent years, there has been an increasing focus in surgical practice on system factors impacting quality of care. There have been multiple studies examining time of admission or time of dismissal as a predictor of poor patient outcomes.1–6 In these studies, time is considered a surrogate for the type or number of personnel involved in patient care. In some studies,1–3 patients receiving care during evenings, nights, and weekends were shown to have poorer outcomes than those cared for during the day. However, others4–7 have found no difference in patient outcomes based on the time of day.
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