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Ranganathan S, Riveros C, Geng M, Chang C, Tsugawa Y, Ravi B, Melchiode Z, Hu S, Kobashi K, Miles BJ, Klaassen Z, Nathens A, Coburn N, Detsky AS, Jerath A, Wallis CJD, Satkunasivam R. Superstition in Surgery: A Population-Based Cohort Study to Assess the Association Between Surgery on Friday the 13th and Postoperative Outcomes. ANNALS OF SURGERY OPEN 2024; 5:e375. [PMID: 38883950 PMCID: PMC11175938 DOI: 10.1097/as9.0000000000000375] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2023] [Accepted: 12/08/2023] [Indexed: 06/18/2024] Open
Abstract
Objective We sought to examine whether the outcomes of patients who receive a surgical procedure on Friday the 13th differ from patients who receive surgery on flanking Fridays. Background Numerous studies have demonstrated that increased anxiety from the provider or patient around the time of surgery can lead to worse outcomes. Superstitious patients often express significant concern and anxiety when undergoing a surgical procedure on Friday the 13th. Methods A retrospective, population-based cohort study of 19,747 adults undergoing 1 of 25 common surgical procedures on Friday the 13th or flanking control Fridays (Friday the 6th and Friday the 20th) between January 1, 2007, and December 31, 2019, with 1 year of follow-up. The main outcomes included death, readmission, and complications at 30 days (short-term), 90 days (intermediate-term), and 1 year (long-term). Results A total of 7,349 (37.2%) underwent surgery on Friday the 13th, and 12,398 (62.8%) underwent surgery on a flanking Friday during the study period. Patient characteristics were similar between the 2 groups. We found no evidence that patients receiving surgery on Friday the 13th group were more likely to experience the composite primary outcome at 30 days [adjusted odds ratio (aOR) = 1.02 (95% CI = 0.94-1.09)], 90 days [aOR = 0.97 (95% CI = 0.90-1.04)], and 1 year [aOR = 0.99 (95% CI = 0.94-1.04)] after surgery. Conclusion Patients receiving surgery on Friday the 13th do not appear to fare worse than those treated on ordinary Fridays with respect to the composite outcome.
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Affiliation(s)
| | - Carlos Riveros
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Michael Geng
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Courtney Chang
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Yusuke Tsugawa
- Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA
- Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA
| | - Bheeshma Ravi
- Division of Orthopedic Surgery, Department of Surgery, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
- Division of Orthopedic Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
| | - Zachary Melchiode
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Siqi Hu
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Kathleen Kobashi
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Brian J Miles
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
| | - Zachary Klaassen
- Division of Urology, Medical College of Georgia, Augusta University, Augusta, GA
| | - Avery Nathens
- Division of Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
| | - Natalie Coburn
- Division of Surgery, Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Ontario, Canada
| | - Allan S Detsky
- Department of Medicine, Mount Sinai Hospital and University Health Network, Toronto, Ontario, Canada
- Institute for Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Angela Jerath
- Department of Anesthesia, Sunnybrook Health Sciences Center, Toronto, Ontario, Canada
| | - Christopher J D Wallis
- Division of Urology, Department of Surgery, University of Toronto, Toronto, Ontario, Canada
- Division of Urology, Department of Surgery, Mount Sinai Hospital, Toronto, Ontario, Canada
- Department of Surgical Oncology, University Health Network, Toronto, Ontario, Canada
| | - Raj Satkunasivam
- From the Department of Urology, Houston Methodist Hospital, Houston, TX
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Go BC, Chorath K, Schettino A, Anagnos V, Maina I, Henry L, Dumberger L, Sangal N, Triantafillou V, Husain S, Sudoko C, Cretney E, Rajasekaran K. A quiet place: The impact of the word “quiet” on clinical workload. World J Otorhinolaryngol Head Neck Surg 2022; 9:91-96. [PMID: 37006745 PMCID: PMC10050957 DOI: 10.1002/wjo2.53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 01/27/2022] [Indexed: 11/07/2022] Open
Abstract
Purpose This study aimed to determine the impact of uttering the word "quiet" on clinical workload during the overnight otolaryngology call shift and understand the factors contributing to resident busyness. Materials and Methods A multicenter, single-blind, randomized-controlled trial was conducted. A total of 80 overnight call shifts covered by a pool of 10 residents were randomized to the quiet or to the control group. At the start of shift, residents were asked to state aloud, "Today will be a quiet night" (quiet group) or "Today will be a good night" (control group). Clinical workload, as measured by number of consults, was the primary outcome. Secondary measures included number of sign-out tasks, unplanned inpatient and operating room visits, number of phone calls and hours of sleep, and self-perceived busyness. Results There was no difference in the number of total (P = 0.23), nonurgent (P = 0.18), and urgent (P = 0.18) consults. Tasks at signout, total phone calls, unplanned inpatient visits, and unplanned operating room visits did not differ between the control and quiet groups. While there were more unplanned operating room visits in the quiet group (29, 80.6%) compared to the control group (34, 94.4%), this was not found to be significant (P = 0.07). The majority of residents reported feeling "not busy" during control nights (18, 50.0%) compared to feeling "somewhat busy" during quiet nights (17, 47.2%; P = 0.42). Conclusion Contrary to popular belief, there is no clear evidence that uttering the word "quiet" significantly increases clinical workload.
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Affiliation(s)
- Beatrice C. Go
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Kevin Chorath
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Amy Schettino
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Vincent Anagnos
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Ivy Maina
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Laura Henry
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Lukas Dumberger
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Neel Sangal
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Vasiliki Triantafillou
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Solomon Husain
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Chad Sudoko
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Evan Cretney
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
| | - Karthik Rajasekaran
- Department of Otorhinolaryngology University of Pennsylvania Philadelphia Pennsylvania USA
- Department of Otorhinolaryngology, Leonard Davis Institute of Health Economics University of Pennsylvania Philadelphia Pennsylvania USA
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Mira JJ, Martin-Delgado J, Aibar C, Gómez G, Ramos JM, Aranaz J, Gómez-Muzas F, Ruguero MJ, Cobos A, Colmenero M, Gorricho J, Silvestre C, Egea-Valera MA, Marqués-Espí JA, García-Montero JI, Carrillo I. Bed 13 is not worse than any other. A retrospective cohort study. J Healthc Qual Res 2020; 35:79-85. [PMID: 32273107 DOI: 10.1016/j.jhqr.2019.11.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2019] [Revised: 11/27/2019] [Accepted: 11/27/2019] [Indexed: 10/24/2022]
Abstract
INTRODUCTION Risk management and patient safety are closely related, following this premise some industries have adopted measures to omit number 13. Healthcare is not left behind, in some hospital the day of surgery's or bed numbering avoid number 13. The objective was to assess whether it is necessary to redesign the safety policies implemented in hospitals based on avoiding 13 in the numbering of rooms/beds. METHODS A retrospective cohort study was conducted. Mortality and the number of adverse events suffered by patients admitted to rooms/beds numbering 13 (bad chance) or 7 (fair chance) over a two-year period to Intensive Care Unit, Medicine, Gastroenterology, Surgery, and Paediatric service were registered and compared. RESULTS A total of 8553 admissions were included. They had similar length-of-stay and Charlson Index scores (p-value=0.435). Mortality of bed 13 was 268 (6.2%, 95% CI 5.5-6.9) and 282 in bed 7 (6.7%, 95% CI 5.9-7.5) (p-value=0.3). A total of 422 adverse events from 4342 admissions (9.7%, 95% CI 8.9-10.6) occurred in bed 13, while in bed 7 the count of adverse events was 398 in 4211 admissions (9.4%, 95% CI 8.6-10.4) (p-value=0.6). Odds Ratio for mortality was equal to 0.9 (95% CI 0.8-1.1) and suffering adverse events when admitted to bed 13 versus bed 7 was 1.03 (95% CI 0.9-1.2). CONCLUSIONS Bed 13 is not a risk factor for patient safety. Hospitals should pay attention to causes and interventions to avoid adverse events based on evidence rather than beliefs or myths.
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Affiliation(s)
- J J Mira
- Health District Alicante-Sant Joan, Alicante, Spain; Miguel Hernández University, Elche, Spain
| | - J Martin-Delgado
- Foundation for the Promotion of Health and Biomedical Research, Sant Joan d'Alacant, Spain.
| | - C Aibar
- Aragon Health Service, Zaragoza, Spain
| | - G Gómez
- Madrid Health Service, Madrid, Spain
| | - J M Ramos
- Madrid Health Service, Madrid, Spain
| | - J Aranaz
- Preventive Medicine and Public Health Service, Ramon y Cajal University Hospital, Madrid, Spain; Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS), Madrid, Spain; Centro de Investigación Biomédica en Red en Epidemiología y Salud Pública (CIBERESP), Madrid, Spain
| | - F Gómez-Muzas
- Department of Universal and Public Health, Alicante, Spain
| | - M J Ruguero
- Department of Universal and Public Health, Alicante, Spain
| | - A Cobos
- Andalusian Health Service, Granada, Spain
| | | | - J Gorricho
- Navarre Health Service - Osasunbidea, Pamplona, Spain
| | - C Silvestre
- Navarre Health Service - Osasunbidea, Pamplona, Spain
| | | | | | | | - I Carrillo
- Miguel Hernández University, Elche, Spain; Foundation for the Promotion of Health and Biomedical Research, Sant Joan d'Alacant, Spain
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Norkus CL, Butler AL, Smarick SD. The influence of quotations uttered in emergency service triage traffic and hospitalization (Quiet). Open Vet J 2019; 9:99-102. [PMID: 31086774 PMCID: PMC6500862 DOI: 10.4314/ovj.v9i1.17] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 03/10/2019] [Indexed: 11/17/2022] Open
Abstract
This study aims to determine whether the use of the word, Quiet increases veterinary emergency service triage traffic or hospital admissions. Days were randomized to be a control or test phrase day. On control days, the phrase, Have a nice day! was announced to the entire hospital staff. On test days, the phrase, Have a quiet day! was announced. No statistical difference in mean number of the patients presenting to the emergency service for triage (test phrase 30.1 ± 10.4 cases vs control phrase 30.3 cases ± 10.5, p = 0.91) or hospital admissions (test phrase 3.5 ± 1.9 cases vs control phrase 4.3 ± 2.4 cases, p = 0.13) was found for 24-h following phrase utterance. No statistical difference in mean number of patients presenting to the emergency service for triage (test phrase 2.7 ± 1.4 cases vs control phrase 2.6 ± 1.9 cases, p = 0.84) or hospital admissions (test phrase 0.3 ± 0.5 cases vs control phrase 0.5 ± 0.8 cases, p = 0.08) was found in the 2-h window immediately following phrase announcement. Despite popular myth, using the word, Quiet does not increase veterinary emergency service triage traffic or hospital admissions.
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Affiliation(s)
- Christopher L Norkus
- Allegheny Veterinary Emergency Trauma & Specialty, 4224 Northern Pike, Monroeville, PA, 15146, USA
| | - Amy L Butler
- Allegheny Veterinary Emergency Trauma & Specialty, 4224 Northern Pike, Monroeville, PA, 15146, USA
| | - Sean D Smarick
- Allegheny Veterinary Emergency Trauma & Specialty, 4224 Northern Pike, Monroeville, PA, 15146, USA
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Taboo in the Workplace: A Qualitative Study of Taiwanese Nurses' "Not-Eating Pineapple" in Clinical Practice. Holist Nurs Pract 2017; 31:384-392. [PMID: 29028777 DOI: 10.1097/hnp.0000000000000236] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
There has been an increased emphasis on nurses' mental health and well-being in the workplace. Psychologists have established a correlative link between individual's beliefs on luck and mental health. The pineapple taboo has been observed among Taiwanese hospital nurses as a prevalent superstitious belief for bringing luck or warding off increased clinical workloads, but how and why the ritual persists in the hospital workplace remains unknown. This article aims to explore the latent meaning of observance of the taboo and how it is related to nurses' clinical practice and possibly affects their mental health at work. A qualitative research was designed in line with the hermeneutic phenomenological method. Through purposive sampling, 18 nurse participants were recruited for in-depth semistructured interviews. Resulting from the ensuing analysis, 3 modalities were identified as constituting the spectrum of observance of the taboo: (a) "strictly not eating pineapple"; (b) "not eating pineapple at work"; and (c) "eating pineapple without admitting to doing so." Each reflects the position of nurses revealed in relation to the pineapple taboo in clinical settings. Based on the subjective narratives of nurses, it may be understood as an active moral attempt at "being right" rather than a passive avoidance of bad luck in the taboo observation. The findings facilitate an appropriate understanding of the embedded meaning of nurses' workplace-related belief and its seminal function of empowerment for nurses in holistic nursing practice.
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Impact of Attending Physicians' Comments on Residents' Workloads in the Emergency Department: Results from Two J(^o^)PAN Randomized Controlled Trials. PLoS One 2016; 11:e0167480. [PMID: 27936189 PMCID: PMC5147894 DOI: 10.1371/journal.pone.0167480] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Accepted: 11/13/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To examine whether peppy comments from attending physicians increased the workload of residents working in the emergency department (ED). METHODS We conducted two parallel-group, assessor-blinded, randomized trials at the ED in a tertiary care hospital in western Japan. Twenty-five residents who examined either ambulatory (J(^o^)PAN-1 Trial) or transferred patients (J(^o^)PAN-2 Trial) in the ED on weekdays. Participants were randomly assigned to groups that either received a peppy message such as "Hope you have a quiet day!" (intervention group) or did not (control group) from the attending physicians. Both trials were conducted from June 2014 through March 2015. For each trial, residents rated the number of patients examined during and the busyness and difficulty of their shifts on a 5-point Likert scale. RESULTS A total of 169 randomizations (intervention group, 81; control group, 88) were performed for the J(^o^)PAN-1 Trial, and 178 (intervention group, 85; control group, 93) for the J(^o^)PAN-2 Trial. In the J(^o^)PAN-1 trial, no differences were observed in the number of ambulatory patients examined during their shifts (5.5 and 5.7, respectively, p = 0.48), the busyness of their shifts (2.8 vs 2.8; p = 0.58), or the difficulty of their shifts (3.1 vs 3.1, p = 0.94). However, in the J(^o^)PAN-2 trial, although busyness (2.8 vs 2.7; p = 0.40) and difficulty (3.1 vs 3.2; p = 0.75) were similar between groups, the intervention group examined more transferred patients than the control group (4.4 vs 3.9; p = 0.01). CONCLUSIONS Peppy comments from attending physicians had a minimal jinxing effect on the workload of residents working in the ED. TRIAL REGISTRATION University Hospital Medical Information Network Clinical Trials Registry (UMIN-CTR), UMIN000017193 and UMIN000017194.
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Protty MB, Jaafar M, Hannoodee S, Freeman P. Acute coronary syndrome on Friday the 13th: a case for re‐organising services? Med J Aust 2016; 205:523-525. [DOI: 10.5694/mja16.00870] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Accepted: 08/30/2016] [Indexed: 11/17/2022]
Affiliation(s)
- Majd B Protty
- Cardiff University School of Medicine, Cardiff, Wales, United Kingdom
| | - Mustafa Jaafar
- Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales, United Kingdom
| | - Sahar Hannoodee
- Royal Gwent Hospital, Aneurin Bevan University Health Board, Newport, Wales, United Kingdom
| | - Phillip Freeman
- Cardiff University School of Medicine, Cardiff, Wales, United Kingdom
- Aalborg University, Aalborg, Denmark
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Gilbert E, Wahlquist AH. Friday the 13th? Bring It On! J Natl Med Assoc 2012. [DOI: 10.1016/s0027-9684(15)30208-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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