This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related articles  • Related letter  • Similar articles in this journal  Topic Collections  • Quality of Care, Other  • Statistics and Research Methods  • Surgery  • Surgical Interventions, Other  • Alert me on articles by topic  Social Bookmarking   What's this?

Andrew D. Auerbach, MD, MPH; Neil Sehgal, MPH

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In reply

Carson and Felibrico have potentially misread our article in a few ways. First, we never made a claim that our single-site study can provide a global assessment of the practice of consultation,¹ and we fairly and strongly tempered our discussion in regard to limitations due to its single-site focus and the likely influence of residual confounding. Second, they misinterpret the context of the study—the order set and education program targeted all caregivers in the perioperative period, not just internists. While internists led many of the programs seeking to improve the use of β-blockers and other practices, we would have expected this to have produced a more positive effect of consultation on our key outcomes. Third, while we concur that length of stay in subspecialty-consulted patients was longer, the potential benefit of reducing costs and length of stay via better coordination . . . [Full Text of this Article]

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati     What's this?

RELATED ARTICLES

Opportunity Missed: Medical Consultation, Resource Use, and Quality of Care of Patients Undergoing Major Surgery
Andrew D. Auerbach, Mladen A. Rasic, Neil Sehgal, Brigid Ide, Betsy Stone, and Judith Maselli
Arch Intern Med. 2007;167(21):2338-2344.
ABSTRACT | FULL TEXT  

Effects of a Hospitalist Model on Elderly Patients With Hip Fracture
Michael P. Phy, David J. Vanness, L. Joseph Melton, III, Kirsten Hall Long, Cathy D. Schleck, Dirk R. Larson, Paul M. Huddleston, and Jeanne M. Huddleston
Arch Intern Med. 2005;165(7):796-801.
ABSTRACT | FULL TEXT  

RELATED LETTER

Opportunity Realized? Medical Consultation for Patients Undergoing Major Surgery
Michael P. Carson and Oliver Felibrico
Arch Intern Med. 2008;168(13):1470-1471.
EXTRACT | FULL TEXT