Weekend effect is a phenomenon that describes worse patient outcomes for patients treated on the weekend compared with the weekday.1 Weekend effect has been described in surgical populations and is associated with worse outcomes2; however, it is unclear exactly why weekends lead to worse care. One hypothesis could be that worse processes on the weekend contribute to weekend effect, and enhanced recovery protocols are the perfect model to study this. The success of enhanced recovery protocols is particularly dependent on high adherence to process measures.3 Whether process measure adherence is affected by weekend effect remains unknown. Our objectives were to determine if there is an association between day of the week and process measure adherence and to identify hospital-level factors associated with weekend adherence.
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Liu JY, Merkow RP, Cohen ME, et al. Association of Weekend Effect With Recovery After Surgery. JAMA Surg. 2020;155(10):988–990. doi:10.1001/jamasurg.2020.2618
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