Background: To relieve hospital capacity strain, hospitals often encourage clinicians to prioritize early morning discharges which may have unintended consequences. We aimed to test the effects of hospitalist physicians rounding on discharging patients first. Methods: Prospective, multi-center randomized controlled trial at three large academic hospitals. Participants were Hospital Medicine attending-level physicians and patients the physicians […]

Background: To relieve hospital capacity strain, hospitals often encourage clinicians to prioritize early morning discharges which may have unintended consequences. We aimed to test the effects of hospitalist physicians rounding on discharging patients first. Methods: Prospective, multi-center randomized controlled trial at three large academic hospitals. Participants were Hospital Medicine attending-level physicians and patients the physicians […]

Background: Hospital overcrowding and extended Emergency Department (ED) wait times are challenges facing most urban hospitals today. There is growing evidence to show that overcrowding in the ED is associated with increased morbidity, mortality and patient dissatisfaction. To improve overcrowding, hospitals have focused on discharge before noon (DBN) as an impactful and sustainable remedy. While […]