Background: Diagnostic errors (DEs), or the failure to accurately identify or provide timely explanations of a patient’s health problem, are a significant source of patient harm. DEs occur in up to 23% of adult inpatients who transfer to intensive care units (ICU) or die. Few studies have examined how clinician team composition impacts DE risk. [...]

Background: Diagnostic errors (DEs), or the failure to accurately identify or provide timely explanations of a patient’s health problem, are a significant source of patient harm. DEs occur in up to 23% of adult inpatients who transfer to intensive care units (ICU) or die. Few studies have examined how clinician team composition impacts DE risk. [...]

Background: Over 32 million patients in the United States have a penicillin (PCN) allergy label in their medical chart.1 Studies have demonstrated that 15-20% of hospitalized patients are labeled PCN allergic. However, IgE-mediated PCN allergy wanes over time and up to 80% of patients with a listed PCN allergy can tolerate PCN after 10 years. [...]

Background: Hospital scheduling and structure has the potential to smooth the flow and impact quality outcomes. The most predominant hospitalist schedule follows the seven-on/seven-off scheduling where hospitalists would switch off service after the 7th day, also known as switch day, to the next incoming provider. However, there is limited data on which hospitalist switch day [...]

Background: Hospitalist models have grown significantly since their inception in the mid-1990s. However, despite their widespread presence, hospitalists’ optimal workflows remain poorly studied and defined. This gap is particularly concerning given the increasing complexity of hospitalized patients. Without a clear understanding of optimal hospitalist work design, clinicians face an increased risk of unsafe workloads and [...]

Background: In the late 1990s, the hospitalist role emerged in the United States, and the effectiveness of hospitalists in improving healthcare quality and patient safety has been demonstrated. Due to a shortage of medical personnel for inpatients, Korean government initiated hospitalist programs starting in 2016. The patient care model focused on inpatients by surgical specialists [...]

Background: The hospitalist system in Korea was introduced to address gaps in inpatient care and enhance safety. Despite increasing demand, research on the impact of hospitalists’ years of experience on care quality remains limited. Methods: A retrospective cohort study was conducted in multiple tertiary centers with inpatient internal medicine hospitalist wards. Hospitalists who began working [...]

Background: Discharge delays are associated with excessive costs to healthcare systems and poor patient outcomes. We sought to identify perceived barriers to timely discharge within and outside the control of hospitalists from the multidisciplinary team pivotal to the discharge process, and if different professionals noted different barriers. Methods: In June 2024, we surveyed hospitalist physicians/advanced [...]

Background: The use of point-of-care ultrasound (POCUS) by hospitalists is rapidly evolving and is variable between hospital medicine groups and individuals. Although POCUS has been shown to increase patient satisfaction in the emergency department and primary care settings, little is known about hospitalized patients’ perspectives on POCUS in their care. POCUS allows patients the opportunity [...]

Background: Hospital medicine is a rapidly growing specialty within internal medicine, offering diverse career opportunities in clinical practice, teaching, research, innovation, and quality improvement (QI). As with any other specialty within Internal Medicine, residents interested in Hospital Medicine need specialty guidance, mentorship, and professional development when considering careers in Hospital Medicine. The Hospital Internal Medicine [...]